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血管内皮生长因子基因三个多态性与年龄相关性黄斑变性相关性的荟萃分析。

Pooled-analysis of the associations between three polymorphisms in the VEGF gene and age-related macular degeneration.

机构信息

Department of Ophthalmology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, People's Republic of China.

出版信息

Mol Biol Rep. 2012 Jun;39(6):6547-53. doi: 10.1007/s11033-012-1483-5. Epub 2012 Feb 4.

DOI:10.1007/s11033-012-1483-5
PMID:22307787
Abstract

The vascular endothelial growth factor (VEGF) gene has been suggested to play an important role in the pathogenesis of age-related macular degeneration (AMD). However, the results have been inconsistent. In this study, we performed a meta-analysis to clarify the associations between VEGF polymorphisms and AMD risk across different populations. Published literature from PubMed and EMBASE were retrieved. Pooled odds ratio (OR) with 95% confidence interval (CI) was calculated using fixed- or random-effects model. Five studies (1,280 cases and 715 controls) for rs833061 polymorphism, five studies (1,033 cases and 807 controls) for rs1413711 polymorphism, and four studies (1,217 cases and 4,079 controls) for rs2010963 polymorphism were identified. No statistically significant association was found for rs833061, rs1413711 and rs2010963 polymorphisms, although there were significant associations for rs833061 polymorphism under a homogeneous co-dominant model (CC vs. TT: OR = 1.59, 95%CI 1.14-2.23) and for rs1413711 polymorphism under a recessive model (TT vs. CT + CC: OR = 1.50, 95%CI 1.08-2.08), the results were not robust by sensitivity analysis. However, there was a significant association for rs833061 among European and East Asian populations, and for rs1413711 among Europeans. The present meta-analyses indicated that there were no significantly associations between VEGF polymorphisms (rs833061, rs1413711, rs2010963) and the risk of AMD, although the association was different for each polymorphism among different populations.

摘要

血管内皮生长因子(VEGF)基因被认为在年龄相关性黄斑变性(AMD)的发病机制中起重要作用。然而,结果并不一致。在这项研究中,我们进行了荟萃分析,以阐明不同人群中 VEGF 多态性与 AMD 风险之间的关系。从 PubMed 和 EMBASE 检索已发表的文献。使用固定或随机效应模型计算合并的比值比(OR)及其 95%置信区间(CI)。确定了 rs833061 多态性的 5 项研究(1,280 例病例和 715 例对照),rs1413711 多态性的 5 项研究(1,033 例病例和 807 例对照)和 rs2010963 多态性的 4 项研究(1,217 例病例和 4,079 例对照)。rs833061,rs1413711 和 rs2010963 多态性与 AMD 风险之间没有统计学显著相关性,尽管在同质共显性模型下 rs833061 多态性存在显著相关性(CC 与 TT:OR = 1.59,95%CI 1.14-2.23)和在隐性模型下 rs1413711 多态性存在显著相关性(TT 与 CT + CC:OR = 1.50,95%CI 1.08-2.08),但敏感性分析结果不稳健。然而,rs833061 与欧洲人和东亚人群以及 rs1413711 与欧洲人群之间存在显著相关性。本荟萃分析表明,VEGF 多态性(rs833061,rs1413711,rs2010963)与 AMD 风险之间没有显著相关性,尽管在不同人群中每个多态性之间的相关性不同。

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Graefes Arch Clin Exp Ophthalmol. 2012 Feb;250(2):185-9. doi: 10.1007/s00417-011-1807-5. Epub 2011 Sep 1.
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Genetic association study of age-related macular degeneration in the Spanish population.西班牙人群年龄相关性黄斑变性的遗传相关性研究。
Acta Ophthalmol. 2011 Feb;89(1):e12-22. doi: 10.1111/j.1755-3768.2010.02040.x. Epub 2010 Nov 25.
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LOC387715/HTRA1 gene polymorphisms and susceptibility to age-related macular degeneration: A HuGE review and meta-analysis.
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JAMA Ophthalmol. 2014 May;132(5):521-7. doi: 10.1001/jamaophthalmol.2014.109.
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