Liao Yao-Jun, Jiang Jing-Ru, Jin San-Qing
1 Department of Anesthesiology, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
2 Department of Neurology, Sun Yat-Sen Memory Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Cephalalgia. 2017 May;37(6):592-598. doi: 10.1177/0333102416649758. Epub 2016 May 6.
Background The COMT Val158Met polymorphism has long been regarded as a risk factor for migraine. The possible association between COMT Val158Met polymorphism and migraine has been evaluated in several studies, but the results are not consistent. Therefore, we conduct this meta-analysis to address these issues. Methods The WEB OF SCIENCE and EMBASE databases were searched for eligible studies. The odds ratio (OR) with the corresponding 95% confidence interval (CI) was calculated to estimate the strength of the association between COMT Val158Met polymorphism and migraine. Results Five studies with 979 cases and 1870 controls were ultimately included in the present meta-analysis. The overall data showed no significant association between COMT Val158Met polymorphism and migraine in the multiplicative model (OR = 0.97, 95% CI: 0.78-1.21, p = 0.805) and dominant model (OR = 1.05, 95% CI: 0.75-1.48, p = 0.773), neither in the additive model (OR = 0.97, 95% CI: 0.77-1.23, p = 0.817) nor in the recessive model (OR = 0.88, 95% CI: 0.71-1.09, p = 0.246). In subgroup analysis, both for Caucasian and Asian populations, no statistically significant associations were observed in any genetic models. Conclusions Our meta-analysis suggested that the COMT Val158Met polymorphism was not associated with migraine risk.
背景 儿茶酚-O-甲基转移酶(COMT)基因Val158Met多态性长期以来被视为偏头痛的一个风险因素。多项研究评估了COMT Val158Met多态性与偏头痛之间可能存在的关联,但结果并不一致。因此,我们进行这项荟萃分析以解决这些问题。方法 在科学网(WEB OF SCIENCE)和EMBASE数据库中检索符合条件的研究。计算比值比(OR)及其相应的95%置信区间(CI),以估计COMT Val158Met多态性与偏头痛之间关联的强度。结果 本荟萃分析最终纳入了5项研究,共979例病例和1870例对照。总体数据显示,在乘法模型(OR = 0.97,95% CI:0.78 - 1.21,p = 0.805)和显性模型(OR = 1.05,95% CI:0.75 - 1.48,p = 0.773)中,COMT Val158Met多态性与偏头痛之间均无显著关联,在加法模型(OR = 0.97,95% CI:0.77 - 1.23,p = 0.817)和隐性模型(OR = 0.88,95% CI:0.71 - 1.09,p = 0.246)中亦是如此。亚组分析中,对于白种人和亚洲人群,在任何遗传模型中均未观察到统计学上的显著关联。结论 我们的荟萃分析表明,COMT Val158Met多态性与偏头痛风险无关。