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白细胞介素-1 基因多态性与多发性硬化症的关联:荟萃分析。

Association of interleukin-1 gene polymorphisms with multiple sclerosis: a meta-analysis.

机构信息

Department of Geriatrics and Gerontology, First Affiliated Hospital, Guangxi Medical University, Nanning, People's Republic of China.

出版信息

Inflamm Res. 2013 Jan;62(1):97-106. doi: 10.1007/s00011-012-0556-1. Epub 2012 Oct 4.

DOI:10.1007/s00011-012-0556-1
PMID:23052182
Abstract

BACKGROUND

Dysregulated levels of interleukin-1 (IL-1) were observed in patients with multiple sclerosis (MS). Previous studies have provided conflicting evidence implicating the IL-1 gene polymorphisms in MS risk.

METHODS

A meta-analysis of 16 case-control studies involving 3,482 cases and 3,528 controls was conducted to evaluate this association.

RESULTS

No association was found between the IL-1α -889 (rs1800587), IL-1α +4,845 (rs17561), IL-1β -511 (rs16944), IL-1β +3,953 (rs1143634), IL-1ra variable number tandem repeat (VNTR) polymorphisms and MS risk. However, in subgroup analyses for the IL-1ra VNTR polymorphism, we found that individuals carrying the 2 allele had a 32 % increased risk for bout-onset MS (relapsing remitting and secondary progressive MS) when compared to the LL homozygotes (OR = 1.32, 95 % CI = 1.06-1.66, P (z) = 0.014).

CONCLUSION

Common variants in the IL-1 region are not associated with MS risk but our data suggest that the IL-1ra VNTR polymorphism might be associated with bout-onset MS subtype.

摘要

背景

多发性硬化症(MS)患者的白细胞介素-1(IL-1)水平失调。先前的研究提供了相互矛盾的证据,表明 IL-1 基因多态性与 MS 风险有关。

方法

对 16 项病例对照研究进行了荟萃分析,共纳入 3482 例病例和 3528 例对照,以评估这种关联。

结果

IL-1α-889(rs1800587)、IL-1α+4845(rs17561)、IL-1β-511(rs16944)、IL-1β+3953(rs1143634)和 IL-1ra 可变数目串联重复(VNTR)多态性与 MS 风险之间均无关联。然而,在 IL-1ra VNTR 多态性的亚组分析中,我们发现与 LL 纯合子相比,携带 2 等位基因的个体发生发作性 MS(复发缓解型和继发性进展型 MS)的风险增加了 32%(OR=1.32,95%CI=1.06-1.66,P(z)=0.014)。

结论

IL-1 区域的常见变异与 MS 风险无关,但我们的数据表明,IL-1ra VNTR 多态性可能与发作性 MS 亚型有关。

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