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维生素 D 受体基因变异与结核病的关联:荟萃分析。

Associations between vitamin D receptor genetic variants and tuberculosis: a meta-analysis.

机构信息

Department of Infectious Diseases, Yu Yao People's Hospital, Yuyao, China.

出版信息

Innate Immun. 2019 Jul;25(5):305-313. doi: 10.1177/1753425919842643. Epub 2019 Apr 16.

Abstract

We performed a meta-analysis to evaluate potential associations between vitamin D receptor ( VDR) genetic variants and tuberculosis (TB). Systematic literature research was conducted in PubMed, Web of Science, and Embase. We calculated odds ratios (ORs) and 95% confidence intervals (CIs) to estimate strength of associations in all possible genetic models, and P values ≤ 0.05 were considered to be statistically significant. In total, 42 studies were enrolled for analyses. Pooled overall analyses suggested that VDR rs1544410 (dominant model: P = 0.02; allele model: P = 0.03) and rs731236 (dominant model: P = 0.04; recessive model: P = 0.02; allele model: P = 0.01) variants were significantly associated with TB. Further subgroup analyses by ethnicity revealed that rs1544410 (dominant and allele models) and rs731236 (dominant, recessive, and allele models) variants were both significantly associated with TB in South Asians. When we stratified data by type of disease, positive results were detected for rs7975232 variant in EPTB (dominant, recessive, over-dominant, and allele models) subgroup, and for rs2228570 variant in PTB (dominant, recessive, and allele models) and EPTB (dominant, recessive, over-dominant, and allele models) subgroups. Our meta-analysis supported that rs7975232, rs1544410, rs2228570, and rs731236 variants might serve as genetic biomarkers of certain types of TB.

摘要

我们进行了一项荟萃分析,以评估维生素 D 受体 (VDR) 基因变异与结核病 (TB) 之间的潜在关联。我们在 PubMed、Web of Science 和 Embase 中进行了系统的文献检索。我们计算了比值比 (OR) 和 95%置信区间 (CI),以评估所有可能遗传模型中的关联强度,P 值≤0.05 被认为具有统计学意义。总共纳入了 42 项研究进行分析。汇总分析表明,VDR rs1544410(显性模型:P=0.02;等位基因模型:P=0.03)和 rs731236(显性模型:P=0.04;隐性模型:P=0.02;等位基因模型:P=0.01)变异与 TB 显著相关。按种族进行的亚组分析表明,rs1544410(显性和等位基因模型)和 rs731236(显性、隐性和等位基因模型)变异在南亚人群中与 TB 显著相关。当我们按疾病类型对数据进行分层时,rs7975232 变异在 EPTB(显性、隐性、过显性和等位基因模型)亚组中,rs2228570 变异在 PTB(显性、隐性和等位基因模型)和 EPTB(显性、隐性、过显性和等位基因模型)亚组中均检测到阳性结果。我们的荟萃分析支持 rs7975232、rs1544410、rs2228570 和 rs731236 变异可能作为某些类型 TB 的遗传生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/6830906/a1686feb11b2/10.1177_1753425919842643-fig1.jpg

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