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维生素D受体基因多态性与肾结石风险的关联

Association of Vitamin D Receptor Gene Polymorphism With the Risk of Nephrolithiasis.

作者信息

Yang Shi-Kun, Song Na, Wang Yang-Yang, Li Ai-Mei, Liu Jun, Deng Fei, Zhan Ming, Zhang Wei, Han Ya-Chun, Zhang Hao

机构信息

Department of Nephrology, The Third Xiangya Hospital, Central South University, Changsha, China.

Department of Nephrolithiasis, The Third Xiangya Hospital, Central South University, Changsha, China.

出版信息

Ther Apher Dial. 2019 Oct;23(5):425-436. doi: 10.1111/1744-9987.12797. Epub 2019 Apr 3.

Abstract

This study aimed to explore the relationship between vitamin D receptor (VDR) gene polymorphisms and the risk of nephrolithiasis. All relevant trials were searched from multiple databases according to predefined criteria, the pooled OR and corresponding 95% CI were analyzed using Stata software. Seventeen studies involving 2441 cases and 2296 controls were included. The pooled analysis showed that VDR BsmI, FokI, and ApaI gene polymorphisms were not associated with nephrolithiasis susceptibility either in Asian and in Caucasians populations. VDR TaqI gene polymorphism was associated with nephrolithiasis in the overall populations (T vs. t: OR = 0.84, 95% CI: 0.73-0.95, P = 0.006; TT vs. Tt + tt: OR = 0.79, 95% CI: 0.66-0.95, P = 0.010). In Asian population, VDR TaqI gene polymorphism also was associated with nephrolithiasis susceptibility (TT vs. Tt + tt: OR = 0.72, 95% CI: 0.55-0.93, P = 0.012; Tt vs. TT + tt: OR = 1.43, 95% CI: 1.00-2.05, P = 0.048). But TaqI gene polymorphism was not associated with nephrolithiasis risk in Caucasian populations (T vs. t: OR = 0.85, 95% CI: 0.72-1.00, P = 0.051; TT vs. Tt + tt: OR = 0.87, 95% CI: 0.68-1.10, P = 0.245; tt vs. Tt + TT: OR = 1.32, 95% CI: 0.86-2.01, P = 0.206; Tt vs. TT+ tt: OR = 0.98, 95% CI: 0.70-1.38, P = 0.931). VDR BsmI, FokI, and ApaI gene polymorphisms were not associated with the risk of nephrolithiasis either in Asian and Caucasians populations, but VDR TaqI gene polymorphism was associated with nephrolithiasis in the Asian subjects.

摘要

本研究旨在探讨维生素D受体(VDR)基因多态性与肾结石风险之间的关系。根据预定义标准从多个数据库检索所有相关试验,使用Stata软件分析合并的比值比(OR)及相应的95%可信区间(CI)。纳入了17项研究,涉及2441例病例和2296例对照。合并分析显示,VDR BsmI、FokI和ApaI基因多态性在亚洲人群和高加索人群中均与肾结石易感性无关。VDR TaqI基因多态性在总体人群中与肾结石相关(T vs. t:OR = 0.84,95% CI:0.73 - 0.95,P = 0.006;TT vs. Tt + tt:OR = 0.79,95% CI:0.66 - 0.95,P = 0.010)。在亚洲人群中,VDR TaqI基因多态性也与肾结石易感性相关(TT vs. Tt + tt:OR = 0.72,95% CI:0.55 - 0.93,P = 0.012;Tt vs. TT + tt:OR = 1.43,95% CI:1.00 - 2.05,P = 0.048)。但TaqI基因多态性在高加索人群中与肾结石风险无关(T vs. t:OR = 0.85,95% CI:0.72 - 1.00, P = 0.051;TT vs. Tt + tt:OR = 0.87,95% CI:0.68 - 1.10,P = 0.245;tt vs. Tt + TT:OR = 1.32,95% CI:0.86 - 2.01,P = 0.206;Tt vs. TT + tt:OR = 0.98, 95% CI:0.70 - 1.38,P = 0.931)VDR BsmI、FokI和ApaI基因多态性在亚洲人群和高加索人群中均与肾结石风险无关,但VDR TaqI基因多态性在亚洲受试者中与肾结石相关。

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