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基因多态性与结核病易感性:22项病例对照研究的荟萃分析

Genetic polymorphisms of and tuberculosis susceptibility: a meta-analysis of 22 case-control studies.

作者信息

Cao Yan, Wang Xinjing, Cao Zhihong, Wu Chunyan, Wu Dongmei, Cheng Xiaoxing

机构信息

Key Laboratory of Tuberculosis Prevention and Treatment, and Beijing Key Laboratory of New Techniques of Tuberculosis Diagnosis and Treatment, Institute of Tuberculosis, the 309 Hospital, Beijing, China.

Tangshan Tuberculosis Hospital, Tangshan, Hebei, China.

出版信息

Arch Med Sci. 2018 Oct;14(6):1212-1232. doi: 10.5114/aoms.2017.65319. Epub 2017 Jan 20.

Abstract

INTRODUCTION

The association of mannose-binding lectin gene () polymorphisms with tuberculosis susceptibility was inconclusive. In this study, a meta-analysis of 22 case-control studies was carried out to assess the effect of polymorphisms on tuberculosis risk.

MATERIAL AND METHODS

A search was performed in Embase, PubMed and Web of Science up to Sep 30, 2015. Odds ratio (OR) and 95% confidence interval (95% CI) were used to assess the association. Statistical analyses were performed using STATA 12.0 software.

RESULTS

rs1800451 was associated with a decreased tuberculosis risk in the allele model (C vs. A: OR = 0.93, 95% CI: 0.86-1.00, = 0.050). In analyses stratified by ethnicity, rs7096206 (C/G: OR = 1.31, 95% CI: 1.10-1.57, = 0.003; GG vs. GC + CC: OR = 0.69, 95% CI: 0.56-0.85, < 0.001) and A/O (O/A: OR = 1.34, 95% CI: 1.10-1.64, = 0.004) were associated with tuberculosis risk in Asians, A/O (AA vs. AO + OO: OR = 0.71, 95% CI: 0.51-0.99, = 0.041) and rs1800451 (AC vs. AA + CC: OR = 2.70, 95% CI: 1.27-5.74, = 0.010) were associated with tuberculosis risk in Americans, and rs1800451 (C/A: OR = 0.92, 95% CI: 0.86-0.99, = 0.035) was associated with tuberculosis risk in Africans. Additionally, rs1800450 (B/A: OR = 0.42, 95% CI: 0.25-0.72, = 0.001) was associated with tuberculosis risk in Europeans.

CONCLUSIONS

The rs1800451 polymorphism is associated with decreased TB risk in the general population, and A/O, rs7096206, rs1800450 and rs1800451 are likely to be associated with the risk for some specific ethnic groups.

摘要

引言

甘露糖结合凝集素基因()多态性与结核病易感性之间的关联尚无定论。在本研究中,我们对22项病例对照研究进行了荟萃分析,以评估多态性对结核病风险的影响。

材料与方法

截至2015年9月30日,在Embase、PubMed和Web of Science数据库中进行了检索。采用比值比(OR)和95%置信区间(95%CI)评估关联。使用STATA 12.0软件进行统计分析。

结果

在等位基因模型中,rs1800451与结核病风险降低相关(C与A比较:OR = 0.93,95%CI:0.86 - 1.00,= 0.050)。在按种族分层的分析中,rs7096206(C/G:OR = 1.31,95%CI:1.10 - 1.57,= 0.003;GG与GC + CC比较:OR = 0.69,95%CI:0.56 - 0.85,< 0.001)和A/O(O/A:OR = 1.34,95%CI:1.10 - 1.64,= 0.004)在亚洲人中与结核病风险相关,A/O(AA与AO + OO比较:OR = 0.71,95%CI:0.51 - 0.99,= 0.041)和rs1800451(AC与AA + CC比较:OR = 2.70,95%CI:1.27 - 5.74,= 0.010)在美国人中与结核病风险相关,rs1800451(C/A:OR = 0.92,95%CI:0.86 - 0.99,= 0.035)在非洲人中与结核病风险相关。此外,rs1800450(B/A:OR = 0.42,95%CI:0.25 - 0.72,= 0.001)在欧洲人中与结核病风险相关。

结论

甘露糖结合凝集素基因rs1800451多态性与普通人群中结核病风险降低相关,A/O、rs7096206、rs1800450和rs1800451可能与某些特定种族的风险相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f2/6209707/b598d42048bc/AMS-14-29199-g001.jpg

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