Liu Shumin, Wu Yongfu, Liu Xu, Zhou Jiahui, Wang Ziyou, He Zhiwei, Huang Zunnan
a China-America Cancer Research Institute , Guangdong Provincial Key Laboratory of Medical Molecular Diagnostics, Dongguan Scientific Research Center, Guangdong Medical University , Dongguan , China.
b Department of Pathophysiology , Guangdong Medical University , Dongguan , China.
Neurol Res. 2017 May;39(5):426-434. doi: 10.1080/01616412.2017.1297340. Epub 2017 Mar 10.
Previous studies have investigated the association between MTHFR A1298C (rs1801131) polymorphism and susceptibility to Alzheimer's disease (AD). Nevertheless, an ultimate conclusion remains obscure. We then executed this meta-analysis to estimate this association more precisely.
Related studies were systematically searched on PubMed, Embase, China National Knowledge Infrastructure, Google scholar, and AlzGene databases. The association was evaluated by reviewing the odds ratios (ORs) with corresponding 95% confidence intervals (CIs). Publication bias, sensitivity analysis, and cumulative meta-analysis were performed to help draw a more definite conclusion.
Ten eligible studies were finally enrolled in this meta-analysis. Lack of association between MTHFR A1298C polymorphism and AD risk was observed in five genetic models (allelic: OR = 1.17, 95% CI: 0.88-1.56; homozygous: OR = 1.15, 95% CI: 0.87-1.53; heterozygous: OR = 1.19, 95% CI: 0.76-1.86; dominant: OR = 1.23, 95% CI: 0.81-1.87; recessive: OR = 1.16, 95% CI: 0.89-1.52). The result of cumulative meta-analysis sorted by publication year was also detected a dynamic tendency of no correlation between MTHFR A1298C polymorphism and AD.
This meta-analysis reveals that MTHFR A1298C polymorphism may not be associated with AD risk.
既往研究探讨了亚甲基四氢叶酸还原酶(MTHFR)A1298C(rs1801131)基因多态性与阿尔茨海默病(AD)易感性之间的关联。然而,最终结论仍不明确。因此,我们进行了这项荟萃分析,以更精确地评估这种关联。
在PubMed、Embase、中国知网、谷歌学术和AlzGene数据库中系统检索相关研究。通过回顾比值比(OR)及相应的95%置信区间(CI)来评估这种关联。进行发表偏倚分析、敏感性分析和累积荟萃分析,以帮助得出更明确的结论。
本荟萃分析最终纳入了10项符合条件的研究。在5种遗传模型中均未观察到MTHFR A1298C基因多态性与AD风险之间存在关联(等位基因:OR = 1.17,95%CI:0.88 - 1.56;纯合子:OR = 1.15,95%CI:0.87 - 1.53;杂合子:OR = 1.19,95%CI:0.76 - 1.86;显性:OR = 1.23,95%CI:0.81 - 1.87;隐性:OR = 1.16,95%CI:0.89 - 1.52)。按发表年份排序的累积荟萃分析结果也显示,MTHFR A1298C基因多态性与AD之间不存在相关性的动态趋势。
这项荟萃分析表明,MTHFR A1298C基因多态性可能与AD风险无关。