Pan Yuanmei, Li Yansheng, Shen Huojian
Department of Neurology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Neurology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Am J Alzheimers Dis Other Demen. 2014 Dec;29(8):704-11. doi: 10.1177/1533317514534760. Epub 2014 May 14.
A meta-analysis was performed to better clarify the association between polymorphisms of estrogen receptor α genes rs9340799 and rs2234693 and risk of Alzheimer's disease (AD).
Pooled odds ratios (ORs) with 95% confidence intervals (CIs) from fixed and random effect models were calculated. Heterogeneity among studies was evaluated using the I(2). Meta-regression was used to explore the potential sources of between-study heterogeneity.
A total of 23 studies about rs9340799 and 24 studies about rs2234693 were included in this meta-analysis. The combined evidence suggested that the x allele of rs9340799 had a significant protective effect on the risk of AD in codominant model (ORs = 0.893, 95%CIs = 0.822-0.970), especially for AD in Asia and sporadic AD (SAD). The p allele of rs2234693 was associated with decreased risk of AD in codominant model for patients with SAD. No publication bias was detected.
This meta-analysis suggested that x allele of rs9340799 might have a protective effect on the risk of AD in Asia and in patients with SAD. In addition, the p allele of rs2234693 might decrease the risk of patients with SAD.
进行一项荟萃分析,以更好地阐明雌激素受体α基因rs9340799和rs2234693的多态性与阿尔茨海默病(AD)风险之间的关联。
计算固定效应模型和随机效应模型的合并比值比(OR)及其95%置信区间(CI)。使用I²评估研究间的异质性。采用Meta回归探索研究间异质性的潜在来源。
本荟萃分析共纳入23项关于rs9340799的研究和24项关于rs2234693的研究。综合证据表明,rs9340799的x等位基因在共显性模型中对AD风险具有显著的保护作用(OR = 0.893,95%CI = 0.822 - 0.970),尤其对于亚洲的AD和散发性AD(SAD)。rs2234693的p等位基因在SAD患者的共显性模型中与AD风险降低相关。未检测到发表偏倚。
本荟萃分析表明,rs9340799的x等位基因可能对亚洲和SAD患者的AD风险具有保护作用。此外,rs2234693的p等位基因可能降低SAD患者的风险。