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白细胞介素-1A-889C/T 多态性与阿尔茨海默病相关性的荟萃分析。

Meta-analysis of the association between the interleukin-1A -889C/T polymorphism and Alzheimer's disease.

机构信息

Department of Neurology, The Affiliated Wuxi Second Hospital, Nanjing Medical University, Wuxi, Jiangsu, China.

出版信息

J Neurosci Res. 2012 Sep;90(9):1681-92. doi: 10.1002/jnr.23062. Epub 2012 Apr 19.

Abstract

No clear consensus has been reached on the Interleukin-1A (IL-1A) -889C/T polymorphism and Alzheimer's disease (AD) risk. In this meta-analysis, 27 case-control studies were assessed to evaluate the possible association. Overall, positive associations of the IL-1A -889C/T polymorphism with AD risk were found in allele comparison T vs. C (OR = 1.09, 95% CI = 1.01-1.18), recessive model TT vs. CT + CC (OR = 1.21, 95% CI = 1.01-1.45), and homozygote comparison (TT vs. CC; OR = 1.32, 95% CI = 1.04-1.67). In subgroup analysis stratified by ethnicity, significant associations were demonstrated in Caucasians but not in Asians. In subgroup analysis according to the age of onset, the data showed a significant association in patients with late-onset AD in Caucasians but not in early-onset AD. In conclusion, this meta-analysis supports the idea that IL-1A -889C/T polymorphism is capable of causing AD and LOAD susceptibility in Caucasians but not in Asians.

摘要

白细胞介素-1A(IL-1A)-889C/T 多态性与阿尔茨海默病(AD)风险之间尚未达成明确共识。在这项荟萃分析中,评估了 27 项病例对照研究,以评估可能的关联。总体而言,在等位基因比较 T 与 C(OR = 1.09,95%CI = 1.01-1.18)、隐性模型 TT 与 CT + CC(OR = 1.21,95%CI = 1.01-1.45)和纯合子比较(TT 与 CC;OR = 1.32,95%CI = 1.04-1.67)中,IL-1A-889C/T 多态性与 AD 风险呈正相关。按种族分层的亚组分析显示,白种人中存在显著相关性,但在亚洲人中不存在。根据发病年龄的亚组分析,白种人中晚发性 AD 患者的数据显示出显著相关性,但在早发性 AD 中没有。总之,这项荟萃分析支持这样的观点,即 IL-1A-889C/T 多态性能够导致白种人中的 AD 和 LOAD 易感性,但不能导致亚洲人中的 AD 和 LOAD 易感性。

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