Department of Geriatrics, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
J Cell Mol Med. 2014 Feb;18(2):274-82. doi: 10.1111/jcmm.12185. Epub 2013 Dec 24.
The KCNQ1 rs2237892 C→T gene polymorphism is reportedly associated with T2DM susceptibility, but various studies show conflicting results. To explore this association in the Asian population, a meta-analysis of 15,736 patients from 10 individual studies was performed. The pooled odds ratios (ORs) and their 95% confidence intervals (CIs) were evaluated using random-effect or fixed-effect models. A significant relationship between the KCNQ1 rs2237892 C→T gene polymorphism and T2DM was observed in the Asian population under the allelic (OR, 1.350; 95% CI, 1.240-1.480; P < 0.00001), recessive (OR: 0.650; 95% CI: 0.570-0.730; P < 0.00001), dominant (OR: 1.450; 95% CI: 1.286-1.634; P < 0.00001), and additive (OR: 1.346; 95% CI: 1.275-1.422; P < 0.00001) genetic models. In the subgroup analysis by race, a significant association was found in Chinese, Korean and Malaysia population, but not in Indian population. KCNQ1 rs2237892 C→T gene polymorphism was found to be significantly associated with increased T2DM risk in the Asian population, except Indian population. The C allele of the KCNQ1 rs2237892 C→T gene polymorphism may confer susceptibility to T2DM.
KCNQ1 rs2237892 C→T 基因多态性与 T2DM 易感性相关,但各种研究结果存在矛盾。为了探讨该相关性在亚洲人群中的作用,对 10 项独立研究的 15736 例患者进行了荟萃分析。采用随机效应或固定效应模型评估合并优势比(OR)及其 95%置信区间(CI)。在亚洲人群中,KCNQ1 rs2237892 C→T 基因多态性与 T2DM 之间存在显著相关性,在等位基因(OR:1.350;95%CI:1.240-1.480;P<0.00001)、隐性(OR:0.650;95%CI:0.570-0.730;P<0.00001)、显性(OR:1.450;95%CI:1.286-1.634;P<0.00001)和加性(OR:1.346;95%CI:1.275-1.422;P<0.00001)遗传模型中均观察到这种关系。按种族进行亚组分析,在中国、韩国和马来西亚人群中发现了显著相关性,但在印度人群中未发现这种相关性。KCNQ1 rs2237892 C→T 基因多态性与亚洲人群(除印度人群外)T2DM 风险增加显著相关,KCNQ1 rs2237892 C→T 基因多态性的 C 等位基因可能导致 T2DM 的易感性。