Vascular endothelial growth factor gene polymorphisms and endometriosis risk: a meta-analysis

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This meta-analysis found the VEGF +936TC gene polymorphism is a risk factor for endometriosis, but not the VEGF −460CT, +405CG, −2578AC, or −1154GA polymorphisms.

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This paper conducted a comprehensive meta-analysis of 11 case-control studies identified from PubMed and EMBASE to evaluate whether vascular endothelial growth factor (VEGF) gene polymorphisms are associated with endometriosis risk, using crude odds ratios and 95% confidence intervals. The authors found a statistically significant association between the VEGF +936TC polymorphism and endometriosis risk in fixed- and random-effects models, while no association was observed for VEGF −460CT, +405CG, −2578AC, or −1154GA polymorphisms. A major caveat is that the evidence is derived from multiple observational studies and the paper does not state additional limitations such as study quality assessment or publication-bias correction in the abstract. This paper is centrally about endometriosis — it meta-analyzes VEGF gene polymorphisms, identifying +936TC as a risk-associated variant.

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Abstract

PurposeThe vascular endothelial growth factor (VEGF) gene polymorphism has been reported to be associated with endometriosis risk. The purpose of the present study was to perform a comprehensive meta-analysis to explore whether VEGF gene polymorphisms confer risk to endometriosis.MethodsBy searching PubMed and EMBASE databases, a total of 11 studies were identified. Crude odds ratio (OR) and their corresponding 95% confidence intervals (CI) for VEGF gene polymorphisms and endometriosis risk were calculated.ResultAn association of VEGF gene +936TC polymorphism with endometriosis was found (Fixed-effect model: TT + TC vs. CC: OR 1.184, 95% CI 1.027-1.366, P = 0.020; TC vs. CC: OR 1.187, 95% CI 1.024-1.375, P = 0.023. Random-effect model: TT + TC vs. CC: OR 1.203, 95% CI 1.003-1.443, P = 0.046; TC vs. CC: OR 1.188, 95% CI 1.021-1.382, P = 0.026). No association between VEGF genes -460CT, +405CG, -2578AC, -1154GA polymorphisms and endometriosis was observed.ConclusionOur results indicate that VEGF +936TC gene polymorphism is a risk factor for endometriosis, and not -460CT, +405CG, -2578AC, -1154GA.
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Abstract

Purpose The vascular endothelial growth factor (VEGF) gene polymorphism has been reported to be associated with endometriosis risk. The purpose of the present study was to perform a comprehensive meta-analysis to explore whether VEGF gene polymorphisms confer risk to endometriosis.

Methods

By searching PubMed and EMBASE databases, a total of 11 studies were identified. Crude odds ratio (OR) and their corresponding 95% confidence intervals (CI) for VEGF gene polymorphisms and endometriosis risk were calculated.

Result

An association of VEGF gene +936TC polymorphism with endometriosis was found (Fixed-effect model: TT + TC vs. CC: OR 1.184, 95% CI 1.027–1.366, P = 0.020; TC vs. CC: OR 1.187, 95% CI 1.024–1.375, P = 0.023. Random-effcet model: TT + TC vs. CC: OR 1.203, 95% CI 1.003–1.443, P = 0.046; TC vs. CC: OR 1.188, 95% CI 1.021–1.382, P = 0.026). No association between VEGF genes −460CT, +405CG, −2578AC, −1154GA polymorphisms and endometriosis was observed.

Conclusion

Our results indicate that VEGF +936TC gene polymorphism is a risk factor for endometriosis, and not −460CT, +405CG, −2578AC, −1154GA. Similar content being viewed by others

