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维生素D受体基因多态性在牙周炎易感性中的作用:一个有争议问题的荟萃分析

Role of Vitamin D Receptor Gene Polymorphisms on the Susceptibility to Periodontitis: A Meta-Analysis of a Controversial Issue.

作者信息

Wan Qing-Song, Li Li, Yang Shi-Kun, Liu Zi-Long, Song Na

机构信息

Department of Nephrology, The First Affiliated Hospital of the University of South China, Hengyang, China.

Department of Medicine, Hunan Environment-Biological Polytechnic, Hengyang, China.

出版信息

Genet Test Mol Biomarkers. 2019 Sep;23(9):618-633. doi: 10.1089/gtmb.2019.0021. Epub 2019 Aug 26.

DOI:10.1089/gtmb.2019.0021
PMID:31448964
Abstract

To assess whether vitamin D receptor () gene polymorphisms influence the susceptibility to periodontitis. We retrieved 34 relevant studies, comprising a total of 3848 subjects suffering from periodontitis and 3470 controls for this meta-analysis. The pooled data were analyzed using STATA software. Among all ethnic groups examined, the I polymorphism was associated with periodontitis under the recessive model (odds ratio [OR] = 0.722, 95% confidence interval [CI]: 0.532-0.980,  = 0.037). There was also a link between the I polymorphism and periodontitis in the overall population (dominant model: OR = 1.459, 95% CI: 1.050-2.028,  = 0.025 and allelic model: OR = 1.386, 95% CI: 1.026-1.874,  = 0.034) and in Chinese participants (dominant model: OR = 1.813, 95% CI: 1.185-2.774,  = 0.006; allelic model: OR = 1.602, 95% CI: 1.044-2.459,  = 0.031) when stratified by race. The I variant was also correlated with aggressive periodontitis (AP) (dominant model: OR = 2.204, 95% CI: 1.148-4.231,  = 0.018; allelic model: OR = 2.017, 95% CI: 1.365-2.980,  = 0.000; and recessive model: OR = 2.903, 95% CI: 1.520-5.542,  = 0.001). We also showed a correlation between the I variant and periodontitis susceptibility in Caucasian populations (dominant model: OR = 0.525, 95% CI: 0.318-0.866,  = 0.012). The results revealed that there was no relationship between the I gene polymorphism and periodontitis. There was a link between the I and I gene polymorphisms and periodontitis in the overall population. In addition, the I polymorphism was correlated with AP. There was a link between the I polymorphism and periodontitis in the Caucasian population. The variant, however, was not correlated with periodontitis.

摘要

为评估维生素D受体()基因多态性是否影响患牙周炎的易感性。我们检索了34项相关研究,共纳入3848例牙周炎患者和3470例对照进行这项荟萃分析。使用STATA软件对汇总数据进行分析。在所有检测的种族群体中,在隐性模型下,I基因多态性与牙周炎相关(比值比[OR] = 0.722,95%置信区间[CI]:0.532 - 0.980, = 0.037)。在总体人群中(显性模型:OR = 1.459,95% CI:1.050 - 2.028, = 0.025;等位基因模型:OR = 1.386,95% CI:1.026 - 1.874, = 0.034)以及在中国参与者中(显性模型:OR = 1.813,95% CI:1.185 - 2.774, = 0.006;等位基因模型:OR = 1.602,95% CI:1.044 - 2.459, = 0.031),按种族分层时,I基因多态性也与牙周炎有关。I变异型也与侵袭性牙周炎(AP)相关(显性模型:OR = 2.204,95% CI:1.148 - 4.231, = 0.018;等位基因模型:OR = 2.017,95% CI:1.365 - 2.980, = 0.000;隐性模型:OR = 2.903,95% CI:1.520 - 5.542, = 0.001)。我们还显示在白种人群中I变异型与牙周炎易感性之间存在相关性(显性模型:OR = 0.525,95% CI:0.318 - 0.866, = 0.012)。结果显示I基因多态性与牙周炎之间无关联。在总体人群中,I和I基因多态性与牙周炎有关。此外,I基因多态性与AP相关。在白种人群中,I基因多态性与牙周炎有关。然而,变异型与牙周炎无相关性。

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