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ICAM1 基因 E469K 多态性与糖尿病肾病风险的关联:一项荟萃分析。

Association between E469K polymorphism in the ICAM1 gene and the risk of diabetic nephropathy: a meta-analysis.

机构信息

Department of Pharmacy, Shenzhen Hospital, Southern Medical University, Shenzhen, 518000, Guangdong, China.

Department of Nephrology, The Eight Affiliated Hospital, SUNYAT-SEN University, Shenzhen, Guangzhou, 518033, China.

出版信息

Lipids Health Dis. 2018 Dec 26;17(1):293. doi: 10.1186/s12944-018-0922-2.

DOI:10.1186/s12944-018-0922-2
PMID:30587209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6307272/
Abstract

BACKGROUND

Inflammation may be a key pathophysiological mechanism in diabetic nephropathy (DN). Intercellular adhesion molecule 1 (ICAM1) is an acute phase marker of inflammation. ICAM1 rs5498 has been reported to be associated with the risk of DN. However, the previous findings were conflicting due to the limited sample sizes, different methodologies and ethnicities. Therefore, this study aimed to investigate the genetic association between ICAM1 rs5498 and the risk of DN.

METHODS

Two investigators independently searched the studies from the databases PubMed, Web of Science, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI) and Embase. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the associations.

RESULTS

No significant association was detected between ICAM1 rs5498 and DN susceptibility in allelic and recessive models (p > 0.05). However, significant reduction of frequencies of the dominant model of ICAM1 rs5498 was only detected in the Caucasian subgroup (OR = 0.80; 95% CI = [0.65, 0.99], p = 0.04) and type 1 diabetes mellitus subgroup (OR = 0.80; 95% CI = [0.65, 0.99], p = 0.04).

CONCLUSIONS

Thus, ICAM1 rs5498 might be a risk factor for DN in Caucasians and type 1 diabetes mellitus patients, which suggested that ICAM1 rs5498 might help in early diagnosis and prevention of this disease. Further studies were needed to clarify the biochemical function and pathological role of ICAM1 rs5498 in the risk of DN.

摘要

背景

炎症可能是糖尿病肾病(DN)的关键病理生理机制。细胞间黏附分子 1(ICAM1)是炎症的急性期标志物。已有报道称,ICAM1 rs5498 与 DN 的风险相关。然而,由于样本量有限、方法学和种族不同,先前的研究结果存在争议。因此,本研究旨在探讨 ICAM1 rs5498 与 DN 风险之间的遗传关联。

方法

两名研究员独立从 PubMed、Web of Science、Cochrane 图书馆、中国知网(CNKI)和 Embase 数据库中检索研究。使用合并的优势比(OR)及其 95%置信区间(CI)来评估关联。

结果

在等位基因和隐性模型中,ICAM1 rs5498 与 DN 易感性之间未检测到显著关联(p>0.05)。然而,仅在白人群体亚组(OR=0.80;95%CI=[0.65, 0.99],p=0.04)和 1 型糖尿病亚组(OR=0.80;95%CI=[0.65, 0.99],p=0.04)中检测到 ICAM1 rs5498 显性模型的频率显著降低。

结论

因此,ICAM1 rs5498 可能是白人和 1 型糖尿病患者发生 DN 的危险因素,这表明 ICAM1 rs5498 可能有助于该疾病的早期诊断和预防。需要进一步的研究来阐明 ICAM1 rs5498 在 DN 风险中的生化功能和病理作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/7a24b2998dc7/12944_2018_922_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/8c56f44deec4/12944_2018_922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/0260db4c1ab0/12944_2018_922_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/3c8e0cbb9776/12944_2018_922_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/7a24b2998dc7/12944_2018_922_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/8c56f44deec4/12944_2018_922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/0260db4c1ab0/12944_2018_922_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/3c8e0cbb9776/12944_2018_922_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b06/6307272/7a24b2998dc7/12944_2018_922_Fig4_HTML.jpg

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