Sun Panpan, Liu Li, Chen Jiaxin, Chen Yuansi, Shi Litong, Imam Mustapha Umar, Chen Yanzi, Pei Xiaoting, Xu Yiping, Guo Yaxin, Ping Zhiguang, Fu Xiaoli
Department of Biostatistics and Epidemiology, College of Public Health Department of Histology and Embryology, Basic Medical College, Zhengzhou University, Zhengzhou, Henan, China.
Medicine (Baltimore). 2017 Nov;96(47):e8745. doi: 10.1097/MD.0000000000008745.
Genome-wide association studies and meta-analyses indicate that the polymorphism of rs266729 in adiponectin gene increases the risk of type 2 diabetes mellitus (T2DM); however, these study methods have not been able to identify the underlying genetic effect on the development of T2DM. A genetic model-free approach was conducted to determine the underlying genetic model of inheritance of T2DM because of rs266729 in adiponectin gene.We searched available studies on the association between the rs266729 in adiponectin gene and T2DM in accordance with the inclusion and exclusion criteria. Based on the information extracted from the studies, generalized odds ratio value (GOR) was used to evaluate whether the rs266729 polymorphism was a risk factor for T2DM. The parameter λ was calculated to estimate the genetic model, which was defined as the quotient of natural logarithm odds ratio of GC to CC divided by the natural logarithm odds ratio of GG to CC. Finally, binary logistic regression analysis was used to calculate the genetic effect of rs266729 on T2DM.Data from 7 studies were included in this meta-analysis. The total number of subjects was 12,323, comprising 5,948 cases and 6,395 controls. Mean (standard deviation) age of cases was 59.50 (11.53), and that of the controls was 53.80 (11.65), whereas the proportion of male was 40.9 and 50.0%, respectively. GOR was 1.13 (1.02, 1.25) and λ was 0.47 (0.29, 0.64). The result of logistic regression indicated that the G allele influenced the development of T2DM in the additive model, whereas the genetic effect was 1.13 (1.06, 1.19). Sources of control populations were the cause of between-study heterogeneity; nonetheless, there was no publication bias among studies.The G allele of rs266729 in adiponectin gene increases the risk of T2DM through an additive genetic model with an effect of 1.13 (1.06, 1.19).
全基因组关联研究和荟萃分析表明,脂联素基因中rs266729的多态性会增加2型糖尿病(T2DM)的发病风险;然而,这些研究方法未能确定其对T2DM发病的潜在遗传效应。由于脂联素基因中的rs266729,我们采用了一种无遗传模型的方法来确定T2DM的潜在遗传遗传模式。我们根据纳入和排除标准检索了有关脂联素基因中rs266729与T2DM之间关联的现有研究。基于从这些研究中提取的信息,使用广义比值比(GOR)值来评估rs266729多态性是否为T2DM的危险因素。计算参数λ以估计遗传模式,其定义为GC与CC的自然对数比值比除以GG与CC的自然对数比值比。最后,使用二元逻辑回归分析来计算rs266729对T2DM的遗传效应。
本荟萃分析纳入了7项研究的数据。受试者总数为12323人,其中包括5948例病例和6395例对照。病例的平均(标准差)年龄为59.50(11.53)岁,对照的平均年龄为53.80(11.65)岁,而男性比例分别为40.9%和50.0%。GOR为1.13(1.02,1.25),λ为0.47(0.29,0.64)。逻辑回归结果表明,在加性模型中,G等位基因影响T2DM的发病,而遗传效应为1.13(1.06,1.19)。对照人群的来源是研究间异质性的原因;尽管如此,各研究之间不存在发表偏倚。
脂联素基因中rs266729的G等位基因通过加性遗传模型增加T2DM的发病风险,效应值为1.13(1.06,1.19)。