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LUM基因rs3759223多态性与高度近视之间无关联。

Lack of association between LUM rs3759223 polymorphism and high myopia.

作者信息

Li Min, Zhai Limin, Zeng Siming, Peng Qiliu, Wang Jian, Deng Yan, Xie Li, He Yu, Li Taijie

机构信息

*PhD †MD Department of Ophthalmology, The People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi, China (ML, SZ); and Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University, Guangxi, China (LZ, QP, JW, YD, LX, YH, TL).

出版信息

Optom Vis Sci. 2014 Jul;91(7):707-12. doi: 10.1097/OPX.0000000000000302.

Abstract

PURPOSE

Previous evidence has indicated that the lumican (LUM) gene is a candidate susceptibility gene of high myopia; however, the association between LUM promoter regions rs3759223 polymorphism and high myopia remains controversial and ambiguous. This study performed a meta-analysis to clarify the association between the rs3759223 polymorphism and high myopia risk.

METHODS

Eligible studies were identified by comprehensive search of PubMed, EMBASE, Web of Science, and Chinese Biomedical Literature database. The crude odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were used to estimate the association between the rs3759223 polymorphism and high myopia susceptibility. Meta-regression and subgroup analyses were performed to identify the source of heterogeneity.

RESULTS

Finally, six studies including 1238 cases and 1059 healthy controls were included. Meta-analyses showed no association between rs3759223 polymorphism and high myopia susceptibility in all genetic models (CC vs. TT, OR = 1.089; 95% CI, 0.690 to 1.718; CT vs. TT, OR = 0.865; 95% CI, 0.646 to 1.157; CC + CT vs. TT, OR = 1.202; 95% CI, 0.730 to 1.980; CC vs. CT + TT, OR = 0.914; 95% CI, 0.771 to 1.083) and no significance in subgroup analyses according to the definition of high myopia (based on more myopic than -6.00 diopters vs. not based on more myopic than -6.00 diopters). Publication bias was not evident in this study.

CONCLUSIONS

This meta-analysis has suggested that there is a lack of association of the rs3759223 polymorphism with high myopia risk. However, further large and well-designed studies with the consideration of LUM gene locus interactions and gene-gene and gene-environment interactions are still required to further evaluate high myopia risk.

摘要

目的

先前的证据表明,亮氨酸富含蛋白聚糖(LUM)基因是高度近视的候选易感基因;然而,LUM启动子区域rs3759223多态性与高度近视之间的关联仍存在争议且不明确。本研究进行了一项荟萃分析,以阐明rs3759223多态性与高度近视风险之间的关联。

方法

通过全面检索PubMed、EMBASE、Web of Science和中国生物医学文献数据库来确定符合条件的研究。采用粗比值比(OR)及其相应的95%置信区间(CI)来估计rs3759223多态性与高度近视易感性之间的关联。进行荟萃回归和亚组分析以确定异质性来源。

结果

最终纳入了6项研究,包括1238例病例和1059例健康对照。荟萃分析显示,在所有遗传模型中,rs3759223多态性与高度近视易感性之间均无关联(CC与TT相比,OR = 1.089;95%CI,0.690至1.718;CT与TT相比,OR = 0.865;95%CI,0.646至1.157;CC + CT与TT相比,OR = 1.202;95%CI,0.730至1.980;CC与CT + TT相比,OR = 0.914;95%CI,0.771至1.083),并且根据高度近视的定义(基于近视度数大于-6.00屈光度与不基于近视度数大于-6.00屈光度)进行的亚组分析也无显著性差异。本研究中未发现明显的发表偏倚。

结论

这项荟萃分析表明,rs3759223多态性与高度近视风险之间缺乏关联。然而,仍需要进一步开展大规模且设计良好的研究,考虑LUM基因座相互作用以及基因-基因和基因-环境相互作用,以进一步评估高度近视风险。

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