Department of Medical Affairs, General Hospital of PLA Chengdu Military Area Command, Chengdu 610083, PR China.
Hum Immunol. 2012 Nov;73(11):1200-6. doi: 10.1016/j.humimm.2012.08.006. Epub 2012 Aug 20.
The aim of this study was to perform a meta-analysis to investigate a more authentic association between IL-1β -31 C/T polymorphism and duodenal ulcer (DU). Systematic searches of electronic databases Embase, PubMed and Web of Science were performed. Study selection, data abstraction and study quality evaluation were independently conducted in duplicate. Statistical analyses were conducted using software Stata 11.0. The pooled odds ratios (ORs) with 95% confidence intervals (95%CIs) were applied. Publication bias was tested by Begg's funnel plot and Egger's regression test. A total of 12 studies including 1151 cases and 2642 controls were included in our final meta-analysis. There was no evidence of significant association between IL-1β -31 C/T polymorphism and DU (allelic model: OR=0.96, 95%CI=0.86-1.07; additive model: OR=0.85, 95%CI=0.67-1.07; dominant model: OR=0.95, 95%CI=0.81-1.13; and recessive model: OR=0.95, 95%CI=0.79-1.15). Significant association was found in additive model for PB subgroup (OR=0.65, 95%CI=0.44-0.96) and recessive model for non-Asian subgroup (OR=0.72, 95%CI=0.52-0.99). In conclusion, our meta-analysis suggested that there was no evidence of significant association between IL-1β -31 C/T polymorphism and DU with or without Helicobacter pylori infection in overall population, whereas significant association was found by subgroup analyses which showed protective effect of C/C genotype against DU risk.
本研究旨在进行荟萃分析,以更真实地探讨白细胞介素-1β(IL-1β)-31 C/T 多态性与十二指肠溃疡(DU)之间的关联。系统检索了 Embase、PubMed 和 Web of Science 电子数据库。独立进行了研究选择、数据提取和研究质量评估。使用 Stata 11.0 软件进行统计分析。应用合并的优势比(OR)及其 95%置信区间(95%CI)进行统计分析。通过 Begg 漏斗图和 Egger 回归检验来检测发表偏倚。最终纳入了 12 项研究,共包括 1151 例病例和 2642 例对照。IL-1β-31 C/T 多态性与 DU 之间无明显关联(等位基因模型:OR=0.96,95%CI=0.86-1.07;加性模型:OR=0.85,95%CI=0.67-1.07;显性模型:OR=0.95,95%CI=0.81-1.13;隐性模型:OR=0.95,95%CI=0.79-1.15)。在 PB 亚组中发现了加性模型(OR=0.65,95%CI=0.44-0.96)和非亚洲亚组中隐性模型(OR=0.72,95%CI=0.52-0.99)的显著关联。综上所述,本荟萃分析提示,白细胞介素-1β-31 C/T 多态性与总体人群的 DU 之间无明显关联,无论是否存在幽门螺杆菌感染,而亚组分析显示 C/C 基因型对 DU 风险具有保护作用。