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2017 ; 12
(9
): e0184892
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Meta-analysis of promoter methylation in eight tumor-suppressor genes and its
association with the risk of thyroid cancer
#MMPMID28926589
Khatami F
; Larijani B
; Heshmat R
; Keshtkar A
; Mohammadamoli M
; Teimoori-Toolabi L
; Nasiri S
; Tavangar SM
PLoS One
2017[]; 12
(9
): e0184892
PMID28926589
show ga
Promoter methylation in a number of tumor-suppressor genes (TSGs) can play
crucial roles in the development of thyroid carcinogenesis. The focus of the
current meta-analysis was to determine the impact of promoter methylation of
eight selected candidate TSGs on thyroid cancer and to identify the most
important molecules in this carcinogenesis pathway. A comprehensive search was
performed using Pub Med, Scopus, and ISI Web of Knowledge databases, and eligible
studies were included. The methodological quality of the included studies was
evaluated according to the Newcastle Ottawa scale table and pooled odds ratios
(ORs); 95% confidence intervals (CIs) were used to estimate the strength of the
associations with Stata 12.0 software. Egger's and Begg's tests were applied to
detect publication bias, in addition to the "Metatrim" method. A total of 55
articles were selected, and 135 genes with altered promoter methylation were
found. Finally, we included eight TSGs that were found in more than four studies
(RASSF1, TSHR, PTEN, SLC5A, DAPK, P16, RAR?2, and CDH1). The order of the pooled
ORs for these eight TSGs from more to less significant was CDH1 (OR = 6.73), SLC5
(OR = 6.15), RASSF1 (OR = 4.16), PTEN (OR = 3.61), DAPK (OR = 3.51), P16 (OR =
3.31), TSHR (OR = 2.93), and RAR?2 (OR = 1.50). Analyses of publication bias and
sensitivity confirmed that there was very little bias. Thus, our findings showed
that CDH1 and SCL5A8 genes were associated with the risk of thyroid tumor
genesis.