Lu Xiao-Lin, Yao Xiu-Ying, Liu Xin-Li, Xin Yu, Zhao Lin-Lin, Wang Zhen, Cui Ming-Ming, Wu Li-Hua, Shangguan Shao-Fang, Chang Shao-Yan, Zhang Ting, Wang Li
Endokrynol Pol. 2017;68(5):550-560. doi: 10.5603/EP.a2017.0045. Epub 2017 Sep 7.
Studies have been conducted to investigate the association between rs10830963 of MTNR1B and the risk of gestational diabetes mellitus (GDM), but with inconclusive results. We aimed to clarify these controversies, especially with regard to the association in the Chinese population.
A systemic literature reference search inclusive to August 12, 2016 yielded 35 articles, from which 11 studies met the inclusion criteria for the final meta-analysis, including 3889 patients with GDM and 6708 controls.
We found statistically significant associations between rs10830963 and GDM using odds ratios (ORs) and 95% confidence intervals (CIs) [GG genotype vs. CC genotype: OR = 1.70, 95% CI: 1.38-2.10; G allele vs C allele: OR = 1.27, 95% CI: 1.20-1.36; GG+CG vs. CC (dominant model): OR = 1.31, 95% CI: 1.20-1.44; GG vs CG+CC (recessive model): OR = 1.41, 95% CI: 1.26-1.58]. In subgroup analyses stratified by ethnicity, we also observed rs10830963 to be associated with significantly increased risk of GDM in all genetic models in the Chinese population.
Our meta-analysis indicated that the rs10830963 polymorphism might serve as a risk factor of GDM in the Chinese population.
已有研究探讨MTNR1B基因的rs10830963与妊娠期糖尿病(GDM)风险之间的关联,但结果尚无定论。我们旨在澄清这些争议,尤其是关于中国人群中的关联。
截至2016年8月12日进行的系统性文献检索共获得35篇文章,其中11项研究符合最终荟萃分析的纳入标准,包括3889例GDM患者和6708例对照。
我们使用优势比(OR)和95%置信区间(CI)发现rs10830963与GDM之间存在统计学显著关联[GG基因型与CC基因型:OR = 1.70,95% CI:1.38 - 2.10;G等位基因与C等位基因:OR = 1.27,95% CI:1.20 - 1.36;GG + CG与CC(显性模型):OR = 1.31,95% CI:1.20 - 1.44;GG与CG + CC(隐性模型):OR = 1.41,95% CI:1.26 - 1.58]。在按种族分层的亚组分析中,我们还观察到在中国人群的所有遗传模型中,rs10830963与GDM风险显著增加相关。
我们的荟萃分析表明,rs10830963多态性可能是中国人群中GDM的一个风险因素。