Gao Shu-Tao, Xu Tao, Xun Chuan-Hui, Liang Wei-Dong, Cao Rui, Mao Cao, Sheng Wei-Bin
Department of Spine Surgery, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang, Urumqi, 830054, China.
Clin Neurol Neurosurg. 2018 Dec;175:40-46. doi: 10.1016/j.clineuro.2018.10.004. Epub 2018 Oct 9.
To assess and synthesize the current evidence on the association of interleukin-6 (IL-6)-572 G/C, IL-6-597 G/A, and IL-6-174 G/C polymorphisms and risk of lumbar degenerative disease (LDD).
Five electronic databases including PubMed, EMBASE, Web of Science, CNKI and Wanfang were systematically searched for potential studies previous to August 10, 2018. Summary odds ratio (OR) and corresponding 95% confidence interval (95%CI) were calculated to evaluate the association.
Nine case-control studies comprising 1519 cases and 1887 controls were obtained for the meta-analysis. For IL-6-572 G/C, IL-6-597 G/A, and IL-6-174 G/C polymorphisms, there were seven, six, and seven studies eventually included in the meta-analysis respectively. The findings indicated that the three polymorphisms had significant associations with risk of LDD: for IL-6-572 G/C, G vs. C, OR = 1.37, 95%CI 1.11-1.69, P = 0.004; for IL-6-597 G/A, G vs. A, OR = 1.38, 95 %CI 1.16-1.65, P = 0.000; for IL-6-174 G/C, G vs. C, OR = 1.63, 95%CI 1.15-2.29, P = 0.006.
The present meta-analysis found IL-6-572 G/C, IL-6-597 G/A, and IL-6-174 G/C polymorphisms were significantly associated with increased risk of LDD susceptibility.
评估并综合目前关于白细胞介素-6(IL-6)-572 G/C、IL-6-597 G/A和IL-6-174 G/C基因多态性与腰椎退行性疾病(LDD)风险之间关联的证据。
系统检索了包括PubMed、EMBASE、Web of Science、中国知网和万方在内的五个电子数据库,以查找2018年8月10日前的相关潜在研究。计算汇总比值比(OR)及相应的95%置信区间(95%CI)来评估这种关联。
共获得9项病例对照研究,包括1519例病例和1887例对照,用于荟萃分析。对于IL-6-572 G/C、IL-6-597 G/A和IL-6-174 G/C基因多态性,最终分别有7项、6项和7项研究纳入荟萃分析。结果表明,这三种基因多态性与LDD风险存在显著关联:对于IL-6-572 G/C,G与C相比,OR = 1.37,95%CI为1.11 - 1.69,P = 0.004;对于IL-6-597 G/A,G与A相比,OR = 1.38,95%CI为1.16 - 1.65,P = 0.000;对于IL-6-174 G/C,G与C相比,OR = 1.63,95%CI为1.15 - 2.29,P = 0.006。
本荟萃分析发现,IL-6-572 G/C、IL-6-597 G/A和IL-6-174 G/C基因多态性与LDD易感性增加风险显著相关。