Yuan Xiaoping, Wang Huiling
Department of Psychiatry, Renmin Hospital of Wuhan University Wuhan 430060, Hubei Province, China.
Int J Clin Exp Med. 2015 Mar 15;8(3):4134-9. eCollection 2015.
The CD14-159 C/T polymorphism has been implicated in susceptibility to acute pancreatitis (AP), but the results were inconclusive. The present meta-analysis aimed to explore the correlation between CD14-159 C/T polymorphism and AP risk. All eligible case-control studies published up to November 10th, 2014 were identified by searching PubMed, Web of Science, CNKI, and WanFang databases. Two reviewers independently identified the literature according to inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.2 and Stata 12.0 software. A total of five studies comprising 1211 cases and 932 controls were included. Overall, no significant association between CD14-159 C/T polymorphism and AP risk was found under all four genetic models [CT + TT vs CC: OR = 1.09, 95% CI (0.91, 1.31); TT vs CT + CC: OR = 1.04, 95% CI (0.83, 1.29); CT vs CC: OR = 1.08, 95% CI (0.89, 1.32); TT vs CC: OR = 1.15, 95% CI (0.88, 1.49)]; In stratification analysis by disease severity, we also failed to detect any association between CD14-159C/T polymorphism and the risk of mild AP (MAP) or severe AP (SAP); In subgroup analysis by ethnicity, similar results were observed in Asian and European populations. This meta-analysis suggested that the CD14-159C/T polymorphism is not associated with the susceptibility of acute pancreatitis.
CD14 - 159 C/T基因多态性与急性胰腺炎(AP)易感性有关,但结果尚无定论。本荟萃分析旨在探讨CD14 - 159 C/T基因多态性与AP风险之间的相关性。通过检索PubMed、Web of Science、中国知网(CNKI)和万方数据库,确定了截至2014年11月10日发表的所有符合条件的病例对照研究。两名评价员根据纳入和排除标准独立筛选文献。使用RevMan 5.2和Stata 12.0软件进行荟萃分析。共纳入5项研究,包括1211例病例和932例对照。总体而言,在所有四种遗传模型下,均未发现CD14 - 159 C/T基因多态性与AP风险之间存在显著关联[CT + TT vs CC:OR = 1.09,95%CI(0.91,1.31);TT vs CT + CC:OR = 1.04,95%CI(0.83,1.29);CT vs CC:OR = 1.08,95%CI(0.89,1.32);TT vs CC:OR = 1.15,95%CI(0.88,1.49)];在按疾病严重程度进行的分层分析中,我们也未检测到CD14 - 159C/T基因多态性与轻症急性胰腺炎(MAP)或重症急性胰腺炎(SAP)风险之间存在任何关联;在按种族进行的亚组分析中,亚洲和欧洲人群中观察到了类似结果。本荟萃分析表明,CD14 - 159C/T基因多态性与急性胰腺炎易感性无关。