References

Giudice LC, Kao LC (2004) Endometriosis. Lancet 364(9447):1789–1799. doi:10.1016/S0140-6736(04)17403-5 Simpson ER (2000) Role of aromatase in sex steroid action. J Mol Endocrinol 25(2):149–156 pii:JME00938 Taylor RN, Lebovic DI, Mueller MD (2002) Angiogenic factors in endometriosis. Ann N Y Acad Sci 955:89–100 discussion 118, 396–406 McLaren J, Prentice A, Charnock-Jones DS, Millican SA, Muller KH, Sharkey AM, Smith SK (1996) Vascular endothelial growth factor is produced by peritoneal fluid macrophages in endometriosis and is regulated by ovarian steroids. J Clin Invest 98(2):482–489. doi:10.1172/JCI118815 Taylor RN, Ryan IP, Moore ES, Hornung D, Shifren JL, Tseng JF (1997) Angiogenesis and macrophage activation in endometriosis. Ann N Y Acad Sci 828:194–207 Matalliotakis IM, Goumenou AG, Koumantakis GE, Neonaki MA, Koumantakis EE, Dionyssopoulou E, Athanassakis I, Vassiliadis S (2003) Serum concentrations of growth factors in women with and without endometriosis: the action of anti-endometriosis medicines. Int Immunopharmacol 3(1):81–89 pii:S1567-5769(02)00216-3 Donnez J, Smoes P, Gillerot S, Casanas-Roux F, Nisolle M (1998) Vascular endothelial growth factor (VEGF) in endometriosis. Hum Reprod 13(6):1686–1690 Tan XJ, Lang JH, Liu DY, Shen K, Leng JH, Zhu L (2002) Expression of vascular endothelial growth factor and thrombospondin-1 mRNA in patients with endometriosis. Fertil Steril 78(1):148–153 pii:S0015028202031874 Vincenti V, Cassano C, Rocchi M, Persico G (1996) Assignment of the vascular endothelial growth factor gene to human chromosome 6p21.3. Circulation 93(8):1493–1495 Watson CJ, Webb NJ, Bottomley MJ, Brenchley PE (2000) Identification of polymorphisms within the vascular endothelial growth factor (VEGF) gene: correlation with variation in VEGF protein production. Cytokine 12(8):1232–1235. doi:10.1006/cyto.2000.0692 Lin CC, Wu HC, Tsai FJ, Chen HY, Chen WC (2003) Vascular endothelial growth factor gene −460 C/T polymorphism is a biomarker for prostate cancer. Urology 62(2):374–377 pii:S0090429503002681 Han Y, Zhou Y, Zheng S (2002) Study on the expression of vascular endothelial growth factor in patients with adenomyosis of the uterus. Zhonghua Fu Chan Ke Za Zhi 37(9):539–541 Ku KT, Wan L, Peng HC, Tsai MH, Tsai CH, Tsai FJ (2005) Vascular endothelial growth factor gene −460 C/T polymorphism is a biomarker for oral cancer. Oral Oncol 41(5):497–502. doi:10.1016/j.oraloncology.2004.12.009 Zhao ZZ, Nyholt DR, Thomas S, Treloar SA, Montgomery GW (2008) Polymorphisms in the vascular endothelial growth factor gene and the risk of familial endometriosis. Mol Hum Reprod 14(9):531–538. doi:10.1093/molehr/gan043 Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22(4):719–748 DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7(3):177–188 pii:0197-2456(86)90046-2 Liu Q, Li Y, Zhao J, Zhou RM, Wang N, Sun DI, Duan YN, Kang S (2009) Association of single nucleotide polymorphisms in VEGF gene with the risk of endometriosis and adenomyosis. Chin J Med Genet 26(2):165–169 Zhao J, Li Y, Liu Q (2009) Study on the association of SNPs of VEGF gene with risk of endometriosis and adenomyosis. Zhonghua Liu Xing Bing Xue Za Zhi 30(7):751–752 Kim JG, Kim JY, Jee BC, Suh CS, Kim SH, Choi YM (2008) Association between endometriosis and polymorphisms in endostatin and vascular endothelial growth factor and their serum levels in Korean women. Fertil Steril 89(1):243–245. doi:10.1016/j.fertnstert.2007.02.023 Hsieh YY, Chang CC, Tsai FJ, Yeh LS, Lin CC, Peng CT (2004) T allele for VEGF gene −460 polymorphism at the 5′-untranslated region: association with a higher susceptibility to endometriosis. J Reprod Med 49(6):468–472 Bhanoori M, Arvind Babu K, Pavankumar Reddy NG, Lakshmi Rao K, Zondervan K, Deenadayal M, Kennedy S, Shivaji S (2005) The vascular endothelial growth factor (VEGF) +405G>C 5′-untranslated region polymorphism and increased risk of endometriosis in South Indian women: a case control study. Hum Reprod 20(7):1844–1849. doi:10.1093/humrep/deh852 Kim SH, Choi YM, Choung SH, Jun JK, Kim JG, Moon SY (2005) Vascular endothelial growth factor gene +405 C/G polymorphism is associated with susceptibility to advanced stage endometriosis. Hum Reprod 20(10):2904–2908. doi:10.1093/humrep/dei146 Ikuhashi Y, Yoshida S, Kennedy S, Zondervan K, Takemura N, Deguchi M, Ohara N, Maruo T (2007) Vascular endothelial growth factor +936 C/T polymorphism is associated with an increased risk of endometriosis in a Japanese population. Acta Obstet