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MCP-1-2518A/G基因多态性与自身免疫性疾病易感性的关联:一项荟萃分析

Association of MCP-1-2518A/G polymorphism with susceptibility to autoimmune diseases: a meta-analysis.

作者信息

Chen Si, Deng Chuiwen, Hu Chaojun, Li Jing, Wen Xiaoting, Wu Ziyan, Li Yuan, Zhang Fengchun, Li Yongzhe

机构信息

Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, 41 Damucang Hutong, Xicheng District, 100032, Beijing, China.

出版信息

Clin Rheumatol. 2016 May;35(5):1169-79. doi: 10.1007/s10067-015-3060-5. Epub 2015 Aug 29.

Abstract

We performed a meta-analysis to estimate whether combined evidence shows the association between the MCP-1-2518A/G polymorphism and susceptibility to autoimmune diseases. Relevant articles dated to July 2014 were acquired from the PubMed, EMBASE, ISI, and CNKI databases. The number of the genotypes and/or alleles for the MCP-1-2518A/G in cases and control subjects was extracted, and statistical analysis was conducted using STATA 11.2 software. Summary odds ratios (ORs) with their 95 % confidence intervals (95 % CIs) were used to calculate the risk of autoimmune diseases with the MCP-1-2518A/G. Significant increased risk of autoimmune diseases could be found for A allele vs. G allele (OR = 1.616, 95 % CI 1.027-2.542, P = 0.038) and AA + AG vs. GG (OR = 1.616, 95 % CI 1.027-2.542, P = 0.038) in Asian patients with rheumatoid arthritis (RA), and for A allele vs. G allele (OR = 1.383, 95 % CI 1.142-1.676, P = 0.022) and AA vs. AG + GG (OR = 1.575, 95 % CI 1.361-1.823, P < 0.001) in European patients with Crohn's disease (CD). In addition, when comparison of European patients with lupus nephritis (LN) and without LN, significant association between patients with LN and without LN also could be found for AA vs. AG + GG (OR = 0.713, 95 % CI 0.545-0.933, P = 0.014). This meta-analysis showed that the MCP-1-2518-A allele confers susceptibility to Asian patients with RA and European patients with CD.

摘要

我们进行了一项荟萃分析,以评估综合证据是否显示MCP - 1 - 2518A/G多态性与自身免疫性疾病易感性之间的关联。从PubMed、EMBASE、ISI和中国知网数据库获取截至2014年7月的相关文章。提取病例组和对照组中MCP - 1 - 2518A/G的基因型和/或等位基因数量,并使用STATA 11.2软件进行统计分析。汇总比值比(OR)及其95%置信区间(95%CI)用于计算携带MCP - 1 - 2518A/G的自身免疫性疾病风险。在亚洲类风湿关节炎(RA)患者中,A等位基因与G等位基因相比(OR = 1.616,95%CI 1.027 - 2.542,P = 0.038)以及AA + AG与GG相比(OR = 1.616,95%CI 1.027 - 2.542,P = 0.038),自身免疫性疾病风险显著增加;在欧洲克罗恩病(CD)患者中,A等位基因与G等位基因相比(OR = 1.383,95%CI 1.142 - 1.676,P = 0.022)以及AA与AG + GG相比(OR = 1.575,95%CI 1.361 - 1.823,P < 0.001),自身免疫性疾病风险显著增加。此外,在比较欧洲狼疮性肾炎(LN)患者和非LN患者时,AA与AG + GG相比也发现LN患者与非LN患者之间存在显著关联(OR = 0.713,95%CI 0.545 - 0.933,P = 0.014)。这项荟萃分析表明,MCP - 1 - 2518 - A等位基因使亚洲RA患者和欧洲CD患者易患自身免疫性疾病。

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