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α-辅肌动蛋白 rs4961 多态性与高血压的关联:基于 40432 例个体的荟萃分析。

Association between α-adducin rs4961 polymorphism and hypertension: A meta-analysis based on 40 432 subjects.

机构信息

Department of Cardiology, Hanyang hospital of Wuhan University of Science and Technology, Hanyang, Wuhan, China.

出版信息

J Cell Biochem. 2019 Mar;120(3):4613-4619. doi: 10.1002/jcb.27749. Epub 2018 Dec 14.

Abstract

BACKGROUND

Recently, the role of α-adducin rs4961 polymorphism in hypertension (HTN) was intensively analyzed, but the results of these studies were inconsistent. Therefore, we performed this study to better assess the relationship between α-adducin rs4961 polymorphism and the likelihood of HTN.

METHODS

Eligible studies were searched in PubMed, Medline, Embase, and Web of Science. Odds ratios with 95% confidence intervals were used to assess the relationship between α-adducin rs4961 polymorphism and HTN.

RESULTS

A total of 33 studies with 40 432 participants were analyzed. Significant associations with the likelihood of HTN were detected for the α-adducin rs4961 polymorphism with fixed effect models (FEM) (dominant model: P = 0.003; allele model: P = 0.003), but not with random effect models (REM). Further subgroup analysis according to ethnicity of participants revealed that the α-adducin rs4961 polymorphism was significantly associated with the likelihood of HTN in Asians (7721 cases and 8299 controls) with both FEMs (dominant model: P < 0.0001; additive model: P = 0.01; allele model: P < 0.0001) and REMs (dominant model: P = 0.0005; additive model: P = 0.03; allele model: P = 0.0006).

CONCLUSIONS

Our findings indicate that the α-adducin rs4961 polymorphism may serve as a genetic biomarker of HTN in Asians.

摘要

背景

最近,α-辅肌动蛋白 rs4961 多态性在高血压(HTN)中的作用受到了广泛的分析,但这些研究的结果并不一致。因此,我们进行了这项研究,以更好地评估 α-辅肌动蛋白 rs4961 多态性与 HTN 发生的可能性之间的关系。

方法

在 PubMed、Medline、Embase 和 Web of Science 中搜索符合条件的研究。使用比值比(OR)及其 95%置信区间(CI)来评估 α-辅肌动蛋白 rs4961 多态性与 HTN 之间的关系。

结果

共纳入了 33 项研究,包含了 40432 名参与者。采用固定效应模型(FEM)进行分析,发现 α-辅肌动蛋白 rs4961 多态性与 HTN 的发生显著相关(显性模型:P=0.003;等位基因模型:P=0.003),而随机效应模型(REM)的结果则不显著。进一步根据参与者的种族进行亚组分析显示,在亚洲人群(7721 例病例和 8299 例对照)中,α-辅肌动蛋白 rs4961 多态性与 HTN 的发生显著相关,无论是 FEM(显性模型:P<0.0001;加性模型:P=0.01;等位基因模型:P<0.0001)还是 REM(显性模型:P=0.0005;加性模型:P=0.03;等位基因模型:P=0.0006)。

结论

我们的研究结果表明,α-辅肌动蛋白 rs4961 多态性可能是亚洲人群 HTN 的遗传生物标志物。

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