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白细胞介素6基因-174位点G/C多态性与格雷夫斯病的关联:一项系统评价和荟萃分析

Association Between IL6-174 G/C Polymorphism and Graves' Disease: A Systematic Review and Meta-Analysis.

作者信息

Imani Danyal, Rezaei Ramazan, Razi Bahman, Alizadeh Shahab, Mahmoudi Mahdi

机构信息

Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Department of Hematology, School of Align Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Acta Med Iran. 2017 Nov;55(11):665-671.

PMID:29307154
Abstract

Several studies have evaluated the association between interleukin-6 (IL-6) -174 G/C polymorphism and Graves' disease (GD); however, the results have been inconsistent. In the current study, a meta-analysis was performed to assess the association of IL6 -174 G/C polymorphism with Graves' disease. Medline, EMBASE, and Web of Science databases were searched to identify all eligible studies published before August 2016. Odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were calculated to assess the strength of association in dominant, recessive, allelic, homozygotes contrast, and heterozygotes contrast models. A total of four case-control studies with 554 GD cases and 1201 healthy controls were included in this meta-analysis. In the combined analysis, the results showed significant association between the IL6 -174 G/C polymorphism and the risk for GD in dominant model (OR=1.39, 95% CI: 1.07-1.80), recessive model (OR=2.75, 95% CI: 1.01-7.55) and homozygote contrast model (OR=3.25, 95% CI: 1.1-9.58). No publication bias was found in the current study (all P>0.05). The meta-analysis results suggested that the IL6 -174 G/C polymorphism was indicated to be associated with the risk of GD. Further studies are warranted to confirm these results.

摘要

多项研究评估了白细胞介素-6(IL-6)-174 G/C多态性与格雷夫斯病(GD)之间的关联;然而,结果并不一致。在本研究中,进行了一项荟萃分析以评估IL6 -174 G/C多态性与格雷夫斯病的关联。检索了Medline、EMBASE和科学网数据库,以识别2016年8月之前发表的所有符合条件的研究。计算优势比(OR)及其相应的95%置信区间(CI),以评估显性、隐性、等位基因、纯合子对比和杂合子对比模型中的关联强度。本荟萃分析共纳入了四项病例对照研究,包括554例GD病例和1201例健康对照。在合并分析中,结果显示在显性模型(OR=1.39,95%CI:1.07-1.80)、隐性模型(OR=2.75,95%CI:1.01-7.55)和纯合子对比模型(OR=3.25,95%CI:1.1-9.58)中,IL6 -174 G/C多态性与GD风险之间存在显著关联。本研究未发现发表偏倚(所有P>0.05)。荟萃分析结果表明,IL6 -174 G/C多态性与GD风险相关。需要进一步的研究来证实这些结果。

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