Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, South Korea.
Department of Rheumatology, Korea University College of Medicine, 73, Inchon-ro, Seongbuk-gu, Seoul, 02841, South Korea.
Clin Rheumatol. 2018 Jun;37(6):1529-1537. doi: 10.1007/s10067-018-4036-z. Epub 2018 Feb 21.
This study aimed to explore whether vitamin D receptor (VDR) polymorphisms are associated with susceptibility to systemic lupus erythematosus (SLE). Meta-analyses were conducted to determine the associations between the VDR FokI, TaqI, and ApaI polymorphisms and SLE in all subjects and each ethnic group. A total of 12 studies were considered in the meta-analysis, which involved 1974 patients and 2506 controls. Meta-analysis of the VDR FokI polymorphism showed no association between SLE and the FokI F allele in all study subjects (OR = 1.047, 95% CI = 0.781-1.403, p = 0.758). However, the meta-analysis showed a significant association between SLE and the VDR FokI F allele in the Arab population (OR = 1.721, 95% CI = 1.417-2.088, p < 0.001). Analysis using the recessive and dominant models and homozygote contrast showed the same pattern for the VDR FokI F allele in Europeans, Asians, and Arabs. This meta-analysis showed that polymorphisms in VDR FokI, TaqI, and ApaI are not associated with SLE susceptibility in overall, European and Asian populations. However, the VDR FokI polymorphism is associated with SLE susceptibility in the Arab population.
本研究旨在探讨维生素 D 受体 (VDR) 多态性是否与系统性红斑狼疮 (SLE) 的易感性相关。通过荟萃分析来确定 VDR FokI、TaqI 和 ApaI 多态性与所有人群和各民族人群 SLE 之间的相关性。荟萃分析共纳入了 12 项研究,涉及 1974 例患者和 2506 例对照。VDR FokI 多态性的荟萃分析显示,FokI F 等位基因与所有研究对象的 SLE 之间无相关性(OR=1.047,95%CI=0.781-1.403,p=0.758)。然而,荟萃分析显示 VDR FokI F 等位基因与阿拉伯人群的 SLE 之间存在显著相关性(OR=1.721,95%CI=1.417-2.088,p<0.001)。使用隐性和显性模型以及纯合子对照进行分析,结果显示在欧洲人、亚洲人和阿拉伯人中 VDR FokI F 等位基因的模式相同。本荟萃分析表明,VDR FokI、TaqI 和 ApaI 多态性与总体、欧洲和亚洲人群的 SLE 易感性无关。然而,VDR FokI 多态性与阿拉伯人群的 SLE 易感性相关。