GNβ3 基因变异与功能性消化不良的关联:一项荟萃分析。
Association of genetic variants in GNβ3 with functional dyspepsia: a meta-analysis.
机构信息
Division of Gastroenterology, Second Affiliated Hospital, Medical College of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
出版信息
Dig Dis Sci. 2014 Aug;59(8):1823-30. doi: 10.1007/s10620-014-3057-y. Epub 2014 Feb 21.
BACKGROUND
Functional dyspepsia (FD) is a functional upper gastrointestinal disorder. The etiology and pathogenesis of FD remain unclear, with genetic factors playing an important role. Previous studies investigated the association of C825T in GNβ3 with FD, with conflicting results reported.
AIMS
The aim of this meta-analysis is to assess the association of genetic variants in GNβ3 with FD.
METHODS
We performed a systematic literature search in PubMed, Cochrane Library, Google Scholar, and Web of Knowledge, and conducted a meta-analysis to assess the association of C825T in GNβ3 with FD. For sensitivity analysis, we analyzed the association between C825T and subtypes of FD. We also performed meta-analyses separately for individual ethnic groups/countries of origin.
RESULTS
A total of eight studies met the eligibility criteria and were included in our analyses. Our meta-analysis finds no association between 825CC and FD (OR 1.19, 95% CI 0.84-1.67, p = 0.328). However, the association is significant under an additive model (OR 0.59, 95% CI 0.38-0.92, p = 0.018). Sensitivity analysis indicated a significant association of C825T with FD in participants from Korea but not in those from Japan, Europe, or the United States. We also detected a significant association of this SNP with dysmotility.
CONCLUSIONS
The genetic variant C825T in GNβ3 is significantly associated with FD under an additive model and the association is race-specific. Further studies with larger samples sizes are needed to validate our findings and to explore the potential mechanism underlying the association.
背景
功能性消化不良(FD)是一种功能性上消化道疾病。FD 的病因和发病机制尚不清楚,遗传因素起着重要作用。先前的研究调查了 GNβ3 中的 C825T 与 FD 的相关性,报道的结果存在冲突。
目的
本荟萃分析旨在评估 GNβ3 中的遗传变异与 FD 的相关性。
方法
我们在 PubMed、Cochrane 图书馆、Google Scholar 和 Web of Knowledge 中进行了系统的文献检索,并进行了荟萃分析,以评估 GNβ3 中的 C825T 与 FD 的相关性。为了进行敏感性分析,我们分析了 C825T 与 FD 的亚型之间的关系。我们还分别对个体的种族/国家来源进行了荟萃分析。
结果
共有八项研究符合入选标准并纳入我们的分析。我们的荟萃分析发现 825CC 与 FD 之间没有关联(OR 1.19,95%CI 0.84-1.67,p = 0.328)。然而,在加性模型下,这种关联具有统计学意义(OR 0.59,95%CI 0.38-0.92,p = 0.018)。敏感性分析表明,该 SNP 与运动障碍性消化不良的关联在韩国参与者中显著,但在日本、欧洲或美国参与者中不显著。我们还检测到该 SNP 与运动障碍性消化不良显著相关。
结论
GNβ3 中的遗传变异 C825T 与 FD 之间存在显著的加性模型关联,且这种关联具有种族特异性。需要进一步开展具有更大样本量的研究来验证我们的发现,并探索潜在的关联机制。