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5-脂氧合酶激活蛋白基因(ALOX5AP)多态性(rs17222919,-1316T/G)与中风风险的关联:一项荟萃分析。

Association between the polymorphism (rs17222919, -1316T/G) of 5-lipoxygenase-activating protein gene (ALOX5AP) and the risk of stroke: A meta analysis.

作者信息

Ye Hui, Zhang Xin, Chen Zupeng, Li Xu, Zhang Tiehui, Yang Chao, Huang Lifa

机构信息

Department of Neurosurgery, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Medicine (Baltimore). 2018 Oct;97(41):e12682. doi: 10.1097/MD.0000000000012682.

Abstract

BACKGROUND

The objective of this study was to evalutate the relationship between 5-lipoxygenase-activating protein gene (ALOX5AP) -rs17222919-1316T/G polymorphisms and the risk of stroke.

METHODS

Relative studies were searched in January 2018. Case-control studies with extractable data were selected. Four gene models were analyzed including, allele genetic model (G vs T), additive genetic model (GG vs TT, GT vs TT), recessive genetic model (GG vs GT + TT), and dominant genetic model (GG + GT vs TT). Effect sizes included odds ratio (OR) and 95% confidence interval (CI). Heterogeneity was assessed by using Q test and I test. Publication bias was evaluated by using Egger method. The reliability of the results was assessed with sensitivity analysis. All the data analysis was performed with R 3.10 software.

RESULTS

A total of 5 studies inclusing 8492 patients were included. There were significant relationship between ALOX5AP-rs17222919-1316T/G polymorphisms and stroke under all models (P < .05) except the additive genetic model GT versus TT (P > .05). No publication bias was noted. Sensitivity analysis indicated that the results were not stable.

CONCLUSION

This meta-analysis indicates that ALOX5AP-rs17222919-1316T/G may be a protective factor aginst stroke.

摘要

背景

本研究的目的是评估5-脂氧合酶激活蛋白基因(ALOX5AP)-rs17222919-1316T/G多态性与中风风险之间的关系。

方法

于2018年1月检索相关研究。选择具有可提取数据的病例对照研究。分析了四个基因模型,包括等位基因遗传模型(G对T)、加性遗传模型(GG对TT,GT对TT)、隐性遗传模型(GG对GT+TT)和显性遗传模型(GG+GT对TT)。效应大小包括比值比(OR)和95%置信区间(CI)。采用Q检验和I²检验评估异质性。采用Egger法评估发表偏倚。通过敏感性分析评估结果的可靠性。所有数据分析均使用R 3.10软件进行。

结果

共纳入5项研究,包括8492例患者。除加性遗传模型GT对TT(P>0.05)外,所有模型下ALOX5AP-rs17222919-1316T/G多态性与中风之间均存在显著关系(P<0.05)。未发现发表偏倚。敏感性分析表明结果不稳定。

结论

这项荟萃分析表明,ALOX5AP-rs17222919-1316T/G可能是预防中风的保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f75/6203560/ca78e4dd7aff/medi-97-e12682-g001.jpg

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