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基因单核苷酸多态性与高血压风险的关联:一项系统评价和荟萃分析。

Association of single nucleotide polymorphisms in gene with risk of hypertension: a systematic review and meta-analysis.

作者信息

Yu Jiegen, Liu Ling, Li Zhipeng, Wang Yanqiu, Zhang Wanjun, Jin Yuelong, He Liangping, Chen Yan, Yao Yingshui

机构信息

School of Humanities Management, Wannan Medical College Wuhu 241002, Anhui, China.

School of Public Health, Wannan Medical College Wuhu 241002, Anhui, China.

出版信息

Int J Mol Epidemiol Genet. 2021 Oct 15;12(5):90-101. eCollection 2021.

Abstract

BACKGROUND

Hypertension has been continuing to be a major contributor to the global burden of disease and to the global mortality, leading to over 10 million deaths each year. The purpose of this study was to investigate the association between Adiponectin gene polymorphism with Essential hypertension (EH).

METHODS

PubMed, EMbase, the Cochrane Library, and China National Knowledge Infrastructure (CNKI) were searched independently by two investigators. Pooled odds ratios and 95% confidence intervals were calculated to estimate the associations of Adiponectin polymorphism with EH.

RESULTS

Thirteen studies with 3198 cases and 3076 controls for meta-analysis (MA) were included in present study. Pooled results showed that rs2241766 polymorphism is associated with the risk of EH in the allelic model (G vs. T: OR=1.10; 95% CI, 1.01-1.21). In the <40 years subgroup, rs2241766 polymorphism is associated with the risk of EH in allele model (G vs. T: OR=1.43; 95% CI, 1.06-1.94), recessive model (GG vs. GT + TT: =5.26, 95% =1.47-18.76), homozygous model of GG (GG vs.TT: =5.27, 95% =1.47-18.95), and rs266729 in recessive model (GG vs. GT + TT: =2.33, 95% =1.33-4.08).

CONCLUSIONS

Our meta-analysis results show that the rs2241766 polymorphism is associated with the risk of hypertension. There still need a larger sample with better design to verify.

摘要

背景

高血压一直是全球疾病负担和全球死亡率的主要促成因素,每年导致超过1000万人死亡。本研究的目的是探讨脂联素基因多态性与原发性高血压(EH)之间的关联。

方法

由两名研究人员独立检索PubMed、EMbase、Cochrane图书馆和中国知网(CNKI)。计算合并比值比和95%置信区间,以估计脂联素多态性与EH的关联。

结果

本研究纳入了13项研究,共3198例病例和3076例对照进行荟萃分析(MA)。合并结果显示,rs2241766多态性在等位基因模型中与EH风险相关(G对T:OR=1.10;95%CI,1.01-1.21)。在<40岁亚组中,rs2241766多态性在等位基因模型(G对T:OR=1.43;95%CI,1.06-1.94)、隐性模型(GG对GT+TT:=5.26,95%=1.47-18.76)、GG纯合子模型(GG对TT:=5.27,95%=1.47-18.95)以及隐性模型中的rs266729(GG对GT+TT:=2.33,95%=1.33-4.08)中与EH风险相关。

结论

我们的荟萃分析结果表明,rs2241766多态性与高血压风险相关。仍需要更大样本量、设计更好的研究来验证。

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