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维生素 D 受体基因多态性与汉族人群中的结核病。

Vitamin D receptor genetic polymorphisms and tuberculosis among Chinese Han ethnic group.

机构信息

Department of Epidemiology and Health statistics, School of Public Health, Southeast University, Nanjing, Jiangsu 210009, China.

出版信息

Chin Med J (Engl). 2012 Mar;125(5):920-5.

Abstract

BACKGROUND

In epidemiological studies, tuberculosis (TB) appears intimately with vitamin D insufficiency whereas its relationship with vitamin D receptor (VDR) polymorphism caused by radical difference remains unspecified. This study aimed to investigate the relationship between vitamin D genetic polymorphism and tuberculosis in Han ethnic group.

METHODS

Meta-analysis was adopted in the synthetic quantitative analysis of documents home and abroad on the relationship between vitamin D genetic polymorphisms and tuberculosis, which were openly published during June 2000 to January 2010. Random effect model and fixed effect model analyses were used to calculate the incorporated odds ratio (OR) based on the heterogeneity test data.

RESULTS

A total of 6 eligible studies were included in this analysis. The FokI-ff genotype showed a significant marginal association (Fixed effect model: OR 1.91, 95%CI 1.44-2.52; Random effect model: OR 1.91, 95%CI 0.94-3.88), yet TaqI polymorphisms was not significantly related to TB.

CONCLUSION

The interaction between FoKI genotype polymorphism and TB observed demonstrates that vitamin D deficiency might exist as a risk factor during the development of TB in Han ethnic group and more evidences needed to validate the conclusion.

摘要

背景

在流行病学研究中,结核病(TB)似乎与维生素 D 不足密切相关,但其与维生素 D 受体(VDR)多态性的关系因根本差异而尚未明确。本研究旨在探讨汉族人群维生素 D 遗传多态性与结核病之间的关系。

方法

对 2000 年 6 月至 2010 年 1 月期间国内外公开发表的有关维生素 D 遗传多态性与结核病关系的文献进行综合定量分析,采用荟萃分析。根据异质性检验数据,采用固定效应模型和随机效应模型分析计算合并的优势比(OR)。

结果

本分析共纳入 6 项合格研究。FokI-ff 基因型显示出显著的边缘关联(固定效应模型:OR 1.91,95%CI 1.44-2.52;随机效应模型:OR 1.91,95%CI 0.94-3.88),而 TaqI 多态性与 TB 无显著相关性。

结论

观察到的 FoKI 基因型多态性与 TB 之间的相互作用表明,维生素 D 缺乏可能是汉族人群发生 TB 的一个危险因素,需要更多的证据来验证这一结论。

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