Liu Li, Fan Dazhi, Ding Ning, Hu Yanting, Cai Guoqi, Wang Li, Xin Lihong, Xia Qin, Li Xiaona, Xu Shengqian, Xu Jianhua, Yang Xiao, Zou Yanfeng, Pan Faming
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032, China.
Department of Rheumatism and Immunity, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China.
Neurosci Lett. 2014 Nov 7;583:43-8. doi: 10.1016/j.neulet.2014.09.024. Epub 2014 Sep 20.
Schizophrenia is a common, complex multi-factorial psychiatric disorder. Many studies have reported associations between the C957T and C939T polymorphisms in Dopamine D2 receptor (DRD2) gene and schizophrenia, but results are inconsistent. To derive a more precise estimation of the relationship, a meta-analysis was conducted to systematically summarize the possibility. We included 13 articles involving 3079 schizophrenia cases and 3851 healthy controls. Positive associations were found between C957T polymorphism and schizophrenia risk in C vs. T (OR=1.26, 95% CI=1.09-1.46, Praw=0.002, PFDR=0.005) and CC+CT vs. TT (OR=1.47, 95% CI=1.25-1.73, Praw<0.001, PFDR<0.001). When stratified by race, a significantly increased risk of schizophrenia was observed in Caucasians, but not in Asians. No association between C939T polymorphism and schizophrenia was found in overall or Asian population. Our study suggested that C957T of DRD2 gene polymorphism is likely to be a risk factor for schizophrenia, especially in Caucasian.
精神分裂症是一种常见的、复杂的多因素精神疾病。许多研究报告了多巴胺D2受体(DRD2)基因中的C957T和C939T多态性与精神分裂症之间的关联,但结果并不一致。为了更精确地估计两者之间的关系,我们进行了一项荟萃分析以系统总结这种可能性。我们纳入了13篇文章,涉及3079例精神分裂症患者和3851名健康对照。在C与T比较中,发现C957T多态性与精神分裂症风险呈正相关(OR = 1.26,95% CI = 1.09 - 1.46,Praw = 0.002,PFDR = 0.005),在CC + CT与TT比较中也是如此(OR = 1.47,95% CI = 1.25 - 1.73,Praw < 0.001,PFDR < 0.001)。按种族分层时,在白种人中观察到精神分裂症风险显著增加,而在亚洲人中未观察到。在总体人群或亚洲人群中,未发现C939T多态性与精神分裂症之间存在关联。我们的研究表明,DRD2基因多态性的C957T可能是精神分裂症的一个危险因素,尤其是在白种人中。