Department of Orthopedics, Affiliated Hospital of Nanjing Medical University, Changzhou Second People's Hospital, Changzhou 213003, China.
Nanjing Medical University, Nanjing 210029, China.
Joint Bone Spine. 2015 May;82(3):166-71. doi: 10.1016/j.jbspin.2014.12.009. Epub 2015 Jan 24.
To investigate a possible effect of a gene mutation on rheumatoid arthritis (RA), we performed genotyping, in a hospital-based, case-control study in a Chinese cohort, relating the single nucleotide polymorphism (SNP) of microRNA (miRNA)-146a (rs2910164) to RA and undertook a meta-analysis using the available literature.
Six hundred and fifteen RA patients and 839 controls were enrolled in our study. A polymorphism of the miRNA-146a (rs2910164) gene was detected using a custom-by-design 48-Plex SNPscan TM Kit. In addition, we performed a systematic literature research and identified an additional 7 studies with 1066 cases and 1513 controls.
We did not find a significant association of miRNA-146a polymorphism with an RA risk in our data. And the results of the meta-analyses suggested no significant association between miRNA-146a polymorphism and RA in any genetic model. However, when the subgroup analyses were performed, genotype GG was observed to be significantly associated with RA in females. And the DAS28 score may also be significantly influenced by CC genotype.
Our study suggested that miRNA-146a polymorphism might not be associated with RA susceptibility. However, the miRNA-146 GG genotype might increase the risk of RA in females, and CC genotype may influence disease activity when evaluated with DAS28 score.
为了研究基因突变对类风湿关节炎(RA)的可能影响,我们进行了基因分型,在一个基于医院的中国队列病例对照研究中,将 miRNA-146a(rs2910164)单核苷酸多态性(SNP)与 RA 相关联,并使用现有文献进行了荟萃分析。
我们纳入了 615 例 RA 患者和 839 例对照。使用定制的 48-Plex SNPscan TM 试剂盒检测 miRNA-146a(rs2910164)基因的多态性。此外,我们进行了系统的文献研究,确定了另外 7 项研究,包括 1066 例病例和 1513 例对照。
我们没有发现 miRNA-146a 多态性与我们数据中 RA 风险之间存在显著关联。荟萃分析的结果表明,miRNA-146a 多态性与任何遗传模型中的 RA 均无显著关联。然而,当进行亚组分析时,发现基因型 GG 在女性中与 RA 显著相关。DAS28 评分也可能受到 CC 基因型的显著影响。
我们的研究表明,miRNA-146a 多态性可能与 RA 易感性无关。然而,miRNA-146 GG 基因型可能会增加女性患 RA 的风险,而 CC 基因型可能会影响 DAS28 评分评估的疾病活动度。