Wu Pengbo, Shu Yongxiang, Guo Fang, Luo Hesheng, Zhang Guo, Tan Shiyun
Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Department of Gastroenterology, the People's Hospital of Guangxi Zhuang Autonomous Region.
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Jan;36(1):78-82.
To explore the association between patatin-like phospholipase domain-containing protein 3(PNPLA3) gene rs738409 polymorphism and the susceptibility of non-alcoholic fatty liver disease(NAFLD).
Data bases were comprehensively searched to retrace all the related studies on the association between PNPLA3 gene rs738409 polymorphism and susceptibility. Of NAFLD, the pooled OR with 95% CI of the association between PNPLA3 gene rs738409 polymorphism and NAFLD susceptibility were performed using different genetic models. Subgroup analysis based on the source of population and sensitivity analysis was performed to detect the stability of results.
28 original studies with 6 216 patients and 8 218 controls were involved in the final combination of data. Findings from the meta-analyses showed that there were strong associations between PNPLA3 gene rs738409 polymorphism and the susceptibility of NAFLD, under different genetic model comparisons[GG vs. CC:OR = 2.42, 95%CI:1.83-3.21, P < 0.001;CG vs. CC:OR = 1.28, 95%CI:1.15-1.43, P < 0.001;CG+GG vs. CC:OR = 1.31, 95%CI:1.17-1.46, P < 0.001; GG vs. CC+GC:OR = 2.26, 95%CI:1.76-2.90, P < 0.001]. Similar results were found in both Asian and Caucasian populations.
Results from the Meta-analysis strongly suggested that there appeared significant association between PNPLA3 gene rs738409 polymorphism and the susceptibility of NAFLD.
探讨含patatin样磷脂酶结构域蛋白3(PNPLA3)基因rs738409多态性与非酒精性脂肪性肝病(NAFLD)易感性之间的关联。
全面检索数据库,以追溯所有关于PNPLA3基因rs738409多态性与NAFLD易感性关联的相关研究。采用不同遗传模型,对PNPLA3基因rs738409多态性与NAFLD易感性之间的关联进行合并OR值及95%可信区间的分析。基于人群来源进行亚组分析和敏感性分析,以检测结果的稳定性。
最终纳入28项原始研究,共6216例患者和8218例对照。荟萃分析结果显示,在不同遗传模型比较下,PNPLA3基因rs738409多态性与NAFLD易感性之间存在强关联[GG与CC比较:OR = 2.42,95%CI:1.83 - 3.21,P < 0.001;CG与CC比较:OR = 1.28,95%CI:1.15 - 1.43,P < 0.001;CG + GG与CC比较:OR = 1.31,95%CI:1.17 - 1.46,P < 0.001;GG与CC + GC比较:OR = 2.26,95%CI:1.76 - 2.90,P < 0.001]。在亚洲和白种人群中均发现了类似结果。
荟萃分析结果强烈提示,PNPLA3基因rs738409多态性与NAFLD易感性之间存在显著关联。