Non-Cochrane · aetiology · PM42689117

Systematic evaluation of genetic polymorphisms in carcinogen metabolizing enzymes associated with oral potentially malignant disorders progression to oral cancer risk.

Xu Ziyuan, Zhu Yuhan, Shi Linjun, et al. · Journal of dental sciences · 2026 · PubMed · doi:10.1016/j.jds.2025.12.021

Findings

14 findings

Population
Patients with oral potentially malignant disorders (OPMD) versus patients with oral squamous cell carcinoma (OSCC)CYP1A1 MspI: TC+CC genotypeCYP1A1 MspI: TT genotypeGenotype frequency in OSCC versus OPMD (OPMD progression to OSCC risk)
OLK
OR 1.13 [0.67, 1.88]
GRADE not reported
1 study · 884 participants
OPMDCYP1A1 MspI TC+CC genotypeCYP1A1 MspI TT genotypeOral squamous cell carcinoma versus OPMD
Non-specified OPMD
OR 1.45 [0.71, 2.97]
GRADE not reported
4 studies · 1269 participants
OPMDCYP1A1 MspI TC+CC genotypeCYP1A1 MspI TT genotypeOral squamous cell carcinoma versus OPMD
Overall
OR 1.38 [0.8, 2.38]
GRADE not reported
5 studies · 2153 participants
OPMDGSTM1 null genotypeGSTM1 present genotypeOral squamous cell carcinoma versus OPMD
Non-specified OPMD
OR 1.12 [0.79, 1.59]
GRADE not reported
3 studies · 1103 participants
OPMDGSTM1 null genotypeGSTM1 present genotypeOral squamous cell carcinoma versus OPMD
Overall
OR 1.48 [1.08, 2.03]
GRADE not reported
11 studies · 3469 participants
OPMDGSTM1 null genotypeGSTM1 present genotypeOral squamous cell carcinoma versus OPMD
Overall; abstract estimate differs from Figure 1B and Results
OR 1.72 [1.24, 2.37]
GRADE not reported
11 studies · 3414 participants
oral leukoplakiaGSTM1 null genotypeGSTM1 present genotypeOral squamous cell carcinoma versus OPMD
Oral leukoplakia
OR 1.67 [1.03, 2.71]
GRADE not reported
8 studies · 2256 participants
oral submucous fibrosisGSTM1 null genotypeGSTM1 present genotypeOral squamous cell carcinoma versus OPMD
Oral submucous fibrosis
OR 2.13 [0.75, 6.01]
GRADE not reported
2 studies · 110 participants
OPMDGSTT1 null genotypeGSTT1 present genotypeOral squamous cell carcinoma versus OPMD
Overall
OR 1.14 [0.89, 1.46]
GRADE not reported
8 studies · 2869 participants
OPMDGSTT1 null genotypeGSTT1 present genotypeOral squamous cell carcinoma versus OPMD
Non-specified OPMD
OR 1.3 [0.77, 2.19]
GRADE not reported
2 studies · 863 participants
oral leukoplakiaGSTT1 null genotypeGSTT1 present genotypeOral squamous cell carcinoma versus OPMD
Oral leukoplakia
OR 1.08 [0.8, 1.45]
GRADE not reported
6 studies · 1896 participants
oral submucous fibrosisGSTT1 null genotypeGSTT1 present genotypeOral squamous cell carcinoma versus OPMD
Oral submucous fibrosis
OR 1.28 [0.58, 2.82]
GRADE not reported
2 studies · 110 participants
OPMDGSTM3 AA genotypeGSTM3 AB+BB genotypeOral squamous cell carcinoma versus OPMD
Overall
OR 0.96 [0.67, 1.37]
GRADE not reported
3 studies · 902 participants
OPMDGSTP1 AG+GG genotypeGSTP1 AA genotypeOral squamous cell carcinoma versus OPMD
Overall
OR 0.98 [0.79, 1.21]
GRADE not reported
3 studies · 1756 participants

