Zhang Qi-Wei
Department of Neurosurgery, The Affiliated Hospital of Jilin Medical University, Jilin, People's Republic of China.
Neuropsychiatr Dis Treat. 2018 Jan 31;14:419-427. doi: 10.2147/NDT.S152256. eCollection 2018.
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.
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.
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.
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.
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。
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)。
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。
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。