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脂联素基因多态性与动脉粥样硬化易感性:一项荟萃分析。

Adiponectin gene polymorphisms and susceptibility to atherosclerosis: A meta-analysis.

作者信息

Mansourian Marjan, Javanmard Shaghayegh Haghjooy

机构信息

Department of Biostatistics, School of Health, Physiology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Physiology, Physiology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2013 Jul;18(7):611-6.

Abstract

Previous studies have inspected the associations between Adiponectin (ADIPOQ) 276G/T polymorphisms and atherosclerosis, but the results are inconclusive. The aim of this study was to explore the relationship between polymorphism +276 G > T (rs1501299) in ADIPOQ and atherosclerosis. A widespread search was directed to identify all studies on the association of ADIPOQ 276G/T polymorphism with atherosclerosis risk. The fixed effect pooled measures according to odds ratio (OR) and 95% confidence interval (CI) were calculated in the meta-analysis. Heterogeneity among studies was evaluated using Q test and the I(2). Publication bias was estimated using modified Egger's linear regression test and Fuunel plot. Nine studies regarding the associations between the ADIPOQ 276G/T polymorphism and atherosclerosis risk were enrolled in this meta-analysis, including 1959 cases and 3739 controls. The 276G/T polymorphism was not significantly associated with atherosclerosis, yielding pooled ORs of 0.925 (95% CI: 0.728-1.178) and 0.921 (95% CI: 0.804-1.054), for TT versus GG, and TG versus GG, respectively. Significant between-study heterogeneity was not found in our meta-analysis. Furthermore there was no evidence of publication bias in the meta-analysis. The present meta-analysis showed that there is no association between ADIPOQ 276G/T polymorphism and atherosclerosis. High quality studies are still needed to add for more investigation of the association between ADIPOQ 276G/T polymorphisms and atherosclerosis.

摘要

既往研究已探讨脂联素(ADIPOQ)276G/T多态性与动脉粥样硬化之间的关联,但结果尚无定论。本研究旨在探究ADIPOQ基因+276 G>T(rs1501299)多态性与动脉粥样硬化之间的关系。通过广泛检索以识别所有关于ADIPOQ 276G/T多态性与动脉粥样硬化风险关联的研究。在荟萃分析中计算基于比值比(OR)和95%置信区间(CI)的固定效应合并测量值。使用Q检验和I²评估研究间的异质性。采用改良的Egger线性回归检验和漏斗图评估发表偏倚。本荟萃分析纳入了9项关于ADIPOQ 276G/T多态性与动脉粥样硬化风险关联的研究,包括1959例病例和3739例对照。276G/T多态性与动脉粥样硬化无显著关联,TT与GG相比的合并OR为0.925(95%CI:0.728 - 1.178),TG与GG相比的合并OR为0.921(95%CI:0.804 - 1.054)。在我们的荟萃分析中未发现显著的研究间异质性。此外,荟萃分析中没有发表偏倚的证据。本荟萃分析表明,ADIPOQ 276G/T多态性与动脉粥样硬化之间无关联。仍需要高质量的研究来进一步探究ADIPOQ 276G/T多态性与动脉粥样硬化之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f811/3897030/3c64bf2789bf/JRMS-18-611-g002.jpg

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