Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan 430060, PR China.
Mol Cell Endocrinol. 2012 Feb 26;349(2):162-9. doi: 10.1016/j.mce.2011.10.001. Epub 2011 Oct 25.
The association between a common variant of the ADIPOQ gene rs1501299 (+276G>T) and cardiovascular diseases (CVDs) outcomes has been reported with many studies. However, the evidence is insufficient for strong conclusions regarding CVDs and ADIPOQ rs15011299 (+276G>T). We performed a meta-analysis about the association between ADIPOQ rs1501299 (+276G>T) and CVDs risk using a predefined protocol, including 15 published studies with 5868 cases and 10,744 controls. The pooled data suggested a recessive protective effect of ADIPOQ rs1501299 (+276G>T) on CVDs for type 2 diabetes (T2D) population: the TT homozygote individuals had a reduced risk of developing CVDs compared to the carriers of G allele (OR=0.74, 95% confidence interval (CI): 0.58, 0.94; p=0.013). But there is still not enough evidence to indicate the association of the ADIPOQ rs1501299 (+276G>T) and the development of cardiovascular diseases (CVDs) outcomes in general population. In conclusion, our meta-analysis suggested that the ADIPOQ rs1501299 (+276G>T) polymorphism is a low-risk factor for the development of CVDs with T2D, but the association of this polymorphism with the susceptibility to CVDs in other populations remains unknown. It could be presumed that the ADIPOQ rs1501299 (+276G>T) be a potential cause of susceptibility to CVDs in persons with T2D, and it gives a new opportunity to investigate the mechanisms of CVDs susceptibility in T2D patients.
已有许多研究报道了 ADIPOQ 基因 rs1501299(+276G>T)的常见变异与心血管疾病(CVDs)结局之间的关联。然而,关于 CVDs 和 ADIPOQ rs15011299(+276G>T)的证据还不足以得出强有力的结论。我们根据预先设定的方案,对 ADIPOQ rs1501299(+276G>T)与 CVDs 风险之间的关联进行了荟萃分析,纳入了 15 项已发表的研究,共包括 5868 例病例和 10744 例对照。汇总数据表明,ADIPOQ rs1501299(+276G>T)对 2 型糖尿病(T2D)人群的 CVDs 具有隐性保护作用:TT 纯合子个体发生 CVDs 的风险低于携带 G 等位基因的个体(OR=0.74,95%置信区间(CI):0.58,0.94;p=0.013)。但是,仍然没有足够的证据表明 ADIPOQ rs1501299(+276G>T)与一般人群心血管疾病(CVDs)结局的发生有关。总之,我们的荟萃分析表明,ADIPOQ rs1501299(+276G>T)多态性是 T2D 患者发生 CVDs 的低风险因素,但该多态性与其他人群发生 CVDs 的易感性之间的关系尚不清楚。可以推测,ADIPOQ rs1501299(+276G>T)可能是 T2D 患者易患 CVDs 的潜在原因,这为研究 T2D 患者 CVDs 易感性的机制提供了新的机会。