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维生素D受体基因BsmI和ApaI多态性与骨质疏松症风险之间无关联:一项针对中国人群的汇总分析。

Lack of association between vitamin D receptor genes BsmI as well as ApaI polymorphisms and osteoporosis risk: A pooled analysis on Chinese individuals.

作者信息

Wang Qing-Xian, Zhao Shi-Meng, Zhou Ya-Bin, Zhang Cheng

机构信息

Department of Trauma Center, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.

出版信息

Int J Rheum Dis. 2018 May;21(5):967-974. doi: 10.1111/1756-185X.13282. Epub 2018 Apr 6.

Abstract

BACKGROUND

As for the association between vitamin D receptor (VDR) gene polymorphisms and osteoporosis, the current results have yielded conflicts. Therefore, we performed a pooled analysis based on Chinese individuals to provide comprehensive data on the association between VDR BsmI, ApaI, Tru9I polymorphisms and osteoporosis risk.

METHODS

Studies were identified using PubMed, Springer Link, Ovid, Chinese Wanfang Data Knowledge Service Platform, Chinese National Knowledge Infrastructure and Chinese Biology Medicine databases through to January 2017. Studies were screened according to the predefined inclusion and exclusion criteria. The association between VDR BsmI, ApaI, Tru9I polymorphisms and osteoporosis was evaluated by calculating pooled odds ratios (ORs) based on the individual ORs. The significance of the pooled OR was evaluated by a Z-test. All statistical analyses were conducted using Stata 12.0 software (StataCorp, College Station, TX, USA).

RESULTS

A total of 13 studies with 1141 osteoporosis cases and 1263 controls were included in this meta-analysis. It revealed that VDR Tru9I polymorphism was associated with an increased risk of osteoporosis in a common model (OR = 2.67, CI 95% = 1.59-4.49). No significant association was observed between VDR BsmI, ApaI and osteoporosis.

CONCLUSION

In conclusion, this meta-analysis suggests that VDR Tru9I polymorphism may be associated with osteoporosis risk in Chinese individuals, while BsmI, ApaI polymorphisms might not be a risk factor for osteoporosis.

摘要

背景

关于维生素D受体(VDR)基因多态性与骨质疏松症之间的关联,目前的研究结果存在冲突。因此,我们基于中国人群进行了一项汇总分析,以提供有关VDR BsmI、ApaI、Tru9I基因多态性与骨质疏松症风险之间关联的全面数据。

方法

通过检索PubMed、Springer Link、Ovid以及中国万方数据知识服务平台、中国知网和中国生物医学数据库,截至2017年1月确定相关研究。根据预先设定的纳入和排除标准筛选研究。通过基于个体比值比(OR)计算汇总比值比来评估VDR BsmI、ApaI、Tru9I基因多态性与骨质疏松症之间的关联。通过Z检验评估汇总OR的显著性。所有统计分析均使用Stata 12.0软件(美国德克萨斯州大学站市StataCorp公司)进行。

结果

本荟萃分析共纳入13项研究,其中包括1141例骨质疏松症病例和1263例对照。结果显示,在常见模型中,VDR Tru9I基因多态性与骨质疏松症风险增加相关(OR = 2.67,95%CI = 1.59 - 4.49)。未观察到VDR BsmI、ApaI与骨质疏松症之间存在显著关联。

结论

总之,本荟萃分析表明,VDR Tru9I基因多态性可能与中国人群的骨质疏松症风险相关,而BsmI、ApaI基因多态性可能不是骨质疏松症的危险因素。

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