Chen T, Xiao M, Chu K, Tang X J, Yang J, Shu Y L
Chinese National Influenza Center, National Institute for Viral Disease Control and Prevention; WHO Collaborating Center for Reference and Research on Influenza, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Nov 10;41(11):1909-1914. doi: 10.3760/cma.j.cn112338-20200209-00082.
To investigate the associations between TNF-α and CCR5Δ32 gene polymorphisms and influenza A(H1N1)pdm09. Studies in PubMed, Cochrane Library, OVID, EBSCO, Web of Science published before February 7, 2019 were retrieved comprehensively. Observational studies related to TNF-alpha and CCR5 gene polymorphisms and influenza A(H1N1) pdm09 were collected. A strict quality evaluation was carried out according to NOS scale. Meta-analysis was performed using software Revman 5.0 and Stata 11.0. After screening, a total of 8 studies were included in this Meta-analysis. The results showed that TNF-α gene polymorphism rs361525 might be associated with the risk of influenza A(H1N1)pdm09 virus infection (A G: =2.25, 95: 1.09-4.65, =0.03; AA GG: =4.34, 95: 1.65-11.41, =0.003; AA AG+GG: =4.38, 95: 1.67-11.48, =0.003), similar trend also found in rs1800750 (AA+AG GG: =2.42, 95: 1.24-4.71, =0.01). The results of subgroup analysis indicated that A allele and AA+AG genotypes of rs361525 were risk factors for influenza A(H1N1) pdm09 virus infection in Caucasians. AA genotype was a risk factor for influenza A(H1N1) pdm09 virus infection in Mexican (<0.05). There was no significant difference in the genetic polymorphism of CCR5 and the severity of influenza A (H1N1) pdm09 virus indection (>0.05). People with allele A or genotype AA at rs361525, genotype AA+AG at rs1800750 of TNF-α gene might be more susceptible to influenza A(H1N1) pdm09.
为研究肿瘤坏死因子-α(TNF-α)与趋化因子受体5(CCR5)Δ32基因多态性与甲型H1N1流感病毒(A(H1N1)pdm09)之间的关联。全面检索了2019年2月7日前发表在PubMed、Cochrane图书馆、OVID、EBSCO、科学网(Web of Science)上的研究。收集了与TNF-α和CCR5基因多态性以及甲型H1N1流感病毒(A(H1N1)pdm09)相关的观察性研究。根据纽卡斯尔-渥太华量表(NOS量表)进行严格的质量评估。使用Revman 5.0和Stata 11.0软件进行荟萃分析。筛选后,本荟萃分析共纳入8项研究。结果显示,TNF-α基因多态性rs361525可能与甲型H1N1流感病毒(A(H1N1)pdm09)感染风险相关(A对G:比值比(OR)=2.25,95%置信区间(CI):1.09 - 4.65,P = 0.03;AA对GG:OR = 4.34,95%CI:1.65 - 11.41,P = 0.003;AA对AG + GG:OR = 4.38,95%CI:1.67 - 11.48,P = 0.003),rs1800750也发现了类似趋势(AA + AG对GG:OR = 2.42,95%CI:1.24 - 4.71,P = 0.01)。亚组分析结果表明,rs361525的A等位基因和AA + AG基因型是白种人感染甲型H1N1流感病毒(A(H1N1)pdm09)的危险因素。AA基因型是墨西哥人感染甲型H1N1流感病毒(A(H1N1)pdm09)的危险因素(P<0.05)。CCR5基因多态性与甲型H1N1流感病毒(A(H1N1)pdm09)感染严重程度之间无显著差异(P>0.05)。rs361525处携带A等位基因或AA基因型、TNF-α基因rs1800750处携带AA + AG基因型的人群可能更易感染甲型H1N1流感病毒(A(H1N1)pdm09)。