Department of Stroke Center, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China,
Department of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China,
Clin Interv Aging. 2018 Sep 12;13:1709-1726. doi: 10.2147/CIA.S174000. eCollection 2018.
Polymorphisms in miR-146a (rs2910164), miR-196a2 (rs11614913), miR-149 (rs2292832) and miR-499 (rs3746444) have been associated with ischemic stroke (IS), but studies have given inconsistent results.
This meta-analysis investigated the possible association between IS risk and the four polymorphisms. A total of 14 case-control studies from Asian populations involving 6,083 cases and 7,248 controls for the four polymorphisms were included.
Results showed that the GG genotype of miR-146a (rs2910164) may be associated with increased IS risk according to the recessive model (OR=1.20, 95% CI=1.02-1.42, =0.03). Similarly, the CC genotype of miR-149 (rs2292832) may be associated with increased IS risk according to the recessive model (OR=1.28, 95% CI=1.08-1.52, =0.005) and the homozygous model (OR=1.31, 95% CI=1.09-1.58, =0.004). In contrast, miR-196a2 (rs11614913) and miR-499 (rs3746444) polymorphisms did not show significant association with IS risk in any of the five genetic models.
These results indicate that the GG genotype of miR-146a (rs2910164) and CC genotype of miR-149 (rs2292832) may confer increased susceptibility to IS, while miR-196a2 (rs11614913) and miR-499 (rs3746444) polymorphisms may not be associated with IS risk in Asian populations. These conclusions should be verified in large and well-designed studies.
miR-146a(rs2910164)、miR-196a2(rs11614913)、miR-149(rs2292832)和 miR-499(rs3746444)的多态性与缺血性脑卒中(IS)有关,但研究结果不一致。
本荟萃分析研究了 IS 风险与这四个多态性之间的可能关联。共纳入来自亚洲人群的 14 项病例对照研究,涉及 4 个多态性的 6083 例病例和 7248 例对照。
结果显示,miR-146a(rs2910164)的 GG 基因型可能与隐性模型下的 IS 风险增加相关(OR=1.20,95%CI=1.02-1.42,=0.03)。同样,miR-149(rs2292832)的 CC 基因型可能与隐性模型(OR=1.28,95%CI=1.08-1.52,=0.005)和纯合模型(OR=1.31,95%CI=1.09-1.58,=0.004)下的 IS 风险增加相关。相比之下,miR-196a2(rs11614913)和 miR-499(rs3746444)多态性与 IS 风险无显著关联。
这些结果表明,miR-146a(rs2910164)的 GG 基因型和 miR-149(rs2292832)的 CC 基因型可能使 IS 易感性增加,而 miR-196a2(rs11614913)和 miR-499(rs3746444)多态性与亚洲人群的 IS 风险无关。这些结论需要在大型和精心设计的研究中得到验证。