Zhao Xiaofeng, Huang Yinglin, Chen Kaiyuan, Li Duolu, Han Chao, Kan Quancheng
Clinical Pharmacology Base, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Psychiatry, Shengjing Hospital of China Medical University, Shenyang, China.
Asia Pac Psychiatry. 2016 Sep;8(3):189-98. doi: 10.1111/appy.12206. Epub 2015 Sep 7.
Accumulate evidence has implicated dopamine D2 receptor gene polymorphisms in the etiology of schizophrenia. A single nucleotide polymorphism, -141C insertion/deletion (Ins/Del) (rs1799732), in the promoter region of the dopamine D2 receptor gene has been linked to schizophrenia; however, the data are inconclusive. This study investigated whether the -141C polymorphism is associated with the risk of schizophrenia in different ethnic groups by performing a meta-analysis. A total of 24 case-control studies examining the association between -141C Ins/Del polymorphism and schizophrenia were identified according to established inclusion criteria. Significant association was revealed between -141C Ins/Del polymorphism and schizophrenia risk in dominant genetic model (Ins/Ins + Ins/Del versus Del/Del) (odds ratio = 0.33, 95% confidence interval = 0.14-0.81, z = 2.41, P = 0.02) in Chinese Han but not in Caucasian, Japanese or India populations. Our results indicate that -141C Ins/Del polymorphism might be a susceptibility factor for schizophrenia in Chinese Han population.
越来越多的证据表明多巴胺D2受体基因多态性与精神分裂症的病因有关。多巴胺D2受体基因启动子区域的一个单核苷酸多态性,即-141C插入/缺失(Ins/Del)(rs1799732),已被认为与精神分裂症有关;然而,数据尚无定论。本研究通过进行荟萃分析,探讨-141C多态性是否与不同种族群体中精神分裂症的风险相关。根据既定的纳入标准,共确定了24项研究-141C Ins/Del多态性与精神分裂症之间关联的病例对照研究。在中国汉族人群中,-141C Ins/Del多态性与精神分裂症风险在显性遗传模型(Ins/Ins + Ins/Del与Del/Del相比)中存在显著关联(优势比=0.33,95%置信区间=0.14-0.81,z=2.41,P=0.02),而在白种人、日本或印度人群中则不存在。我们的结果表明,-141C Ins/Del多态性可能是中国汉族人群中精神分裂症的一个易感因素。