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白细胞介素 18 多态性(-137C/G 和-607A/C)与结核病无关。

IL-18 polymorphisms (-137C/G and -607A/C) are not associated with tuberculosis.

机构信息

Department of Tuberculosis, Hangzhou Red Cross Hospital, PR China.

出版信息

Innate Immun. 2019 Oct;25(7):444-450. doi: 10.1177/1753425919861670. Epub 2019 Jul 11.

Abstract

Many studies have demonstrated that (IL-18) polymorphisms (including -137C/G and -607A/C) are correlated with the risk of tuberculosis. However, the meaning of this finding remains a matter of debate. In this study, electronic databases, including PubMed, EMBASE, Web of Science, Google Scholar and CNKI, were systemically queried to identify relevant studies. Subsequently, odds ratios and corresponding 95% confidence intervals were analysed. Our data indicated that the IL-18 -137C/G polymorphism was not related to tuberculosis susceptibility (GG vs. AA odds ratio = 0.71, 95% confidence interval 0.43–1.17; GA vs. AA: odds ratio =0.80, 95% confidence interval 0.57–1.13; dominant model: odds ratio = 0.78, 95% confidence interval 0.56–1.08; recessive model: odds ratio = 0.76, 95% confidence interval 0.46–1.25). Similarly, there was no association between the IL-18 -607A/C polymorphism and tuberculosis susceptibility (AA vs. CC: odds ratio = 1.25, 95% confidence interval 0.87–1.79; CA vs. CC: odds ratio = 1.10, 95% confidence interval 0.93–1.29; dominant model: odds ratio = 1.13, 95% confidence interval 0.90–1.41; recessive model: odds ratios=1.17, 95% confidence interval 0.90–1.53). No association was found in the subgroup analysis based on the Hardy–Weinberg equilibrium. In addition, there was no publication bias. The two IL-18 gene polymorphisms (-137C/G and -607A/C) were not markedly correlated with tuberculosis susceptibility. Well-designed studies with more subjects will be required for further validation of these results.

摘要

许多研究表明,白细胞介素-18(IL-18)多态性(包括-137C/G 和-607A/C)与结核病的风险相关。然而,这一发现的意义仍存在争议。在这项研究中,系统地检索了电子数据库,包括 PubMed、EMBASE、Web of Science、Google Scholar 和 CNKI,以确定相关研究。随后,分析了比值比和相应的 95%置信区间。我们的数据表明,IL-18-137C/G 多态性与结核病易感性无关(GG 与 AA 的比值比=0.71,95%置信区间 0.43-1.17;GA 与 AA:比值比=0.80,95%置信区间 0.57-1.13;显性模型:比值比=0.78,95%置信区间 0.56-1.08;隐性模型:比值比=0.76,95%置信区间 0.46-1.25)。同样,IL-18-607A/C 多态性与结核病易感性之间也没有关联(AA 与 CC 的比值比=1.25,95%置信区间 0.87-1.79;CA 与 CC:比值比=1.10,95%置信区间 0.93-1.29;显性模型:比值比=1.13,95%置信区间 0.90-1.41;隐性模型:比值比=1.17,95%置信区间 0.90-1.53)。基于 Hardy-Weinberg 平衡的亚组分析未发现关联。此外,不存在发表偏倚。这两个白细胞介素-18 基因多态性(-137C/G 和-607A/C)与结核病易感性没有明显相关性。需要进行更多对象的精心设计的研究来进一步验证这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d3e/6900642/9dcc6fa33806/10.1177_1753425919861670-fig1.jpg

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