Xi Qian, Liao Yun, Wu Yongkang, Wang Lanlan
Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Mol Immunol. 2015 Aug;66(2):274-5. doi: 10.1016/j.molimm.2015.03.252. Epub 2015 Apr 17.
After reading the article "Susceptibility to SLE in South Indian Tamils may be influenced by genetic selection pressure on TLR2 and TLR9 genes", we have some doubt. As the differences existed in genetic risk factors, SLE symptoms, and disease severity between the childhood-onset and adult-onset SLE patients, the association analyses in study population including both childhood-onset and adult-onset SLE patients might be inappropriate. Besides, in order to explore whether TLR9 (-1237C/T) polymorphism impact SLE occurrence, we reviewed current studies and conducted a meta-analysis. The results of meta-analysis showed no significant correlation between TLR9 (-1237C/T) and SLE susceptibility in total population (allele model OR=0.97, 95%CI (0.81-1.14)), or in Caucasians (allele model OR=1.05, 95%CI (0.72-1.39)) and in Asians (allele model OR=0.94, 95%CI (0.54-1.35)). Therefore, confirmative evidence reveals that TLR9 (-1237C/T) polymorphism does not correlate with SLE susceptibility.
阅读了《南印度泰米尔人对系统性红斑狼疮的易感性可能受TLR2和TLR9基因的遗传选择压力影响》这篇文章后,我们有一些疑问。由于儿童期发病和成年期发病的系统性红斑狼疮患者在遗传风险因素、系统性红斑狼疮症状和疾病严重程度方面存在差异,在包括儿童期发病和成年期发病的系统性红斑狼疮患者的研究人群中进行关联分析可能并不合适。此外,为了探讨TLR9(-1237C/T)多态性是否影响系统性红斑狼疮的发生,我们回顾了当前的研究并进行了荟萃分析。荟萃分析结果显示,在总体人群中(等位基因模型OR = 0.97,95%CI(0.81 - 1.14)),或在白种人中(等位基因模型OR = 1.05,95%CI(0.72 - 1.39))以及在亚洲人中(等位基因模型OR = 0.94,95%CI(0.54 - 1.35)),TLR9(-1237C/T)与系统性红斑狼疮易感性之间均无显著相关性。因此,确凿证据表明TLR9(-1237C/T)多态性与系统性红斑狼疮易感性无关。