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年龄相关性黄斑病变易感性 2 多态性与亚洲人群中的息肉状脉络膜血管病变:荟萃分析。

The age-related maculopathy susceptibility 2 polymorphism and polypoidal choroidal vasculopathy in Asian populations: a meta-analysis.

机构信息

Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, P. R. China.

出版信息

Ophthalmology. 2013 Oct;120(10):2051-7. doi: 10.1016/j.ophtha.2013.03.026. Epub 2013 May 19.

Abstract

OBJECTIVE

To assess the role of the age-related maculopathy susceptibility 2 (ARMS2) A69S polymorphism as a risk factor for polypoidal choroidal vasculopathy (PCV) in Asian populations.

METHODS

We performed a meta-analysis of the association of the A69S variant with PCV in Asian populations using data available from 14 case-control studies involving 6552 subjects. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using fixed- and random-effects models. Sensitivity analysis also was performed.

MAIN OUTCOME MEASURES

Understanding the relationship between the A69S variant and PCV is essential to provide new insights into pathophysiology and potential targets for intervention of PCV.

RESULTS

The pooled OR in random-effects models for genotype TG+TT versus wild homozygous genotype GG is 2.39 (95% CI, 1.98-2.89), the OR of heterozygous genotype TG versus GG is 1.66 (95% CI, 1.37-2.00), the OR of homozygous genotype TT versus GG is 4.74 (95% CI, 3.94-5.70), and the OR of allele T versus G is 2.14 (95% CI, 1.79-2.56). A sensitivity analysis indicated the robustness of our findings.

CONCLUSIONS

Our analysis provides evidence that the A69S variant is associated with an increased risk of PCV in Asian populations. The variant of A69S could be a promising genetic biomarker of PCV.

FINANCIAL DISCLOSURE(S): The author(s) have no proprietary or commercial interest in any materials discussed in this article.

摘要

目的

评估年龄相关性黄斑病变易感性 2 号(ARMS2)A69S 多态性作为亚洲人群中息肉状脉络膜血管病变(PCV)的风险因素的作用。

方法

我们使用来自 14 项病例对照研究的数据,对 A69S 变体与亚洲人群中 PCV 的关联进行了荟萃分析,这些研究共涉及 6552 名受试者。使用固定效应和随机效应模型估计了汇总优势比(OR)和 95%置信区间(CI)。还进行了敏感性分析。

主要观察指标

了解 A69S 变体与 PCV 之间的关系对于深入了解 PCV 的病理生理学和潜在干预靶点至关重要。

结果

在随机效应模型中,TG+TT 基因型与野生纯合基因型 GG 的汇总 OR 为 2.39(95%CI,1.98-2.89),杂合基因型 TG 与 GG 的 OR 为 1.66(95%CI,1.37-2.00),纯合基因型 TT 与 GG 的 OR 为 4.74(95%CI,3.94-5.70),等位基因 T 与 G 的 OR 为 2.14(95%CI,1.79-2.56)。敏感性分析表明我们的发现是稳健的。

结论

我们的分析提供了证据,表明 A69S 变体与亚洲人群中 PCV 的风险增加有关。A69S 变体可能是 PCV 的有前途的遗传生物标志物。

利益冲突披露

作者在本文讨论的任何材料中均无专有或商业利益。

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