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基质金属蛋白酶-3基因多态性rs679620和rs3025058与缺血性中风风险的关联:一项荟萃分析。

Association of the matrix metalloproteinase-3 polymorphisms rs679620 and rs3025058 with ischemic stroke risk: a meta-analysis.

作者信息

Zhang Qi-Wei

机构信息

Department of Neurosurgery, The Affiliated Hospital of Jilin Medical University, Jilin, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2018 Jan 31;14:419-427. doi: 10.2147/NDT.S152256. eCollection 2018.

Abstract

PURPOSE

The relationship of the matrix metalloproteinase-3 () polymorphisms rs679620 and rs3025058 with ischemic stroke has received much attention. The aim of the present study was to perform a meta-analysis of published case-control studies to evaluate the cumulative evidence.

METHODS

We performed a search of ISI Web of Science, Embase, PubMed, and China National Knowledge Infrastructure databases. Pooled odds ratios (ORs) were appropriately derived from fixed-effects or random-effects models.

RESULTS

We identified seven eligible studies including 5,204 subjects. The pooled analysis showed that the rs679620 A allele carriers had increased risk of ischemic stroke compared with homozygotes for the G allele in Asians (AA + GA vs GG: OR =1.42, 95% CI: 1.05-1.91, =0.022). Concerning the rs3025058 polymorphism, the results did not suggest an association between rs3025058 genotypes and ischemic stroke risk (5A5A + 6A5A vs 6A6A: OR =1.04, 95% CI: 0.73-1.47, =0.844; 5A5A vs 6A5A + 6A6A: OR =1.14, 95% CI: 0.74-1.77, =0.556; and 5A5A vs 6A6A: OR =1.11, 95% CI: 0.68-1.80, =0.677). In subgroup analysis by ethnicity, no statistically significant associations were demonstrated for rs3025058 in Asians and Caucasians, respectively. There was no evidence for publication bias.

CONCLUSION

Our findings indicate that the rs679620 A allele carriers have increased risk of ischemic stroke in Asians, but there is no association between rs3025058 and ischemic stroke risk.

摘要

目的

基质金属蛋白酶-3(MMP-3)基因多态性rs679620和rs3025058与缺血性脑卒中的关系备受关注。本研究旨在对已发表的病例对照研究进行荟萃分析,以评估累积证据。

方法

我们检索了科学引文索引(ISI)Web of Science、Embase、PubMed和中国知网数据库。通过固定效应模型或随机效应模型适当得出合并比值比(OR)。

结果

我们确定了7项符合条件的研究,共纳入5204名受试者。汇总分析显示,在亚洲人中,与G等位基因纯合子相比,rs679620 A等位基因携带者患缺血性脑卒中的风险增加(AA + GA vs GG:OR = 1.42,95%CI:1.05 - 1.91,P = 0.022)。关于rs3025058多态性,结果未提示rs3025058基因型与缺血性脑卒中风险之间存在关联(5A5A + 6A5A vs 6A6A:OR = 1.04,95%CI:0.73 - 1.47,P = 0.844;5A5A vs 6A5A + 6A6A:OR = 1.14,95%CI:0.74 - 1.77,P = 0.556;5A5A vs 6A6A:OR = 1.11,95%CI:0.68 - 1.80,P = 0.677)。在按种族进行的亚组分析中,rs3025058在亚洲人和高加索人中均未显示出统计学显著关联。没有证据表明存在发表偏倚。

结论

我们的研究结果表明,在亚洲人中,rs679620 A等位基因携带者患缺血性脑卒中的风险增加,但rs3025058与缺血性脑卒中风险之间无关联。

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