Department of Internal Neurology, First Affiliated Hospital, Guangxi University of Chinese Medicine, Nanning, Guangxi, China.
Thromb Res. 2012 Sep;130(3):e95-e102. doi: 10.1016/j.thromres.2012.06.014. Epub 2012 Jul 13.
In 2009, a GWAS has confirmed that rs11833579 and rs12425791 near the NINJ2 gene could increase the stroke and ischemic stroke (IS) risk. Recently, several studies have been implemented to assess the relationship between the two SNPs and ischemic stroke risk in Asian. However, the results were poorly consistent. To study the association between the both polymorphisms and the risk of ischemic stroke, we performed a meta-analysis.
We used odds ratios (ORs) with 95% confidence intervals (CIs) to evaluate the strength of association. The heterogeneity was checked by Q test and the inconsistency index (I(2)). Begg's test and Egger's test were used to assess the possible publication bias.
Our study included 6 articles, contained 9 independent case-control studies, involved a total of 9,142 cases and 10,652 controls about rs11833579, 10,165 cases and 11,592 controls about rs12425791. There was a significant association between rs12425791 and IS risk with dominant genetic model (OR=1.087, 95%CI=1.021-1.158, I(2)=34.6%, P=0.152), but not with recessive genetic model and allele A vs. allele G. For rs11833579, we failed to verify it relate with IS risk under allele A vs. allele G, dominant and recessive genetic model.
This meta-analysis suggest that rs12425791 is relative to ischemic stroke risk under dominant model in Asian population, but not for rs11833579.
2009 年,一项全基因组关联研究证实,NINJ2 基因附近的 rs11833579 和 rs12425791 可以增加中风和缺血性中风(IS)的风险。最近,有几项研究评估了这两个 SNP 与亚洲人群缺血性中风风险的关系,但结果并不一致。为了研究这两种多态性与缺血性中风风险的关系,我们进行了一项荟萃分析。
我们使用比值比(ORs)及其 95%置信区间(CIs)来评估关联的强度。采用 Q 检验和不一致指数(I²)来检测异质性。采用 Begg 检验和 Egger 检验评估可能存在的发表偏倚。
我们的研究纳入了 6 篇文献,包含 9 项独立的病例对照研究,共涉及 rs11833579 的 9142 例病例和 10652 例对照,rs12425791 的 10165 例病例和 11592 例对照。在显性遗传模型下,rs12425791 与 IS 风险存在显著关联(OR=1.087,95%CI=1.021-1.158,I²=34.6%,P=0.152),但在隐性遗传模型和等位基因 A 对等位基因 G 中没有关联。对于 rs11833579,我们未能在等位基因 A 对等位基因 G、显性和隐性遗传模型下验证其与 IS 风险的相关性。
本荟萃分析表明,在亚洲人群中,rs12425791 与显性遗传模型下的缺血性中风风险相关,但 rs11833579 则不然。