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TLRs 基因多态性与结核病易感性的关联:Meta 分析。

Associations between genetic polymorphisms of TLRs and susceptibility to tuberculosis: A meta-analysis.

机构信息

Endoscope Center, Xi'an Thoracic Hospital, PR China.

Medical Department, Xi'an Thoracic Hospital, PR China.

出版信息

Innate Immun. 2020 Feb;26(2):75-83. doi: 10.1177/1753425919862354. Epub 2019 Jul 18.

Abstract

Some genetic association studies have tried to investigate potential associations between TLR polymorphisms and tuberculosis. However, the results of these studies have not been consistent. Thus, we performed the present meta-analysis to explore associations between TLR polymorphisms and tuberculosis in a larger combined population. A systematic literature research of PubMed, Web of Science and Embase was performed to identify eligible studies for combined analyses. statistics were employed to assess between-study heterogeneities. If was >50%, random-effects models were used to combine the data. Otherwise, fixed-effects models were applied for synthetic analyses. A total of 39 genetic association studies were included in the analyses. The combined analyses showed that rs4833095, rs5743557, rs5743596, rs3804099, rs5743704, rs5743708, rs5743810 and rs3764879 polymorphisms were significantly associated with susceptibility to TB in the overall population. Further subgroup analyses revealed similar significant findings for rs4833095, rs5743557, rs5743596, rs5743618, rs3804099, rs5743704, rs5743708, rs4986790 and rs4986791 polymorphisms in certain ethnicities. In conclusion, our findings support that these polymorphisms may be used to identify individuals at high risk of developing tuberculosis.

摘要

一些遗传关联研究试图探讨 TLR 多态性与结核病之间的潜在关联。然而,这些研究的结果并不一致。因此,我们进行了本次荟萃分析,以在更大的合并人群中探讨 TLR 多态性与结核病之间的关联。通过系统检索 PubMed、Web of Science 和 Embase 中的文献,以确定可用于合并分析的研究。采用 统计量评估各研究间的异质性。如果 >50%,则采用随机效应模型对数据进行合并;否则,采用固定效应模型进行综合分析。共有 39 项遗传关联研究纳入分析。合并分析结果显示,TLR 基因 rs4833095、rs5743557、rs5743596、rs3804099、rs5743704、rs5743708、rs5743810 和 rs3764879 多态性与总体人群的 TB 易感性显著相关。进一步的亚组分析显示,在某些特定种族中,rs4833095、rs5743557、rs5743596、rs5743618、rs3804099、rs5743704、rs5743708、rs4986790 和 rs4986791 多态性也存在类似的显著关联。综上所述,我们的研究结果表明,这些多态性可能有助于识别结核病高危个体。

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