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[中国人群中AGT M235T基因多态性与原发性高血压关联的Meta分析]

[Meta-analysis on the association of AGT M235T polymorphism and essential hypertension in Chinese population].

作者信息

Chen Peng, Jiang Yan-fen, Cheng Kang

机构信息

Xuzhou Hospital of Traditional Chinese Medicine, Xuzhou 221009, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Aug;24(8):711-4.

Abstract

OBJECTIVE

To study on the association of M235T polymorphism of the angiotensinogen gene extron 2 (AGT/M235T) and essential hypertension (EH) in Chinese population by means of Meta-analysis.

METHODS

Odds ratios (OR) of AGT M235T genotype distributions in EH patients against healthy controls were analyzed. All the relevant studies were identified, poor-qualified studies eliminated, and the risk of publication bias excluded. The Meta-analysis software, REVMAN4.1, was applied for investigating heterogeneity among individual studies and summarizing the effects across studies.

RESULTS

A total of 853 cases and 835 controls from 10 studies were included. No heterogeneity among the studies was noticed. The frequencies of the AGT TT, MT and MM genotypes were 65%, 30%, and 4.9% in cases and 50.6%, 41.8% and 7.5% in controls respectively. The frequencies of the AGT T allele were 80% in cases and 72% in controls. The pooled OR (with 95% CI) of TT vs MT + MM was 1.76 (1.44 - 2.16) (P < 0.000 01) with T vs M 1.54 (1.31 - 1.81). The pooled OR of MM vs MT + TT was 0.67 (0.45 - 1.00) (P = 0.05).

CONCLUSION

In Chinese population (mainly the Hans), TT genotype might be associated with the increased risk of EH while MM genotype be associated with low risk of EH.

摘要

目的

采用Meta分析方法研究中国人群血管紧张素原基因外显子2(AGT/M235T)的M235T多态性与原发性高血压(EH)的相关性。

方法

分析EH患者与健康对照者中AGT M235T基因型分布的比值比(OR)。识别所有相关研究,剔除质量差的研究,并排除发表偏倚风险。应用Meta分析软件REVMAN4.1研究各研究间的异质性,并汇总各研究的效应。

结果

纳入10项研究中的853例病例和835例对照。未发现各研究间存在异质性。病例组中AGT TT、MT和MM基因型的频率分别为65%、30%和4.9%,对照组中分别为50.6%、41.8%和7.5%。病例组中AGT T等位基因的频率为80%,对照组中为72%。TT与MT+MM比较的合并OR(95%CI)为1.76(1.44-2.16)(P<0.00001),T与M比较为1.54(1.31-1.81)。MM与MT+TT比较的合并OR为0.67(0.45-1.00)(P=0.05)。

结论

在中国人群(主要是汉族)中,TT基因型可能与EH风险增加相关,而MM基因型与EH低风险相关。

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