Included primary studies 21

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Kao et al. 2002
Genetic polymorphism of cytochrome P4501A1 and susceptibility to oral squamous cell carcinoma and oral precancer lesions associated with…
PMID:12269988
20021 other reviewnot statednot extracted yet
Madhulatha 2018
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Majumder et al. 2005
Increased risk of oral leukoplakia and cancer among mixed tobacco users carrying XRCC1 variant haplotypes and cancer among smokers…
PMID:16172217
20051 other reviewnot statednot extracted yet
Shukla et al. 2012
Genetic polymorphism of drug metabolizing enzymes (GSTM1 and CYP1A1) as risk factors for oral premalignant lesions and oral cancer.
PMID:22660220
20121 other reviewnot statednot extracted yet
Alamgir 2022
Genetic profiles of different ethnicities living in Karachi as regards to tobacco-metabolizing enzyme systems and the risk of oral cancer
DOI:10.47391/jpma.3053
2022this review onlynot statednot extracted yet
Alamgir et al. 2022
Genetic profiles of different ethnicities living in Karachi as regards to tobacco-metabolising enzyme systems and the risk of oral cancer.
PMID:35751315
2022this review onlynot statednot extracted yet
Anantharaman 2007
Susceptibility to oral cancer by genetic polymorphisms at CYP1A1, GSTM1 and GSTT1 loci among Indians: tobacco exposure as a risk modulator
DOI:10.1093/carcin/bgm038
2007this review onlynot statednot extracted yet
Anantharaman 2011
Polymorphisms in tobacco metabolism and DNA repair genes modulate oral precancer and cancer risk
DOI:10.1016/j.oraloncology.2011.06.015
2011this review onlynot statednot extracted yet
Anantharaman et al. 2007
Susceptibility to oral cancer by genetic polymorphisms at CYP1A1, GSTM1 and GSTT1 loci among Indians: tobacco exposure as a risk modulator.
PMID:17307803
2007this review onlynot statednot extracted yet
Anantharaman et al. 2011
Polymorphisms in tobacco metabolism and DNA repair genes modulate oral precancer and cancer risk.
PMID:21741876
2011this review onlynot statednot extracted yet
Bathi 2009
GST null genotype and antioxidants: Risk indicators for oral pre-cancer and cancer
DOI:10.4103/0970-9290.57365
2009this review onlynot statednot extracted yet
Bathi et al. 2009
GST null genotype and antioxidants: risk indicators for oral pre-cancer and cancer.
PMID:19884712
2009this review onlynot statednot extracted yet
Kao 2002
Genetic polymorphism of cytochrome P4501A1 and susceptibility to oral squamous cell carcinoma and oral precancer lesions associated with…
DOI:10.1034/j.1600-0714.2002.00158.x
2002this review onlynot statednot extracted yet
Majumder 2005
Increased Risk of Oral Leukoplakia and Cancer Among Mixed Tobacco Users Carrying <i>XRCC1</i> Variant Haplotypes and Cancer Among Smokers…
DOI:10.1158/1055-9965.epi-05-0108
2005this review onlynot statednot extracted yet
Rao 2017
Evaluation of Genetic Polymorphisms in Glutathione S-Transferase Theta1, Glutathione S-Transferase Mu1, and Glutathione S-Transferase Mu3…
PMID:28904918
2017this review onlynot statednot extracted yet
Shukla 2012
Genetic polymorphism of drug metabolizing enzymes (GSTM1 and CYP1A1) as risk factors for oral premalignant lesions and oral cancer
DOI:10.5507/bp.2012.013
2012this review onlynot statednot extracted yet
Sikdar 2004
Glutathione <i>S</i>‐transferase <i>M3</i> (<i>A/A</i>) genotype as a risk factor for oral cancer and leukoplakia among Indian tobacco…
DOI:10.1002/ijc.11610
2003this review onlynot statednot extracted yet
Sikdar et al. 2004
Glutathione S-transferase M3 (A/A) genotype as a risk factor for oral cancer and leukoplakia among Indian tobacco smokers.
PMID:14735473
2004this review onlynot statednot extracted yet
Tanwar 2015
Prevalence of glutathione S-transferase M1 null polymorphism in tobacco users, oral leukoplakia and oral squamous cell carcinoma patients…
PMID:25821378
2015this review onlynot statednot extracted yet
Tanwar 2016
GSTM1 null polymorphism prevalence in tobacco users, oral leukoplakia and oral squamous cell carcinoma patients in South Indian…
DOI:10.4103/0970-9290.191881
2016this review onlynot statednot extracted yet
Tanwar et al. 2016
GSTM1 null polymorphism prevalence in tobacco users, oral leukoplakia and oral squamous cell carcinoma patients in South Indian…
PMID:27723629
2016this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with OPMD versus OSCC; histologically confirmedOPMD (n=624 to 1195) versus OSCC (n=1529 to 2274) from India, China, Pakistan
InterventionPolymorphisms in carcinogen metabolizing genes (CYP1A1 MspI, GSTM1, GSTM3, GSTT1, GSTP1)CYP1A1 MspI (5 studies), GSTM1 (11), GSTT1 (8), GSTM3 (3), GSTP1 (3)
ComparisonReference genotypeReference genotypes
OutcomesOR of genotype in OSCC versus OPMD (progression risk)Pooled ORs; only GSTM1 null significant (OR 1.48, 95% CI 1.08-2.03)
Study designsHuman case-control studies; genes with at least 3 studiesCase-control studies (n=12)
TimingNot specifiedNot specified