Possible Association of NAT2 Polymorphism with Laryngeal Cancer Risk: an Evidence-based Meta-analysis
Overview
Affiliations
Purpose: N-acetyltransferase 2 (NAT2) plays an important role in the metabolism of various potential carcinogens, which can be subdivided into rapid and slow acetylation phenotype according to the different genotypes. A number of studies have been devoted to the association of NAT2 polymorphism with susceptibility to laryngeal carcinoma; however, the results were inconsistent and inconclusive. The aim of the present study was to conduct a meta-analysis assessing the possible association of NAT2 polymorphism with laryngeal cancer risk.
Methods: The relevant studies were identified through a search of PubMed, Embase, ISI Web of Knowledge, and Chinese National Knowledge Infrastructure until February 2011 and selected on the basis of the established inclusion criteria for publications, and then a meta-analysis was performed to quantitatively summarize the association of NAT2 polymorphism with laryngeal cancer susceptibility.
Results: Seven studies were included in the present meta-analysis, which described a total of 980 laryngeal cancer cases and 1,487 controls. The overall odds ratio (OR) for NAT2 slow and rapid acetylators was 0.99 (95% CI = 0.71-1.38) and 1.01 (95% CI = 0.72-1.40), respectively. When stratifying for race, the pooled ORs for NAT2 slow acetylator were 1.99 (95% CI = 1.10-3.63) in Asians and 0.85 (95% CI = 0.62-1.15) in Caucasians, and the pooled ORs for NAT2 rapid acetylator were 0.50 (95% CI = 0.28-0.91) in Asians and 1.18 (95% CI = 0.87-1.60) in Caucasians.
Conclusions: This meta-analysis suggested that there was overall lack of association between NAT2 polymorphism and laryngeal cancer risk; however, NAT2 slow acetylation may contribute to a risk factor for laryngeal cancer in Asians but not in Caucasians.
Mohammadi H, Momeni Roochi M, Sadeghi M, Garajei A, Heidar H, Ghaderi B Medicina (Kaunas). 2021; 57(10).
PMID: 34684132 PMC: 8541135. DOI: 10.3390/medicina57101095.
Unexpected Acetylation of Endogenous Aliphatic Amines by Arylamine N-Acetyltransferase NAT2.
Conway L, Rendo V, Correia M, Bergdahl I, Sjoblom T, Globisch D Angew Chem Int Ed Engl. 2020; 59(34):14342-14346.
PMID: 32497306 PMC: 7497018. DOI: 10.1002/anie.202005915.
Kamel A, Ebid G, Moussa H Tumour Biol. 2015; 36(8):6341-8.
PMID: 25804798 DOI: 10.1007/s13277-015-3320-7.
Glutathione S-transferase T1 null genotype and laryngeal cancer risk: a meta-analysis.
Li Q, Liu M Tumour Biol. 2014; 35(9):8781-5.
PMID: 24879623 DOI: 10.1007/s13277-014-2121-8.
Zhang L, Xiang Z, Hao R, Li R, Zhu Y Tumour Biol. 2013; 35(4):3585-95.
PMID: 24338712 DOI: 10.1007/s13277-013-1473-9.