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白细胞介素 1B(-511 和+3954)、白细胞介素 1 受体拮抗剂 VNTR 多态性与结核病易感性的关联研究:荟萃分析。

Lack of Association Between the IL1B (-511 and +3954), IL1RN VNTR Polymorphisms and Tuberculosis Risk: A Meta-analysis.

机构信息

Department of Geriatrics and Gerontology, First Affiliated Hospital, Guangxi Medical University, Nanning, China.

出版信息

Lung. 2015 Dec;193(6):985-92. doi: 10.1007/s00408-015-9796-5. Epub 2015 Sep 2.

Abstract

BACKGROUND

Several recent studies have provided evidence that polymorphisms in the interleukin-1 (IL1) gene are implicated in tuberculosis (TB). However, results of different studies are inconsistent. The aim of this study was to perform a meta-analysis investigating the association of the IL1B (-511 and +3954) and IL1RN VNTR polymorphisms with TB risk.

METHODS

A systematic review of the English literature was conducted by searching Pubmed, Scopus, and ISI Web of Knowledge databases for relevant studies. Pooled odds ratios (OR) with 95 % confidence intervals (CI) were calculated using fixed effects models. Between-study heterogeneity and publication bias were also evaluated.

RESULTS

Nine case-control studies including 3327 participants were reviewed and analyzed. Our results did not indicate any association of the IL1B (-511 and +3954) and IL1RN VNTR polymorphisms with TB risk in the overall populations. The pooled OR of the IL1B -511 polymorphism was 1.09 (95 % CI 0.87-1.36) for the dominant model, 1.11 (0.89-1.38) for the recessive model, 1.15 (0.87-1.50) for the homozygote model, and 1.07 (0.94-1.23) for the allelic comparison model. ORs for the IL1B +3954 and IL1RN VNTR polymorphisms were similar. In subgroup analysis stratified by ethnicity, the results revealed no association between these polymorphisms and TB risk in black people, Asians, and Caucasians, respectively. We did not identify significant between-study heterogeneity across all studies, and there was no evidence of publication bias.

CONCLUSIONS

Our results indicate there is a lack of association between the IL1B (-511 and +3954), IL1RN VNTR polymorphisms and TB risk.

摘要

背景

多项近期研究表明,白细胞介素-1(IL1)基因多态性与结核病(TB)有关。然而,不同研究的结果并不一致。本研究旨在进行荟萃分析,以研究白细胞介素-1B(-511 和 +3954)和白细胞介素-1 受体拮抗剂(IL1RN)VNTR 多态性与 TB 风险的相关性。

方法

通过搜索 Pubmed、Scopus 和 ISI Web of Knowledge 数据库,对英文文献进行系统评价,以查找相关研究。使用固定效应模型计算合并优势比(OR)及其 95%置信区间(CI)。还评估了研究间的异质性和发表偏倚。

结果

共纳入了 9 项病例对照研究,包括 3327 名参与者。我们的研究结果表明,白细胞介素-1B(-511 和 +3954)和白细胞介素-1 受体拮抗剂(IL1RN)VNTR 多态性与总体人群的 TB 风险无关。白细胞介素-1B-511 多态性的合并 OR 为 1.09(95%CI 0.87-1.36),优势模型为 1.11(0.89-1.38),隐性模型为 1.15(0.87-1.50),纯合模型为 1.07(0.94-1.23),等位基因比较模型为 1.07(0.94-1.23)。白细胞介素-1B+3954 和白细胞介素-1 受体拮抗剂(IL1RN)VNTR 多态性的 OR 相似。按种族分层的亚组分析显示,这些多态性与黑人、亚洲人和高加索人分别患 TB 的风险之间没有关联。我们没有发现所有研究之间存在显著的研究间异质性,也没有证据表明存在发表偏倚。

结论

我们的结果表明,白细胞介素-1B(-511 和 +3954)、白细胞介素-1 受体拮抗剂(IL1RN)VNTR 多态性与 TB 风险之间没有关联。

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