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CDH23基因的p.P240L变异与非综合征性听力损失风险:一项荟萃分析。

The p.P240L variant of CDH23 and the risk of nonsyndromic hearing loss: a meta-analysis.

作者信息

Xu Tianni, Zhu Wei, Wang Ping

机构信息

Department of Otolaryngology-Head and Neck Surgery, First Hospital of Jilin University, Changchun, 130021, China.

出版信息

Eur Arch Otorhinolaryngol. 2019 Jan;276(1):11-16. doi: 10.1007/s00405-018-5160-8. Epub 2018 Oct 26.

Abstract

PURPOSE

We conducted a meta-analysis assessing the association between the p.P240L (c.C719T) variant and the risk of nonsyndromic hearing loss (NSHL).

METHODS

Literatures that reported prevalence rates were identified using PubMed, EMBASE, OVID, Cochrane library, Web of Science, Chinese National Knowledge Infrastructure, Wanfang Databases for the period from inception to August 2017. Random and fixed effects models were used to generate pooled ORs and I values. The heterogeneity assumption decided the effect model.

RESULTS

A total of four relevant studies were included in the meta-analysis. The results of meta-analysis indicated that the p.P240L variant was correlated with the risk of NHSL in Asian populations (OR = 10.17, 95% CI = 2.74-37.82, P = 0.001). The T allele of p.P240L was associated with a 12-fold higher risk of NSHL than the C allele (OR = 11.68; 95% CI = 3.16-43.24, P < 0.001). Specifically, p.P240L heterozygotes (OR = 8.49; 95% CI = 2.28-31.59, P = 0.001), had a significantly higher risk of NSHL. Publication bias of our meta-analysis was attributed to the limited availability of relevant results and the number of studies included in our meta-analysis was relatively small.

CONCLUSIONS

The p.P240L variant increased the risk of NHSL in Asian populations, suggesting a remarkable ethnic specificity linked with susceptibility to this mutation.

摘要

目的

我们进行了一项荟萃分析,以评估p.P240L(c.C719T)变异与非综合征性听力损失(NSHL)风险之间的关联。

方法

使用PubMed、EMBASE、OVID、Cochrane图书馆、Web of Science、中国知网、万方数据库检索从创刊至2017年8月期间报告患病率的文献。采用随机效应模型和固定效应模型生成合并的比值比(OR)和I值。异质性假设决定效应模型。

结果

荟萃分析共纳入四项相关研究。荟萃分析结果表明,p.P240L变异与亚洲人群的NSHL风险相关(OR = 10.17,95%CI = 2.74 - 37.82,P = 0.001)。p.P240L的T等位基因与NSHL风险的关联比C等位基因高12倍(OR = 11.68;95%CI = 3.16 - 43.24,P < 0.001)。具体而言,p.P240L杂合子(OR = 8.49;95%CI = 2.28 - 31.59,P = 0.001)患NSHL的风险显著更高。我们的荟萃分析存在发表偏倚,这归因于相关结果的可得性有限,且纳入我们荟萃分析的研究数量相对较少。

结论

p.P240L变异增加了亚洲人群患NSHL的风险,表明与该突变易感性相关的显著种族特异性。

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