Tang Zhao-Ming, Wang Ping, Chang Pan-Pan, Hasahya Tony, Xing Hui, Wang Jin-Ping, Hu Li-Hua
Department of Laboratory Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Da Dao 1277#, Wuhan, 430022, China.
Central Laboratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Clin Rheumatol. 2015 Nov;34(11):1893-902. doi: 10.1007/s10067-015-3045-4. Epub 2015 Aug 7.
rs2431697 is located on 5q33.3, between pituitary tumor-transforming gene 1 and miR-146a. Several studies have estimated the association between rs2431697 and systemic lupus erythematosus risk. However, the results were inconsistent. A case-control study was carried out to explore the association between rs2431697 and systemic lupus erythematosus risk in a central Chinese population. Meta-analyses combining present with previous studies were conducted to further explore the association. Our case-control study included 322 cases and 353 controls. rs2431697 T allele was associated with increased risk of systemic lupus erythematosus (odds ratios (ORs) = 1.461, 95% confidence intervals (CI) 1.091-1.957, P = 0.011). The association was stronger between T allele and the risk of anti-double-stranded DNA (dsDNA)-positive systemic lupus erythematosus (OR = 2.510, 95% CI 1.545-4.077, P < 0.001). The meta-analyses included 8648 systemic lupus erythematosus patients and 10947 controls. rs2431697 T allele had an overall OR of 1.262 (95% CI 1.205-1.323, P < 0.001) under fixed-effects model. After stratified by ethnicity, I (2) reduced from 24.3 to 0 %. T allele had an OR of 1.213 (95% CI 1.145-1.284, P < 0.001) in European descendant and 1.365 (95% CI 1.259-1.480, P < 0.001) in Asian under fixed-effects model. Data on women were also extracted, and T allele had an OR of 1.337 (95% CI 1.162-1.539, P < 0.001) under random-effects model. The pooled ORs were not influenced by each study in sensitivity analyses. There were no publication biases observed in these analyses. The results from our case-control study and the meta-analyses indicate that rs2431697 T allele significantly associates with the increased risk of systemic lupus erythematosus.
rs2431697位于5号染色体长臂3区3带(5q33.3),在垂体肿瘤转化基因1和miR - 146a之间。多项研究评估了rs2431697与系统性红斑狼疮风险之间的关联。然而,结果并不一致。在中国中部人群中开展了一项病例对照研究,以探索rs2431697与系统性红斑狼疮风险之间的关联。进行了将本研究与既往研究相结合的荟萃分析,以进一步探索这种关联。我们的病例对照研究纳入了322例病例和353例对照。rs2431697的T等位基因与系统性红斑狼疮风险增加相关(优势比(OR)=1.461,95%置信区间(CI)为1.091 - 1.957,P = 0.011)。T等位基因与抗双链DNA(dsDNA)阳性的系统性红斑狼疮风险之间的关联更强(OR = 2.510,95% CI为1.545 - 4.077,P < 0.001)。荟萃分析纳入了8648例系统性红斑狼疮患者和10947例对照。在固定效应模型下,rs2431697的T等位基因总体OR为1.262(95% CI为1.205 - 1.323,P < 0.001)。按种族分层后,I²从24.3降至0%。在固定效应模型下,T等位基因在欧洲后裔中的OR为1.213(95% CI为1.145 - 1.284,P < 0.001),在亚洲人中为1.365(95% CI为1.259 - 1.480,P < 0.001)。还提取了女性的数据,在随机效应模型下,T等位基因的OR为1.337(95% CI为1.162 - 1.539,P < 0.001)。在敏感性分析中,合并后的OR不受每项研究的影响。这些分析中未观察到发表偏倚。我们病例对照研究和荟萃分析的结果表明,rs2431697的T等位基因与系统性红斑狼疮风险增加显著相关。