Zhao Jian, Wen Cen, Li Ming
Department of Orthopaedics, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, People's Republic of China.
Department of Anesthesiology, Affiliated Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.
Lung. 2016 Jun;194(3):459-67. doi: 10.1007/s00408-016-9860-9. Epub 2016 Feb 22.
Recently, many institutions have investigated the associations of interleukin-17 (IL17) polymorphisms with tuberculosis (TB) susceptibility, while those results are inconsistent. The purpose of this meta-analysis is to comprehensively assess whether IL17A rs22275913, IL17F rs763780, and IL17A rs3748067 polymorphisms are correlated with TB risk.
Electronic bibliographic databases were searched for case-control studies which potentially focused on the relationship between the aforementioned polymorphisms and TB risk on October 15th, 2015. Pooled odds ratios (OR) combined with 95 % confidence intervals (CI) were employed to assess the associations.
There was no significant association of IL-17A rs22275913 polymorphism with susceptibility to TB in Asians or Caucasians. For IL-17A rs3748067 polymorphism, significant associations were observed in Asian (T vs. C: OR 1.461, 95 % CI 1.158-1.844, P = 0.001; TT vs. CC: OR 1.871, 95 % CI 1.140-3.069, P = 0.013; TT/TC vs. CC: OR 1.392 95 % CI 1.062-1.825, P = 0.017; TT vs.
TC/CC: OR 1.820, 95 % CI 1.111-2.981, P = 0.017). For IL-17F rs763780, we detected the significant associations under allele contrast, heterozygote, dominant and recessive models (C vs. T: OR 1.571, 95 % CI 1.352-1.824, P = 0.000; CT vs. TT: OR 1.624, 95 % CI 1.346-1.958, P = 0.000; CT/TT vs. TT: OR 1.639, 95 % CI 1.381-1.946, P = 0.000, respectively). The corresponding results were also detected in Asian populations (C vs. T: OR 1.068, 95 % CI 1.380-1.875, P = 0.000; CT vs. TT: OR 1.689, 95 % CI 1.390-2.053, P = 0.000; CT/TT vs. TT: OR 1.695, 95 % CI 1.420-2.023, P = 0.000), while there were no significant associations in Caucasian.
IL-17F rs763780 allele C and IL-17A rs3748067 allele C may be involved in the susceptibility to TB in Asian populations. There were no significant associations between IL-17A rs22275913 polymorphism and risk of TB.
最近,许多机构研究了白细胞介素-17(IL17)基因多态性与结核病(TB)易感性之间的关联,但其结果并不一致。本荟萃分析的目的是全面评估IL17A rs22275913、IL17F rs763780和IL17A rs3748067基因多态性是否与结核病风险相关。
于2015年10月15日检索电子文献数据库,查找可能聚焦于上述基因多态性与结核病风险关系的病例对照研究。采用合并比值比(OR)及95%置信区间(CI)来评估两者之间的关联。
在亚洲人或高加索人中,IL-17A rs22275913基因多态性与结核病易感性无显著关联。对于IL-17A rs3748067基因多态性,在亚洲人群中观察到显著关联(T与C比较:OR 1.461,95%CI 1.158 - 1.844,P = 0.001;TT与CC比较:OR 1.871,95%CI 1.140 - 3.069,P = 0.013;TT/TC与CC比较:OR 1.392,95%CI 1.062 - 1.825,P = 0.017;TT与TC/CC比较:OR 1.820,95%CI 1.111 - 2.981,P = 0.017)。对于IL-17F rs763780,在等位基因对比、杂合子、显性和隐性模型下检测到显著关联(C与T比较:OR 1.571,95%CI 1.352 - 1.824,P = 0.000;CT与TT比较:OR 1.624,95%CI 1.346 - 1.958,P = 0.000;CT/TT与TT比较:OR 1.639,95%CI 1.381 - 1.946,P = 0.000)。在亚洲人群中也检测到了相应结果(C与T比较:OR 1.068,95%CI 1.380 - 1.875,P = 0.000;CT与TT比较:OR 1.689,95%CI 1.390 - 2.053,P = 0.000;CT/TT与TT比较:OR 1.695,95%CI 1.420 - 2.023,P = 0.000),而在高加索人群中无显著关联。
IL-17F rs763780等位基因C和IL-17A rs3748067等位基因C可能与亚洲人群的结核病易感性有关。IL-17A rs22275913基因多态性与结核病风险之间无显著关联。