Li Shouyi, Jiang Huiqiang, Du Ningke
Department of rehabilitation, People's Hospital of Jilin Province, Changchun, China.
Department of Nursing, Children's hospital of Changchun, Changchun, China.
PLoS One. 2017 Dec 18;12(12):e0189825. doi: 10.1371/journal.pone.0189825. eCollection 2017.
Osteoporosis has been reported to be at least partially developed in response to functional polymorphisms of the osteoprotegerin (OPG). However, conflicting results have been found. This meta-analysis aimed to provide an assessment of the relationship between the risk for developing osteoporosis and OPG T950C polymorphism in the Chinese population. Studies to be analyzed were identified with the literature search in PubMed, Embase, Web of Science, the Cochrane Library, and the Chinese National Knowledge Infrastructure during May 2017. Seven case-control studies that included a total of 1850 osteoporosis cases and 3074 controls were assessed in this meta-analysis. Overall, no significant associations could be detected between OPG T950C polymorphism and osteoporosis when all included studies were pooled into this meta-analysis. In a subgroup analyses, OPG T950C polymorphism was significantly associated with the osteoporosis risk in South China (CC+TC vs. TT: OR = 1.34, 95% CI = 1.17-1.54; CC vs. TC+TT: OR = 0.79, 95% CI = 0.69-0.95) and for studies that included postmenopausal osteoporosis (CC vs. TC+TT: OR = 0.78, 95% CI = 0.64-0.94) or hospital-based controls (CC vs. TC+TT: OR = 0.81, 95% CI = 0.68-0.96). In conclusion, the results of this meta-analysis suggest that OPG T950C polymorphism might be associated with an increased osteoporosis risk in the Chinese population.
据报道,骨质疏松症至少部分是因骨保护素(OPG)的功能多态性而发生发展的。然而,研究结果却相互矛盾。本荟萃分析旨在评估中国人群中骨质疏松症发病风险与OPG T950C多态性之间的关系。通过检索2017年5月期间的PubMed、Embase、Web of Science、Cochrane图书馆和中国国家知识基础设施数据库来确定待分析的研究。本荟萃分析评估了7项病例对照研究,共纳入1850例骨质疏松症患者和3074例对照。总体而言,当将所有纳入研究汇总进行本荟萃分析时,未发现OPG T950C多态性与骨质疏松症之间存在显著关联。在亚组分析中,OPG T950C多态性与中国南方地区的骨质疏松症风险显著相关(CC + TC vs. TT:OR = 1.34,95% CI = 1.17 - 1.54;CC vs. TC + TT:OR = 0.79,95% CI = 0.69 - 0.95),在纳入绝经后骨质疏松症的研究中(CC vs. TC + TT:OR = 0.78, 95% CI = 0.64 - 0.94)或基于医院对照的研究中(CC vs. TC + TT:OR = 0.81, 95% CI = 0.68 - 0.96)也是如此。总之,本荟萃分析结果表明,OPG T950C多态性可能与中国人群中骨质疏松症风险增加有关。