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CCR2-Val64Ile 多态性与 HIV-1 感染易感性的关联:一项荟萃分析。

Association between the CCR2-Val64Ile polymorphism and susceptibility to HIV-1 infection: a meta-analysis.

机构信息

The State Key Laboratory of Genetic Engineering, Institute of Genetics, School of Life Sciences, Fudan University, Shanghai 200433, PR China.

出版信息

Mol Med Rep. 2011 Jan-Feb;4(1):181-6. doi: 10.3892/mmr.2010.400. Epub 2010 Nov 30.

Abstract

Several studies have investigated whether the CCR2-Val64Ile polymorphism affects susceptibility to human immune deficiency virus type-1 (HIV-1), with inconclusive results. Here, we performed a meta-analysis of the literature aiming to clarify the relationship between the polymorphism of CCR2-Val64Ile and the risk of HIV-1 infection. Twelve studies with a total of 6,599 patients, including infants, were selected for inclusion in the analysis. Crude odds ratios (ORs) with 95% confidence intervals (CIs) were assessed after the collected data were pooled for analysis. The risk estimates (OR) of HIV-1 infection were calculated in a homozygote comparison (OR=1.10, 95% CI 0.79-1.53), a heterozygote comparison (OR=0.98, 95% CI 0.70-1.37), a dominant model (OR=1.06, 95% CI 0.77-1.47) and a recessive model (OR=0.98, 95% CI 0.77-1.27, by random effects model) from among the total population. Taking into account the effect of sample size, ethnicity and control population, further stratified analyses were performed. The results showed no statistically significant difference in any genetic model, with the exception of the sub-analysis of mixed ethnicity (OR=0.33, 95% CI 0.11‑0.98) using heterozygote comparison. The meta-analysis clarified that the CCR2-Val64Ile polymorphism has no effect on susceptibility to HIV-1 infection in the total population.

摘要

已有多项研究调查了 CCR2-Val64Ile 多态性是否会影响人类免疫缺陷病毒 1 型(HIV-1)的易感性,但结果尚无定论。在此,我们对文献进行了荟萃分析,旨在阐明 CCR2-Val64Ile 多态性与 HIV-1 感染风险之间的关系。共纳入了 12 项研究,总计 6599 例患者(包括婴儿)。合并分析时采用了未经校正的比值比(OR)及其 95%置信区间(CI)。采用杂合子比较(OR=1.10,95% CI 0.79-1.53)、杂合子比较(OR=0.98,95% CI 0.70-1.37)、显性模型(OR=1.06,95% CI 0.77-1.47)和隐性模型(OR=0.98,95% CI 0.77-1.27,采用随机效应模型)评估了 HIV-1 感染的风险估计值(OR)。综合考虑样本量、种族和对照人群的影响,进行了进一步的分层分析。结果显示,在所有遗传模型中,除混合种族亚组分析(杂合子比较:OR=0.33,95% CI 0.11-0.98)外,均无统计学差异。荟萃分析表明,CCR2-Val64Ile 多态性对总体人群对 HIV-1 的易感性无影响。

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