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白细胞介素-17F 7488A/G和7383A/G多态性与类风湿关节炎的关联:一项荟萃分析

Association of Interleukin-17F 7488A/G and 7383A/G Polymorphisms With Rheumatoid Arthritis: A Meta-Analysis.

作者信息

Chen Ping, He Guangqiao, Yang Yi, Yang Yanlong, Li Liangliang

机构信息

Department of Rheumatology, Daping Hospital, The Third Affiliated Hospital of Third Military Medical University, Chongqing, China.

出版信息

Arch Rheumatol. 2018 Sep 13;34(2):148-156. doi: 10.5606/ArchRheumatol.2019.7000. eCollection 2019 Jun.

Abstract

OBJECTIVES

This meta-analysis aims to summarize and estimate the relationship between rheumatoid arthritis (RA) susceptibility and two polymorphisms of interleukin-17F (IL-17F) 7488A/G and 7383A/G.

MATERIALS AND METHODS

PubMed, Embase and Web of Science were searched up to 01 July 2017. Case-control studies with genotype frequencies data for 7488A/G and 7383A/G were included. The pooled effects were calculated by fixed-effect model or random effects model.

RESULTS

A total of seven publications with 1,409 RA patients and 1,303 controls were included in the present meta-analysis. The results indicated that 7488A/G was significantly associated with increased susceptibility to RA (GA vs. AA: odds ratio [OR]=1.43, 95% confidence interval [CI]: 1.07-1.90, p=0.02; GG vs. AA: OR=3.22, 95% CI: 1.54-6.74, p=0.002; GA+GG vs. AA: OR=1.57, 95% CI: 1.02-2.42, p=0.04; GG vs. GA+AA: OR=3.05, 95% CI: 1.46-6.39, p=0.003). In subgroup analysis, 7488A/G was a strong risk factor in Europeans but not in Americans or Africans. No significant association was found between 7383A/G and RA in overall population or ethnic subgroups by all genetic model comparisons.

CONCLUSION

This meta-analysis provided evidence that IL-17F 7488A/G polymorphism is associated with increased RA susceptibility, while no clear correlation was found between 7383A/G and RA.

摘要

目的

本荟萃分析旨在总结并评估类风湿关节炎(RA)易感性与白细胞介素 - 17F(IL - 17F)7488A/G和7383A/G两个多态性之间的关系。

材料与方法

检索截至2017年7月1日的PubMed、Embase和Web of Science数据库。纳入具有7488A/G和7383A/G基因型频率数据的病例对照研究。采用固定效应模型或随机效应模型计算合并效应。

结果

本荟萃分析共纳入7篇文献,包括1409例RA患者和1303例对照。结果表明,7488A/G与RA易感性增加显著相关(GA与AA比较:比值比[OR]=1.43,95%置信区间[CI]:1.07 - 1.90,p = 0.02;GG与AA比较:OR = 3.22,95% CI:1.54 - 6.74,p = 0.002;GA + GG与AA比较:OR = 1.57,95% CI:1.02 - 2.42,p = 0.04;GG与GA + AA比较:OR = 3.05,95% CI:1.46 - 6.39,p = 0.003)。亚组分析中,7488A/G在欧洲人中是一个强风险因素,而在美国人或非洲人中并非如此。通过所有遗传模型比较,在总体人群或种族亚组中未发现7383A/G与RA之间存在显著关联。

结论

本荟萃分析提供证据表明IL - 17F 7488A/G多态性与RA易感性增加相关,而7383A/G与RA之间未发现明确相关性。

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