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G蛋白β3亚基C825T基因多态性与原发性高血压的关联:来自63729名受试者的证据

Association of G-protein β3 subunit C825T polymorphism with essential hypertension: evidence from 63 729 subjects.

作者信息

Rong S-L, Zheng J-Z, Wang X-L, Zhang C-Y, Su J, Li B

机构信息

Department of Cardiology, Heping Hospital and Institute of Cardiovascular Disease, Changzhi Medical College, Changzhi, China.

Department of Preventive Medicine, Changzhi Medical College, Changzhi, China.

出版信息

J Hum Hypertens. 2017 Aug;31(8):511-514. doi: 10.1038/jhh.2017.31. Epub 2017 May 25.

Abstract

Many studies have reported that G-protein β3 subunit (GNB3) C825T polymorphism is associated with essential hypertension (EH), although this remains subject to debate. Thus, meta-analysis was carried out to clarify this relationship. A total of 75 articles, reporting 81 case-control studies evaluating 28 369 patients and 34 933 control individuals, were assessed. Overall, a significant association was observed in the dominant model (odds ratio (OR)=1.11, 95% CI 1.04-1.19), recessive model (OR=1.09, 95% CI 1.01-1.17), TT vs CC (OR=1.16, 95% CI 1.05-1.28), CT vs CC (OR=1.09, 95% CI 1.02-1.17), and additive model (OR=1.07, 95% CI 1.02-1.13) after pooling all eligible studies. Subgroup analysis by ethnicity and gender demonstrated significantly increased EH only in Caucasians using the dominant (OR=1.22, 95% CI 1.07-1.39; TT vs CC, OR=1.29, 95% CI 1.07-1.54; CT vs CC, OR=1.19, 95% CI 1.05-1.35) and additive (OR=1.16, 95% CI 1.05-1.28) models. In summary, the present meta-analysis indicated the GNB3 C825T polymorphism is related to increased EH exclusively in Caucasians.

摘要

许多研究报告称,G蛋白β3亚基(GNB3)C825T多态性与原发性高血压(EH)相关,尽管这一点仍存在争议。因此,进行了荟萃分析以阐明这种关系。共评估了75篇文章,这些文章报告了81项病例对照研究,涉及28369例患者和34933名对照个体。总体而言,在合并所有符合条件的研究后,在显性模型(优势比(OR)=1.11,95%可信区间1.04 - 1.19)、隐性模型(OR=1.09,95%可信区间1.01 - 1.17)、TT与CC(OR=1.16,95%可信区间1.05 - 1.28)、CT与CC(OR=1.09,95%可信区间1.02 - 1.17)以及相加模型(OR=1.07,95%可信区间1.02 - 1.13)中观察到显著关联。按种族和性别进行的亚组分析表明,仅在高加索人群中,使用显性模型(OR=1.22,95%可信区间1.07 - 1.39;TT与CC,OR=1.29,95%可信区间1.07 - 1.54;CT与CC,OR=1.19,95%可信区间1.05 - 1.35)和相加模型(OR=1.16,95%可信区间1.05 - 1.28)时,原发性高血压显著增加。总之,目前的荟萃分析表明,GNB3 C825T多态性仅在高加索人群中与原发性高血压增加有关。

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