Duan Lian, Liang Rui, Wang Zhendong, Lei Lei, Jin Lianhong, Shen Jingling, Jin Shoude
Department of Histology and Embryology, Harbin Medical University, 194 Xuefu Road, Nangang District, Harbin, Heilongjiang, China.
Mol Biol Rep. 2014 Sep;41(9):6297-303. doi: 10.1007/s11033-014-3512-z. Epub 2014 Jul 3.
Numerous studies have investigated association of interleukin-13 (IL-13) G+2044A polymorphism with COPD susceptibility; however, the results were inconsistent and inconclusive. To evaluate the association between the IL-13 G+2044A polymorphism and susceptibility to COPD, a meta-analysis of published case-control studies was performed. Based on PubMed and Chinese database, this research selected studies that examined the association of the IL-13 G+2044A polymorphism with COPD. A genetic model-free approach was used to assess whether the combined data showed this association. Then a subgroup analysis was also performed, with stratifications for race, study design, and sample size. Six studies (total 1,213 COPD patients and 801 control subjects) for the IL-13 G+2044A polymorphism with COPD were included in the meta-analysis (G- vs A-allele: OR 1.12, 95 % CI 0.96-1.32, P = 0.15; genotypes GG+GA vs genotype AA: OR 0.99, 95 % CI 0.49-2.00, P = 0.98; genotype GG vs genotypes GA+AA: OR 1.18, 95 % CI 0.97-1.44, P = 0.09; genotype GA vs genotypes GG+AA: OR 0.85, 95 % CI 0.70-1.04, P = 0.11). This meta-analysis demonstrates that the IL-13 G+2044A polymorphism does not confer susceptibility to COPD. More detailed data about individual and environment, larger sample sizes with unbiased genotyping methods and matched controls in different populations are required.
众多研究探讨了白细胞介素-13(IL-13)基因G+2044A多态性与慢性阻塞性肺疾病(COPD)易感性之间的关联;然而,结果并不一致且尚无定论。为评估IL-13基因G+2044A多态性与COPD易感性之间的关联,我们对已发表的病例对照研究进行了荟萃分析。基于PubMed和中文数据库,本研究筛选了检测IL-13基因G+2044A多态性与COPD关联的研究。采用无遗传模型方法评估合并数据是否显示出这种关联。随后还进行了亚组分析,按种族、研究设计和样本量进行分层。六项关于IL-13基因G+2044A多态性与COPD的研究(共1213例COPD患者和801例对照)纳入了荟萃分析(G等位基因与A等位基因:比值比[OR]为1.12,95%置信区间[CI]为0.96 - 1.32,P = 0.15;基因型GG+GA与基因型AA:OR为0.99,95%CI为0.49 - 2.00,P = 0.98;基因型GG与基因型GA+AA:OR为1.18,95%CI为0.97 - 1.44,P = 0.09;基因型GA与基因型GG+AA:OR为0.85,95%CI为0.70 - 1.04,P = 0.11)。该荟萃分析表明,IL-13基因G+2044A多态性不会使个体易患COPD。需要更详细的个体和环境数据、更大样本量以及采用无偏倚基因分型方法和不同人群中匹配对照的研究。