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白细胞介素-13 C-1112T 和 G+2044A 多态性与哮喘的关联:一项荟萃分析。

Association of interleukin-13 C-1112T and G+2044A polymorphisms with asthma: a meta-analysis.

机构信息

National Institute for Occupational Health and Poison Control, Key Laboratory of Chemical Safety and Health, Chinese Center for Disease Control and Prevention, Beijing, China.

出版信息

Respirology. 2011 Oct;16(7):1127-35. doi: 10.1111/j.1440-1843.2011.02021.x.

Abstract

BACKGROUND AND OBJECTIVE

Polymorphisms in the IL13 gene have been reported to be associated with susceptibility to asthma. However, a number of studies have shown inconsistent results. A meta-analysis was performed to investigate whether polymorphisms in the IL13 gene were associated with the risk of asthma.

METHODS

Searches were performed of the Medline and Chinese National Knowledge Infrastructure (CNKI) databases, covering all papers published up to 31 August 2010. A recently proposed logistic regression-based method for meta-analysis of case-control genetic association studies was used to analyse pooled data. All statistical analyses were performed using stata version 10.0 software.

RESULTS

The IL13 C-1112T and G+2044A polymorphisms were investigated in 10 and 14 studies, respectively. The summary estimates suggested that both these polymorphisms were associated with susceptibility to asthma. Carriers of the IL13 -1112T allele had a 38.9% increased risk of asthma compared with homozygotes (-1112CC) (odds ratio (OR) 1.389, 95% confidence interval (CI): 1.103-1.749). Carriers of the IL13+2044A allele had a 40.0% increased risk of asthma compared with homozygotes (+2044GG) (OR 1.400, 95% CI: 1.137-1.724). In a subgroup analysis by ethnicity, the IL13 -1112T allele was associated with an increased risk of asthma among Caucasians (OR 1.629, 95% CI: 1.255-2.113) but not among Asians, and the IL13+2044A allele was associated with an increased risk of asthma among Asians (OR 1.436, 95% CI: 1.101-1.873) but not among Caucasians.

CONCLUSIONS

This meta-analysis indicated that the IL13 C-1112T and G+2044A polymorphisms predispose to asthma. Further studies, including pooling of individual data to facilitate evaluation of gene-gene and gene-environment interactions between these IL13 gene polymorphisms and asthma susceptibility, are recommended.

摘要

背景和目的

白细胞介素 13(IL13)基因的多态性与哮喘易感性相关。然而,许多研究结果并不一致。本研究采用荟萃分析方法来评估 IL13 基因多态性与哮喘风险的相关性。

方法

检索 Medline 和中国知网(CNKI)数据库,收集截至 2010 年 8 月 31 日所有已发表的文献。采用最近提出的基于逻辑回归的病例对照遗传关联研究荟萃分析方法来分析汇总数据。所有统计分析均采用 stata 10.0 软件进行。

结果

共纳入 10 项关于 IL13 C-1112T 多态性和 14 项关于 G+2044A 多态性的研究。汇总分析结果表明,这两种多态性均与哮喘易感性相关。与 IL13-1112T 等位基因纯合子(-1112CC)相比,携带该等位基因的个体患哮喘的风险增加 38.9%(比值比(OR)1.389,95%置信区间(CI):1.103-1.749)。与 IL13+2044A 等位基因纯合子(+2044GG)相比,携带该等位基因的个体患哮喘的风险增加 40.0%(OR 1.400,95% CI:1.137-1.724)。按种族进行亚组分析发现,IL13-1112T 等位基因与白种人哮喘易感性相关(OR 1.629,95% CI:1.255-2.113),而与亚洲人无关,IL13+2044A 等位基因与亚洲人哮喘易感性相关(OR 1.436,95% CI:1.101-1.873),而与白种人无关。

结论

本荟萃分析表明 IL13 C-1112T 和 G+2044A 多态性与哮喘易感性相关。建议进一步开展研究,包括汇总个体数据以评估这些 IL13 基因多态性与哮喘易感性之间的基因-基因和基因-环境相互作用。

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