Department of Neurology, The Second Hospital of Shandong University, Jinan, PR China.
Can J Neurol Sci. 2013 Sep;40(5):691-7. doi: 10.1017/s0317167100014931.
Polymorphisms of genes participating in iron transportation have been associated with Alzheimer's disease (AD) risk. The association between transferrin (TF) gene rs1049296 (P570S) polymorphism and AD is controversial.
We performed meta analysis on data from 19 studies with 6310 cases and 13661 controls to reexamine the association between the TF gene rs1049296 polymorphism and AD. We applied a fixed-effects model to combine the odds ratio (OR) and 95% confidence intervals (95% CI). Egger's test was carried out to evaluate the potential publication bias.
The overall ORs with 95% CIs showed statistical association between the TF gene rs1049296 polymorphism and the risk of AD in the allele contrast, the recessive model and the dominant model for allele C2 (fixed-effects pooled OR 1.11; 95% CI 1.05 to 1.17, pooled OR 1.13; 95% CI 1.06 to 1.21, and pooled OR 1.23; 95% CI 1.03 to 1.47, respectively). In the contrast of C2C2+C2C1 vs C1C1, large heterogeneity among the Asian subgroup (p=0.041, I2= 68.6%) was observed but not among the overall population (p = 0.184, I2= 22.4%). No publication bias was observed.
The present meta analysis demonstrated that TF gene rs1049296 polymorphism is a genetic determinant of AD.
参与铁转运的基因多态性与阿尔茨海默病(AD)的风险相关。转铁蛋白(TF)基因 rs1049296(P570S)多态性与 AD 的相关性存在争议。
我们对来自 19 项研究的 6310 例病例和 13661 例对照的数据进行了荟萃分析,以重新检验 TF 基因 rs1049296 多态性与 AD 之间的关联。我们应用固定效应模型来合并比值比(OR)和 95%置信区间(95%CI)。采用 Egger 检验评估潜在的发表偏倚。
总体 ORs 及其 95%CI 显示,TF 基因 rs1049296 多态性与等位基因对照、隐性模型和显性模型中 AD 的风险之间存在统计学关联,等位基因 C2(固定效应汇总 OR 1.11;95%CI 1.05 至 1.17,汇总 OR 1.13;95%CI 1.06 至 1.21,以及汇总 OR 1.23;95%CI 1.03 至 1.47)。在 C2C2+C2C1 与 C1C1 的对比中,观察到亚洲亚组存在较大的异质性(p=0.041,I2=68.6%),但在总体人群中没有观察到(p=0.184,I2=22.4%)。未观察到发表偏倚。
本荟萃分析表明,TF 基因 rs1049296 多态性是 AD 的遗传决定因素。