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一项关于 IL-6 和 IL-10 多态性与缺血性中风易感性关联的荟萃分析。

A meta-analysis on associations of IL-6 and IL-10 polymorphisms with susceptibility to ischemic stroke.

机构信息

Department of Neurology, Zhuji People's Hospital of Zhejiang Province, Zhuji 311800, China.

Department of Neurology, Zhuji People's Hospital of Zhejiang Province, Zhuji 311800, China.

出版信息

J Neuroimmunol. 2019 Oct 15;335:577004. doi: 10.1016/j.jneuroim.2019.577004. Epub 2019 Jul 9.

DOI:10.1016/j.jneuroim.2019.577004
PMID:31446341
Abstract

BACKGROUND

Some previous studies already explored associations of interleukin-6 (IL-6) and interleukin-10 (IL-10) polymorphisms with ischemic stroke (IS). However, the results were conflicting. In this meta-analysis, we aimed to better analyze the relationship between IL-6/IL-10 polymorphisms and IS in a larger pooled population.

METHODS

We performed a systematic search of PubMed, Web of Science, Embase and CNKI. We calculated pooled odds ratios (ORs) and 95% confidence intervals (CIs) to estimate associations between IL-6/IL-10 polymorphisms and IS.

RESULTS

Totally 37 studies were included for analyses. A significant association with IS was observed for IL-10 rs1800896 polymorphism in AA versus GG + GA (recessive model, p = .001, OR = 1.42, 95%CI 1.15-1.75) in overall population. Further subgroup analyses showed that IL-6 rs1800795 was significantly associated with IS in Asians in GG versus GC + CC (dominant model, p = .0005, OR = 0.74, 95%CI 0.62-0.88), CC versus GG + GC (recessive model, p = .003, OR = 1.61, 95%CI 1.17-2.21) and G versus C (allele model, p = .01, OR = 0.74, 95%CI 0.58-0.93), whereas IL-10 rs1800896 polymorphism was significantly associated with cerebral infarction (CI) in GG versus GA + AA (dominant model, p = .02, OR = 2.04, 95%CI 1.14-3.64), GA versus GG + AA (overdominant model, p = .03, OR = 0.50, 95%CI 0.27-0.93) and G versus A (allele model, p = .01, OR = 1.92, 95%CI 1.16-3.17).

CONCLUSIONS

Our findings indicated that IL-6 rs1800795 polymorphism was significantly associated with individual susceptibility to IS in Asians, but not in Caucasians. In addition, IL-10 rs1800896 polymorphism was also significantly associated with individual susceptibility to IS, especially for CI.

摘要

背景

已有一些研究探讨了白细胞介素-6(IL-6)和白细胞介素-10(IL-10)多态性与缺血性脑卒中(IS)的关联。然而,结果存在争议。在本荟萃分析中,我们旨在通过更大的汇总人群更好地分析 IL-6/IL-10 多态性与 IS 之间的关系。

方法

我们对 PubMed、Web of Science、Embase 和中国知网进行了系统检索。我们计算了合并的优势比(OR)和 95%置信区间(CI),以评估 IL-6/IL-10 多态性与 IS 之间的关联。

结果

共有 37 项研究纳入分析。在总体人群中,IL-10 rs1800896 多态性在 AA 与 GG+GA(隐性模型,p=0.001,OR=1.42,95%CI 1.15-1.75)中与 IS 显著相关。进一步的亚组分析显示,在亚洲人群中,IL-6 rs1800795 在 GG 与 GC+CC(显性模型,p=0.0005,OR=0.74,95%CI 0.62-0.88)、CC 与 GG+GC(隐性模型,p=0.003,OR=1.61,95%CI 1.17-2.21)和 G 与 C(等位基因模型,p=0.01,OR=0.74,95%CI 0.58-0.93)中与 IS 显著相关,而 IL-10 rs1800896 多态性在 GG 与 GA+AA(显性模型,p=0.02,OR=2.04,95%CI 1.14-3.64)、GA 与 GG+AA(超显性模型,p=0.03,OR=0.50,95%CI 0.27-0.93)和 G 与 A(等位基因模型,p=0.01,OR=1.92,95%CI 1.16-3.17)中与脑梗死(CI)显著相关。

结论

我们的研究结果表明,IL-6 rs1800795 多态性与亚洲人群 IS 的个体易感性显著相关,但与高加索人群无关。此外,IL-10 rs1800896 多态性也与 IS 的个体易感性显著相关,特别是与 CI 相关。

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