Hong Lu, Jiang Yu-Feng, Chen Min, Zhang Nan-Nan, Yang Hua-Jia, Rui Qing, Zhou Ya-Feng
Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, PR China.
Medicine (Baltimore). 2018 Nov;97(48):e13436. doi: 10.1097/MD.0000000000013436.
More susceptibility genes have been proved to be associated with coronary heart disease (CHD). The goal of our study is to evaluate the association between the R262W polymorphism of SH2B3 gene and risk of CHD.
A systematic search was conducted using PubMed, Embase, Web of Science, CNKI, and WanFang databases up to March of 2018. The data of individual study were individually performed by 2 reviewers. The meta-analysis was performed by Stata software and expressed by the pooled odds ratio (OR) and the 95% confidence interval (CI), which were calculated by specific model according to heterogeneity.
Our research was based on 12 studies involving 25,845 patients and 68,910 healthy controls. Significant association between the variant R262W and CHD were found in overall populations (OR = 1.12, 95%CI = 1.09-1.15, P = .389, I = 5.4%), but not found in Asian (OR = 1.05, 95%CI = 0.98-1.12, I = 0.0%) in subgroup analysis by ethnicity. In another subgroup analysis, when classified into CHD and myocardial infarction (MI), there was a significance association between R262W and CHD (OR = 1.11,95% CI = 1.07-1.15, I = 13.5%) and MI (OR = 1.13, 95%CI = 1.08-1.18, I = 0.0%). The Begg's funnel plot revealed no significant publication bias.
The R262W polymorphism is associated with risk of CHD or MI in Europeans, but not in Asians.
已有更多的易感基因被证明与冠心病(CHD)相关。本研究的目的是评估SH2B3基因R262W多态性与冠心病风险之间的关联。
截至2018年3月,使用PubMed、Embase、Web of Science、中国知网和万方数据库进行系统检索。由2名审阅者分别对个体研究数据进行分析。采用Stata软件进行荟萃分析,以合并比值比(OR)和95%置信区间(CI)表示,根据异质性采用特定模型计算。
我们的研究基于12项研究,涉及25845例患者和68910例健康对照。在总体人群中发现R262W变异与冠心病之间存在显著关联(OR = 1.12,95%CI = 1.09 - 1.15,P =.389,I = 5.4%),但在按种族进行的亚组分析中,亚洲人群未发现关联(OR = 1.05,95%CI = 0.98 - 1.12,I = 0.0%)。在另一亚组分析中,当分为冠心病和心肌梗死(MI)时,R262W与冠心病(OR = 1.11,95%CI = 1.07 - 1.15,I = 13.5%)和MI(OR = 1.13,95%CI = 1.08 - 1.18,I = 0.0%)之间存在显著关联。Begg漏斗图显示无显著发表偏倚。
R262W多态性与欧洲人患冠心病或MI的风险相关,但与亚洲人无关。