Wang Xin, Zhang Ying, Zhang Mao-Nian
Department of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Int J Ophthalmol. 2013 Dec 18;6(6):861-7. doi: 10.3980/j.issn.2222-3959.2013.06.21. eCollection 2013.
To determine whether single nucleotide polymorphism (SNP) rs641153 is associated with the risk of age-related macular degeneration (AMD), we performed a systematic meta-analysis of 15 eligible studies. SNP in the complement factor B (CFB) gene is considered to have significant association with AMD susceptibility, but there is great discrepancy in these results.
The eligible studies were identified by searching the databases of PubMed, EMBASE, and Web of Science. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the association. All data were analyzed using Stata software.
The association between rs641153 and AMD risk was statistically significant under the homozygous model (AA vs GG:OR=0.26, 95%CI=0.15-0.45, P h=0.973, I (2)=0.0%, fixed effects), dominant model (AA+GA vs GG:OR=0.49, 95%CI=0.40-0.59, P h=0.004, I (2)=56.4%, random effects) and recessive model (AA vs GA+GG:OR=0.30, 95%CI=0.17-0.51, P h=0.983, I (2)=0.0%, fixed effects). The same results were also observed in the stratified analyses by ethnicity, source of control and sample size.
Our meta-analysis suggests that rs641153 in the CFB gene may play a protective role in AMD susceptibility, the late AMD in particular, both in Caucasians and in Asians.
为了确定单核苷酸多态性(SNP)rs641153是否与年龄相关性黄斑变性(AMD)的风险相关,我们对15项符合条件的研究进行了系统的荟萃分析。补体因子B(CFB)基因中的SNP被认为与AMD易感性有显著关联,但这些结果存在很大差异。
通过检索PubMed、EMBASE和Web of Science数据库来确定符合条件的研究。采用比值比(OR)及其95%置信区间(CI)来评估关联性。所有数据均使用Stata软件进行分析。
在纯合子模型(AA与GG:OR = 0.26,95%CI = 0.15 - 0.45,P h = 0.973,I² = 0.0%,固定效应)、显性模型(AA + GA与GG:OR = 0.49,95%CI = 0.40 - 0.59,P h = 0.004,I² = 56.4%,随机效应)和隐性模型(AA与GA + GG:OR = 0.30,95%CI = 0.17 - 0.51,P h = 0.983,I² = 0.0%,固定效应)下,rs641153与AMD风险之间的关联具有统计学意义。在按种族、对照来源和样本量进行的分层分析中也观察到了相同的结果。
我们的荟萃分析表明,CFB基因中的rs641153可能在AMD易感性中发挥保护作用,尤其是在晚期AMD中,在白种人和亚洲人中均如此。