Liu Xu, Li Qu, Zhu Ruixia, He Zhiyi
Department of Neurology, First Affiliated Hospital of China Medical University , Shenyang, China .
Genet Test Mol Biomarkers. 2017 Jun;21(6):341-350. doi: 10.1089/gtmb.2016.0409. Epub 2017 May 1.
Interleukin-10 (IL-10) plays a vital part in the pathophysiology of vascular inflammation. Several studies have investigated the potential association between the IL-10-1082A/G polymorphism and the risk of ischemic stroke where the inflammatory process is involved, but the conclusions have been inconsistent.
Three hundred eighty-six ischemic stroke patients and 386 healthy controls were recruited in the study. Genotyping was conducted by using the polymerase chain reaction-ligation detection reaction method. A meta-analysis was then performed by pooling our data with previous published studies.
In our case-control study, a lack of association was revealed between IL-10-1082A/G and ischemic stroke (p > 0.05). When combined with previous studies, however, a significant relationship between IL-10-1082A/G and ischemic stroke risk was found (G vs. A: OR = 0.73, 95% CI = 0.60-0.88, p < 0.01; GG vs. AA: OR = 0.61, 95% CI = 0.49-0.76, p < 0.01; GG+AG vs. AA: OR = 0.70, 95% CI = 0.54-0.91, p < 0.01; GG vs. AG+AA: OR = 0.68, 95% CI = 0.52-0.89, p < 0.01), as well as in subgroup analyses. Sensitivity analysis and publication bias assessment supported the reliability of the results from the meta-analysis.
Evidence from a case-control study to an updated meta-analysis suggests that the IL-10-1082A/G polymorphism is associated with ischemic stroke susceptibility.
白细胞介素-10(IL-10)在血管炎症的病理生理学中起着至关重要的作用。多项研究探讨了IL-10 -1082A/G多态性与涉及炎症过程的缺血性中风风险之间的潜在关联,但结论并不一致。
本研究招募了386例缺血性中风患者和386名健康对照。采用聚合酶链反应-连接检测反应法进行基因分型。然后将我们的数据与先前发表的研究进行汇总,进行荟萃分析。
在我们的病例对照研究中,未发现IL-10 -1082A/G与缺血性中风之间存在关联(p>0.05)。然而,当与先前的研究相结合时,发现IL-10 -1082A/G与缺血性中风风险之间存在显著关系(G vs. A:OR = 0.73,95%CI = 0.60 - 0.88,p<0.01;GG vs. AA:OR = 0.61,95%CI = 0.49 - 0.76,p<0.01;GG + AG vs. AA:OR = 0.70,95%CI = 0.54 - 0.91,p<0.01;GG vs.AG + AA:OR = 0.68,95%CI = 0.52 - 0.89,p<0.01),亚组分析结果相同。敏感性分析和发表偏倚评估支持了荟萃分析结果的可靠性。
从病例对照研究到更新的荟萃分析的证据表明,IL-10 -1082A/G多态性与缺血性中风易感性相关。