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酪氨酸激酶2(TYK2)基因多态性与自身免疫性风湿性疾病易感性的关联:一项荟萃分析。

Association between TYK2 polymorphisms and susceptibility to autoimmune rheumatic diseases: a meta-analysis.

作者信息

Lee Y H, Bae S-C

机构信息

Division of Rheumatology, Department of Internal Medicine, Korea University College of Medicine, Korea

Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.

出版信息

Lupus. 2016 Oct;25(12):1307-14. doi: 10.1177/0961203316638933. Epub 2016 Mar 14.

Abstract

OBJECTIVE

This study aimed to explore whether TYK2 polymorphisms are associated with susceptibility to autoimmune rheumatic diseases.

METHODS

We conducted a meta-analysis on the association between TYK2 polymorphisms and autoimmune rheumatic diseases.

RESULTS

Twelve studies with a total of 16,335 patients and 30,065 controls were included in the meta-analysis. Meta-analysis revealed an association between rheumatic diseases and the 2 allele of the TYK2 rs2304256 (OR = 0.885, 95% CI = 0.802-0.978, p = 0.016). Furthermore, stratification by ethnicity identified a significant association between this polymorphism and rheumatic diseases in Caucasians (OR = 0.822, 95% CI = 0.706-0.889, p = 9.5 × 10(-7)), but not in Asians (OR = 1.127, 95% CI = 0.835-1.522, p = 0.434). Meta-analysis by rheumatic disease type revealed a significant association between the 2 allele of the TYK2 rs2304256 and SLE in Caucasians (OR = 0.737, 95% CI = 0.673-0.808, p < 1.0 × 10(-8)) but not in Asians (OR = 1.211, 95% CI = 0.813-1.804, p = 0.347). Meta-analysis revealed that the rs12720356 polymorphism was associated with susceptibility to rheumatic diseases in Caucasians (OR = 0.812, 95% CI = 0.661-0.997, p = 0.046) but not in Asians. Interestingly, the rs280519 polymorphism was significantly associated with susceptibility to SLE both in Caucasians and Asians. However, no associations were found between the rs12720270, rs280500, rs280523 and rs8108236 polymorphisms and susceptibility to rheumatic diseases.

CONCLUSIONS

This meta-analysis demonstrates that the TYK2 rs2304256 and rs12720356 polymorphisms are associated with susceptibility to rheumatic diseases, rs2304256 polymorphism is associated with SLE in Caucasians, and rs280519 polymorphism is associated with SLE in Caucasians and Asians.

摘要

目的

本研究旨在探讨酪氨酸激酶2(TYK2)基因多态性是否与自身免疫性风湿性疾病的易感性相关。

方法

我们对TYK2基因多态性与自身免疫性风湿性疾病之间的关联进行了荟萃分析。

结果

荟萃分析纳入了12项研究,共16335例患者和30065例对照。荟萃分析显示,风湿性疾病与TYK2 rs2304256的2等位基因之间存在关联(OR = 0.885,95%CI = 0.802 - 0.978,p = 0.016)。此外,按种族分层发现,该多态性与白种人的风湿性疾病之间存在显著关联(OR = 0.822,95%CI = 0.706 - 0.889,p = 9.5×10⁻⁷),但在亚洲人中无此关联(OR = 1.127,95%CI = 0.835 - 1.522,p = 0.434)。按风湿性疾病类型进行的荟萃分析显示,TYK2 rs2304256的2等位基因与白种人的系统性红斑狼疮(SLE)之间存在显著关联(OR = 0.737,95%CI = 0.673 - 0.808,p < 1.0×10⁻⁸),但在亚洲人中无此关联(OR = 1.211,95%CI = 0.813 - 1.804,p = 0.347)。荟萃分析显示,rs12720356多态性与白种人的风湿性疾病易感性相关(OR = 0.812,95%CI = 0.661 - 0.997,p = 0.046),但在亚洲人中无此关联。有趣的是,rs280519多态性在白种人和亚洲人中均与SLE易感性显著相关。然而,未发现rs12720270、rs280500、rs280523和rs8108236多态性与风湿性疾病易感性之间存在关联。

结论

这项荟萃分析表明,TYK2 rs2304256和rs12720356多态性与风湿性疾病易感性相关,rs2304256多态性与白种人的SLE相关,rs280519多态性与白种人和亚洲人的SLE相关。

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