Mao Song, Huang Songming
Department of Nephrology, Nanjing Children's Hospital, Affiliated to Nanjing Medical University , Nanjing , China.
Ren Fail. 2015 Feb;37(1):16-21. doi: 10.3109/0886022X.2014.977142. Epub 2014 Oct 28.
To evaluate the association between angiotensinogen (AGT) gene polymorphism and the risk of Henoch-Schönlein purpura (HSP)/Henoch-Schönlein purpura nephritis (HSPN) we searched the eligible studies through Pub Med, Embase, Cochrane, and China National Knowledge Infrastructure (CNKI) databases according to predefined criteria. A random-effects model was used to calculate the combined odds ratios (ORs) and its corresponding 95% confidence interval (CI). Five studies were recruited for the analysis of the association between AGT M235T gene polymorphism and HSP/HSPN risk. M allele was associated with lower risk of HSP in adult (p = 0.050), TT genotype was associated with the susceptibility to HSP in adult (p = 0.039). AGT M235T gene polymorphism was not associated with HSP risk in children. No marked association was observed between AGT M235T gene polymorphism and HSPN risk. No evidence of publication bias was observed. In conclusion, M allele might be a protective factor against the HSP risk in adult, TT genotype might be a risk factor for the susceptibility to HSP in adult. However, further larger studies should be performed in the future.
为评估血管紧张素原(AGT)基因多态性与过敏性紫癜(HSP)/过敏性紫癜性肾炎(HSPN)风险之间的关联,我们根据预定义标准,通过PubMed、Embase、Cochrane和中国知网(CNKI)数据库检索了符合条件的研究。采用随机效应模型计算合并比值比(OR)及其相应的95%置信区间(CI)。纳入五项研究,分析AGT M235T基因多态性与HSP/HSPN风险之间的关联。M等位基因与成人HSP风险降低相关(p = 0.050),TT基因型与成人HSP易感性相关(p = 0.039)。AGT M235T基因多态性与儿童HSP风险无关。未观察到AGT M235T基因多态性与HSPN风险之间存在明显关联。未观察到发表偏倚的证据。总之,M等位基因可能是成人HSP风险的保护因素,TT基因型可能是成人HSP易感性的风险因素。然而,未来应开展更大规模的研究。