Gynecol Scand 86(11):1352–1358. doi:10.1080/00016340701644991 Gentilini D, Somigliana E, Vigano P, Vignali M, Busacca M, Di Blasio AM (2008) The vascular endothelial growth factor +405G>C polymorphism in endometriosis. Hum Reprod 23(1):211–215. doi:10.1093/humrep/dem341 Cosin R, Gilabert-Estelles J, Ramon LA, Espana F, Gilabert J, Romeu A, Estelles A (2009) Vascular endothelial growth factor polymorphisms (−460C/T, +405G/C, and 936C/T) and endometriosis: their influence on vascular endothelial growth factor expression. Fertil Steril 92(4):1214–1220. doi:10.1016/j.fertnstert.2008.08.079 Liu Q, Li Y, Zhao J, Sun DL, Duan YN, Wang N, Zhou RM, Kang S (2009) Association of polymorphisms -1154G/A and -2578C/A in the vascular endothelial growth factor gene with decreased risk of endometriosis in Chinese women. Hum Reprod 24(10):2660–2666. doi:10.1093/humrep/dep208 Attar R, Agachan B, Kuran SB, Toptas B, Eraltan IY, Attar E, Isbir T (2010) Genetic variants of vascular endothelial growth factor and risk for the development of endometriosis. In Vivo 24(3):297–301 Lamp M, Saare M, Laisk T, Karro H, Kadastik U, Metspalu A, Peters M, Salumets A (2010) Genetic variations in vascular endothelial growth factor but not in angiotensin I-converting enzyme genes are associated with endometriosis in Estonian women. Eur J Obstet Gynecol Reprod Biol 153(1):85–89. doi:10.1016/j.ejogrb.2010.07.021 Altinkaya SO, Ugur M, Ceylaner G, Ozat M, Gungor T, Ceylaner S (2011) Vascular endothelial growth factor +405 C/G polymorphism is highly associated with an increased risk of endometriosis in Turkish women. Arch Gynecol Obstet 283(2):267–272. doi:10.1007/s00404-009-1344-1 Jin Q, Hemminki K, Enquist K, Lenner P, Grzybowska E, Klaes R, Henriksson R, Chen B, Pamula J, Pekala W, Zientek H, Rogozinska-Szczepka J, Utracka-Hutka B, Hallmans G, Forsti A (2005) Vascular endothelial growth factor polymorphisms in relation to breast cancer development and prognosis. Clin Cancer Res 11(10):3647–3653. doi:10.1158/1078-0432.CCR-04-1803 Vigano P (2003) Perspectives on endometriosis: new physiopathologic approaches and treatments. J Gynecol Obstet Biol Reprod (Paris) 32(8 Pt 2):S28–S31 pii:MDOI-JGYN-12-2003-32-8-C2-0368-2315-101019-ART7 Renner W, Kotschan S, Hoffmann C, Obermayer-Pietsch B, Pilger E (2000) A common 936 C/T mutation in the gene for vascular endothelial growth factor is associated with vascular endothelial growth factor plasma levels. J Vasc Res 37(6):443–448 Eroglu A, Gulec S, Kurtman C, Cam R, Akar N (2006) Vascular endothelial growth factor 936 C/T polymorphism in cancer patients. Ann Oncol 17(9):1467–1468. doi:10.1093/annonc/mdl075 Bae SJ, Kim JW, Kang H, Hwang SG, Oh D, Kim NK (2008) Gender-specific association between polymorphism of vascular endothelial growth factor (VEGF 936 C>T) gene and colon cancer in Korea. Anticancer Res 28(2B):1271–1276 Eroglu A, Ozturk A, Cam R, Akar N (2008) Vascular endothelial growth factor gene 936 C/T polymorphism in breast cancer patients. Med Oncol 25(1):54–55. doi:10.1007/s12032-007-0046-4 Bao G, Wang M, Guo S, Han Y, Xu G (2011) Vascular endothelial growth factor +936 C/T gene polymorphism and glioma risk in a Chinese Han population. Genet Test Mol Biomarkers 15(1–2):103–106. doi:10.1089/gtmb.2010.0141 Wu X, Li D, Liu Z, Wan X, Wu Y, Jiang C, Qian Q (2011) Vascular endothelial growth factor 1498C/T, 936C/T polymorphisms associated with increased risk of colorectal adenoma: a Chinese case–control study. Mol Biol Rep 38(3):1949–1955. doi:10.1007/s11033-010-0316-7 Zondervan KT, Cardon LR, Kennedy SH (2002) What makes a good case-control study? Design issues for complex traits such as endometriosis. Hum Reprod 17(6):1415–1423 Acknowledgments We thank the following individuals for helpful comments at various stages of the review process: YunFei Cao, Fan Xu. Conflict of interest The authors declare that they have no conflicts of interest relevant to the manuscript. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Liang, S., Huang, Y. & Fan, Y. Vascular endothelial growth factor gene polymorphisms and endometriosis risk: a meta-analysis. Arch Gynecol Obstet 286, 139–146 (2012). https://doi.org/10.1007/s00404-012-2270-1 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-012-2270-1

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Polymorphism, Single Nucleotide Vascular Endothelial Growth Factor A Endometriosis Female Humans Risk Factors Vascular Endothelial Growth Factor A

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