Zhang Peijin, Gao Xiuyin, Zhang Yanyan, Hu Yuewen, Ma He, Wang Wei, Wang Hui, Zhang Jing, Xu Hao, Lu Zhaojun
Department of Public Health, Xuzhou Medical College, Xuzhou, Jiangsu, China.
Department of General Practice, Xuzhou Medical College, Xuzhou, Jiangsu, China.
Angiology. 2015 May;66(5):422-32. doi: 10.1177/0003319714546368. Epub 2014 Aug 21.
The association between methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms and venous thromboembolism (VTE) risk in the Chinese population has been widely reported, but results were inconsistent and underpowered. To elucidate the variable results, a meta-analysis and systematic review were performed from all case-controlled studies relating MTHFR C677T polymorphism by pooling data on them. We estimated the pooled odds ratio with its 95% confidence intervals to assess this possible association. Finally, a total of 24 studies with 2339 cases and 4048 controls were included in the current meta-analysis. Significant association was found with VTE risk for all genetic models. Subgroup analyses by type of VTE further identified the above-mentioned association in deep vein thrombosis/pulmonary embolism and splanchnic vein thrombosis. The findings from our meta-analysis support the associations of MTHFR C677T polymorphism with VTE risk in the Chinese population.
亚甲基四氢叶酸还原酶(MTHFR)基因多态性与中国人群静脉血栓栓塞症(VTE)风险之间的关联已被广泛报道,但结果并不一致且证据不足。为了阐明这些不一致的结果,我们通过汇总相关数据,对所有涉及MTHFR C677T多态性的病例对照研究进行了荟萃分析和系统评价。我们估计了合并优势比及其95%置信区间,以评估这种可能的关联。最终,本荟萃分析共纳入了24项研究,其中包括2339例病例和4048例对照。在所有遗传模型中均发现与VTE风险存在显著关联。按VTE类型进行的亚组分析进一步确定了上述关联在深静脉血栓形成/肺栓塞和内脏静脉血栓形成中的存在。我们的荟萃分析结果支持MTHFR C677T多态性与中国人群VTE风险之间的关联。