Li Chaolin, Zhao Lujie, Wang Wei, Li Huafeng, Meng Xiaomei, Chen Shulin
Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong University Jinan 250000, Shandong, China ; Department of Endocrinology, Yantai Yuhuangding Hospital Affiliated to Qingdao University Yantai 264000, China.
Hemodialysis Center, Yantai Yuhuangding Hospital Affiliated to Qingdao University Yantai 264000, China.
Int J Clin Exp Med. 2015 Feb 15;8(2):2471-5. eCollection 2015.
The signal transducer and activator of transcription 4 (STAT4) rs7574865 polymorphism has been indicated to be correlated with type 1 diabetes (T1D) susceptibility, but study results are still debatable. Thus, a meta-analysis was conducted. The electronic databases PubMed, Embase, CNKI, and Web of Science (ISI) were searched to find eligible studies. Data were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated. A significant association was found between STAT4 rs7574865 polymorphism and T1D risk (OR=1.30; 95% CI, 1.13-1.48; P<0.01; I(2) =73%). Significant associations were also found in Asians (OR=1.33; 95% CI, 1.04-1.71; P=0.02; I(2) =60%) and Caucasians (OR=1.26; 95% CI, 1.08-1.47; P<0.01; I(2) =74%), respectively. This association was also positive in the pediatric patients (OR=1.41; 95% CI, 1.19-1.68; P<0.01; I(2) =46%). Moreover, we found that STAT4 rs7574865 polymorphism was associated with early-onset T1D risk (OR=1.43; 95% CI, 1.16-1.77; P<0.01; I(2) =0%). This meta-analysis suggested that the STAT4 rs7574865 polymorphism may be associated with T1D development.
信号转导及转录激活因子4(STAT4)基因rs7574865多态性已被指出与1型糖尿病(T1D)易感性相关,但研究结果仍存在争议。因此,进行了一项荟萃分析。检索电子数据库PubMed、Embase、中国知网(CNKI)和科学网(ISI)以查找符合条件的研究。提取数据并计算合并比值比(OR)及95%置信区间(CI)。发现STAT4基因rs7574865多态性与T1D风险之间存在显著关联(OR = 1.30;95% CI,1.13 - 1.48;P < 0.01;I² = 73%)。在亚洲人(OR = 1.33;95% CI,1.04 - 1.71;P = 0.02;I² = 60%)和高加索人(OR = 1.26;95% CI,1.08 - 1.47;P < 0.01;I² = 74%)中也分别发现了显著关联。这种关联在儿科患者中也呈阳性(OR = 1.41;95% CI,1.19 - 1.68;P < 0.01;I² = 46%)。此外,我们发现STAT4基因rs7574865多态性与早发型T1D风险相关(OR = 1.43;95% CI,1.16 - 1.77;P < 0.01;I² = 0%)。这项荟萃分析表明,STAT4基因rs7574865多态性可能与T1D的发生发展相关。