Jiang Yu-Ting, Li Hai-Yan, Cao Xi-Peng, Tan Lan
Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao 266071, China.
Department of Neurology, Weihai Wei People's Hospital, Weihai 264200, China.
Ann Transl Med. 2018 May;6(10):169. doi: 10.21037/atm.2018.04.21.
The cluster of () gene is compelling among the susceptibility genes of Alzheimer's disease (AD) in Genome-wide association study (GWAS). Researches of the relationship between AD and polymorphism in have showed conflicting results. In order to more precisely evaluate whether variants are associated with AD, we performed the meta-analysis presented in this manuscript.
We searched from three databases including PubMed, Cochrane library and EMbase for related case-control researches based on criteria of determination. A total of 18 case-control studies, containing 50,030 cases and 77,405 controls were involved in rs3865444 polymorphism. And a total of 4 case-control studies, containing 826 cases and 984 controls were involved in rs3826656 polymorphism.
This study demonstrated that different variants in were associated with AD (rs3865444: OR =0.94; 95% CI, 0.90-0.98, P<0.01; rs3826656: OR =0.94; 95% CI, 0.62-1.41, P<0.01). We made subgroup analysis which was stratified by race. There were protective associations in Caucasians but not in Asians among rs3865444 polymorphism (Caucasians: OR =0.92; 95% CI, 0.90-0.94, P=0.05; Asians: OR =0.87; 95% CI, 0.65-1.17, P<0.01).
The rs3865444 polymorphism could be a protective factor in AD. Meanwhile, there was no association between the rs3826656 polymorphism and AD. Further confirmation is needed in larger and better-designed researches.
在全基因组关联研究(GWAS)中,()基因簇在阿尔茨海默病(AD)的易感基因中备受关注。关于AD与()基因多态性之间关系的研究结果相互矛盾。为了更准确地评估()基因变异是否与AD相关,我们进行了本论文中的荟萃分析。
我们根据确定标准,在包括PubMed、Cochrane图书馆和EMbase在内的三个数据库中搜索相关的病例对照研究。共有18项病例对照研究,涉及50,030例病例和77,405例对照,参与了()基因rs3865444多态性研究。共有4项病例对照研究,涉及826例病例和984例对照,参与了()基因rs3826656多态性研究。
本研究表明,()基因中的不同变异与AD相关(rs3865444:OR = 0.94;95% CI,0.90 - 0.98,P < 0.01;rs3826656:OR = 0.94;95% CI,0.62 - 1.41,P < 0.01)。我们按种族进行了亚组分析。在rs3865444多态性中,白种人存在保护关联,而亚洲人不存在(白种人:OR = 0.92;95% CI,0.90 - 0.94,P = 0.05;亚洲人:OR = 0.87;95% CI,0.65 - 1.17,P < 0.01)。
()基因rs3865444多态性可能是AD的一个保护因素。同时,()基因rs3826656多态性与AD之间无关联。需要在更大规模且设计更优的研究中进一步证实。