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牙周炎与白细胞介素-6 基因多态性-174 G/C 的关联:一项荟萃分析。

The association between periodontitis and interleukin-6 genetic polymorphism -174 G/C: A meta-analysis.

机构信息

Dental Department, Tianjin First Center Hospital, Tianjin, 300000, China.

Dental Department, Tianjin First Center Hospital, Tianjin, 300000, China.

出版信息

Arch Oral Biol. 2018 Dec;96:13-20. doi: 10.1016/j.archoralbio.2018.08.007. Epub 2018 Aug 18.

DOI:10.1016/j.archoralbio.2018.08.007
PMID:30165248
Abstract

BACKGROUND

To evaluate the association between periodontitis and interleukin-6 (IL6) -174 G/C polymorphism by data synthesis and subgroup analysis.

METHODS

Eighteen case-control studies from 16 articles with 1616 cases and 1511 controls were included in this meta-analysis by searching the public databases including PubMed, Embase and Web of Science databases by Jun 2018. Data syntheses were performed using Stata 9.0.

RESULTS

There were inverse associations of IL6 -174 G/C polymorphism with both general periodontitis and overall periodontitis. In CC vs. GG inheritance model, whose effect was the most profound, the genetic polymorphism reduced the risks of general and overall periodontitis by 60% (95% CI = 0.25-0.65, P <  0.01) and 31% (95% CI = 0.38-0.97, P =  0.04) respectively. In addition, the G/C variation was likely to be protective against moderate (allele C vs. allele G: OR = 0.61, 95% CI = 0.43-0.87, P =  0.01; CC + GC vs. GG: OR = 0.57, 95% CI = 0.37-0.89, P =  0.01) and severe periodontitis (allele C vs. allele G: OR = 0.58, 95% CI = 0.41-0.84, P <  0.01; CC vs. GG: OR = 0.33, 95% CI = 0.13-0.82, P =  0.02) exclusively in Brazilian people. No reliable evidence was found regarding chronic periodontitis.

CONCLUSION

This meta-analysis suggests that IL6 -174 G/C polymorphism may be negatively associated with risk of periodontitis.

摘要

背景

通过数据综合和亚组分析评估牙周炎与白细胞介素 6(IL6)-174G/C 多态性之间的关联。

方法

通过检索 PubMed、Embase 和 Web of Science 等公共数据库,截至 2018 年 6 月,共纳入 16 项研究的 18 项病例对照研究,共包含 1616 例病例和 1511 例对照。数据综合采用 Stata 9.0 软件进行分析。

结果

IL6-174G/C 多态性与一般牙周炎和总体牙周炎均呈负相关。在 CC 相比 GG 遗传模型中,该遗传多态性使一般和总体牙周炎的风险分别降低 60%(95%CI=0.25-0.65,P<0.01)和 31%(95%CI=0.38-0.97,P=0.04)。此外,G/C 变异可能对中度(等位基因 C 对比等位基因 G:OR=0.61,95%CI=0.43-0.87,P=0.01;CC+GC 相比 GG:OR=0.57,95%CI=0.37-0.89,P=0.01)和重度牙周炎(等位基因 C 对比等位基因 G:OR=0.58,95%CI=0.41-0.84,P<0.01;CC 相比 GG:OR=0.33,95%CI=0.13-0.82,P=0.02)具有保护作用,这种作用仅在巴西人群中存在。关于慢性牙周炎,未发现可靠的证据。

结论

本荟萃分析表明,IL6-174G/C 多态性可能与牙周炎的发病风险呈负相关。

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