Zhang Zhen, Ou Junke, Cai Peiling, Niu Bei, Li Jian
School of Medicine, Chengdu University, Chengdu, China.
Medicine (Baltimore). 2018 Jun;97(26):e11151. doi: 10.1097/MD.0000000000011151.
The relation has not been reported consistently between the PON1 Q192R polymorphism and coronary heart disease (CHD). To clarify the discrepancy, we performed the present meta-analysis to evaluate the association between the PON1 gene Q192R polymorphism and CHD risk in Chinese population.
We conducted a comprehensive search of the PubMed, EMBASE, and China National Knowledge Infrastructure databases for all available case-control studies. Two reviewers independently selected studies. Data were analyzed by STATA software package v 12.0.
Thirteen studies investigating the association between the PON1 Q192R polymorphism and risk of CHD were selected in this meta-analysis with 4353 cases and 4882 controls. The association between the PON1 Q192R polymorphism and CHD is statistically significant under the recessive genetic model (R/R vs Q/R + Q/Q, odds ratio [OR] = 1.111, 95% confidence interval [CI] = 1.017-1.214). We observed no statistical association between PON1 Q192R polymorphism and risk of CHD under allele model (R vs Q, OR = 1.087, 95% CI = 0.976-1.209), homozygous model (RR vs QQ, OR = 1.192, 95% CI = 0.949-1.496), and dominant genetic model (Q/R + R/R vs Q/Q, OR = 1.127, 95% CI = 0.938-1.354).
This meta-analysis suggests that the PON1 Q192R polymorphism has a weak association with CHD risk in Chinese.
对氧磷酶1(PON1)Q192R基因多态性与冠心病(CHD)之间的关系,此前的报道并不一致。为了澄清这一差异,我们进行了本次荟萃分析,以评估中国人群中PON1基因Q192R多态性与冠心病风险之间的关联。
我们全面检索了PubMed、EMBASE和中国知网数据库,以查找所有可用的病例对照研究。两名评审员独立筛选研究。数据采用STATA 12.0软件包进行分析。
本次荟萃分析选取了13项研究PON1 Q192R多态性与冠心病风险关联的研究,共纳入4353例病例和4882例对照。在隐性遗传模型下(R/R vs Q/R + Q/Q,比值比[OR]=1.111,95%置信区间[CI]=1.017 - 1.214),PON1 Q192R多态性与冠心病之间的关联具有统计学意义。在等位基因模型(R vs Q,OR = 1.087,95% CI = 0.976 - 1.209)、纯合子模型(RR vs QQ,OR = 1.192,95% CI = 0.949 - 1.496)和显性遗传模型(Q/R + R/R vs Q/Q,OR = 1.127,95% CI = 0.938 - 1.354)下,我们未观察到PON1 Q192R多态性与冠心病风险之间存在统计学关联。
这项荟萃分析表明,在中国人群中,PON1 Q192R多态性与冠心病风险之间存在弱关联。