Department of Geriatrics, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, China.
Atherosclerosis. 2010 Jun;210(2):461-7. doi: 10.1016/j.atherosclerosis.2009.11.049. Epub 2009 Dec 4.
The results from the published studies on the association of fatty acid-binding protein 2 (FABP2) Ala54Thr polymorphism with dyslipidemia are conflicting and inconclusive. In this meta-analysis encompassing all the relevant studies, we aimed to investigate the association of the FABP2 Ala54Thr polymorphism with fasting blood lipids.
We limited our analysis to the following four blood lipid parameters: total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C). Subjects were confined to adults who were at least 18 years old. A dominant model was used for this meta-analysis.
30 studies with 14,401 subjects were included in this meta-analysis. The results showed that the carriers of Thr54 allele have higher blood TC and LDL-C than the non-carriers: standardized mean difference (SMD)=0.07, 95% CI (confidence interval, 0.02, 0.11), P=0.005, Pheterogeneity=0.12, and SMD=0.09, 95% CI (0.03, 0.15), P=0.002, Pheterogeneity=0.0006, respectively. Significant association between the Ala54Thr polymorphism and lower blood HDL-C was also detected under the dominant models: SMD=-0.05, 95% CI (-0.09, -0.00), P=0.04, Pheterogeneity=0.10.
Our meta-analysis supports the strong association between the Thr54 allele of the FABP2 Ala54Thr polymorphism with higher levels of TC and LDL-C, and lower levels of HDL-C.
已发表的关于脂肪酸结合蛋白 2(FABP2)Ala54Thr 多态性与血脂异常关联的研究结果存在矛盾且不一致。在本荟萃分析中,我们囊括了所有相关研究,旨在研究 FABP2 Ala54Thr 多态性与空腹血脂的相关性。
我们将分析仅限于以下四个血脂参数:总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。研究对象限于至少 18 岁的成年人。该荟萃分析采用显性模型。
共有 30 项研究,纳入了 14401 名受试者。结果显示,Thr54 等位基因携带者的 TC 和 LDL-C 水平高于非携带者:标准化均数差(SMD)=0.07,95%置信区间(95%CI)(0.02,0.11),P=0.005,P 异质性=0.12;SMD=0.09,95%CI(0.03,0.15),P=0.002,P 异质性=0.0006。在显性模型下,Ala54Thr 多态性与较低的 HDL-C 之间也存在显著关联:SMD=-0.05,95%CI(-0.09,-0.00),P=0.04,P 异质性=0.10。
本荟萃分析支持 FABP2 Ala54Thr 多态性的 Thr54 等位基因与 TC 和 LDL-C 水平升高以及 HDL-C 水平降低之间的强相关性。