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在病例对照研究和荟萃分析中,白细胞介素-1α和白细胞介素-1β多态性与格雷夫斯病风险的关联。

The association of interleukin-1alpha and interleukin-1beta polymorphisms with the risk of Graves' disease in a case-control study and meta-analysis.

机构信息

Shanghai Clinical Center for Endocrine and Metabolic Diseases, JiaoTong University School of Medicine, Shanghai, People's Republic of China.

出版信息

Hum Immunol. 2010 Apr;71(4):397-401. doi: 10.1016/j.humimm.2010.01.023. Epub 2010 Feb 8.

Abstract

The proinflammatory cytokine interleukin (IL)-1 family has a central role in mediating inflammation and joint destruction in Graves' disease (GD). A number of studies, investigating rs1800587 (IL-1alpha, T-889 C) and rs16944 (IL-1beta, A-511 G) polymorphisms to test their possible association with GD and Graves' ophthalmopathy (GO), had inconsistent results. Our study aims to further evaluate the possible association of these two polymorphisms with GD and GO within the Han Chinese population using a case-control association study as well as a meta-analysis covering three previous studies from Taiwan, Iran, and Poland. Based on 760 Chinese GD patients, including 190 of GO cases among them, and 735 healthy control subjects, our data showed that the genotype or allele distributions of rs1800587 and rs16944 polymorphisms were significantly associated with GD (p = 0.003-0.049) and more so with GO (p = 0.001-0.021). The meta-analysis showed the risk-increasing effects for the TC and TT genotypes of rs1800587 in GD (odds ratio [OR] = 2.07, p = 0.03) and GO (OR = 3.22, p = 0.04), and a protective effect for the AA genotype of rs16944 in GD (OR = 0.70, p = 0.002) and GO (OR = 0.65, p = 0.02). The results confirmed that the rs1800587 (IL-alpha, T-889 C) and rs16944 (IL-1beta, A-511 G) polymorphisms may confer susceptibility to GD and GO in Asian population.

摘要

促炎细胞因子白细胞介素 (IL)-1 家族在介导格雷夫斯病 (GD) 中的炎症和关节破坏中起着核心作用。许多研究调查了 rs1800587(IL-1alpha,T-889C)和 rs16944(IL-1beta,A-511G)多态性,以检验它们与 GD 和格雷夫斯眼病 (GO) 的可能关联,但结果不一致。我们的研究旨在使用病例对照关联研究以及涵盖来自台湾、伊朗和波兰的三项先前研究的荟萃分析,进一步评估这两种多态性与汉族人群中 GD 和 GO 的可能关联。基于 760 名中国 GD 患者,包括其中 190 名 GO 病例和 735 名健康对照者,我们的数据表明 rs1800587 和 rs16944 多态性的基因型或等位基因分布与 GD(p=0.003-0.049)和更与 GO(p=0.001-0.021)显著相关。荟萃分析显示 rs1800587 的 TC 和 TT 基因型在 GD(比值比 [OR]=2.07,p=0.03)和 GO(OR=3.22,p=0.04)中存在风险增加效应,而 rs16944 的 AA 基因型在 GD(OR=0.70,p=0.002)和 GO(OR=0.65,p=0.02)中存在保护效应。结果证实 rs1800587(IL-alpha,T-889C)和 rs16944(IL-1beta,A-511G)多态性可能在亚洲人群中赋予 GD 和 GO 的易感性。

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