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血色素沉着症基因中C282Y和H63D多态性与多发性硬化症风险之间无关联:一项荟萃分析。

Lack of association between C282Y and H63D polymorphisms in the hemochromatosis gene and risk of multiple sclerosis: A meta-analysis.

作者信息

Starčević Čizmarević Nada, Ćurko-Cofek Božena, Barac-Latas Vesna, Peterlin Borut, Ristić Smiljana

机构信息

Department of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.

Department of Physiology and Immunology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.

出版信息

Biomed Rep. 2022 Feb;16(2):12. doi: 10.3892/br.2021.1495. Epub 2021 Dec 17.

Abstract

Increasing evidence supports the potential role of iron metabolism in multiple sclerosis (MS). Previous studies examining the association between polymorphisms of the hemochromatosis gene () and susceptibility to MS have yielded inconsistent results. In the present study, a meta-analysis of 7 studies was performed conducted in populations of Caucasian origin using the Comprehensive Meta-analysis 3.0 software. The strength of association between the C282Y and H63D polymorphisms in and MS risk was estimated by odds ratios with 95% confidence intervals. Cochran's Q statistic and I tests were applied to quantify heterogeneity between studies. An Egger's test was used to estimate publication bias. The C282Y and H63D polymorphisms had no significant association with increased MS risk (all P≥0.05) in the following genetic comparison models: Dominant model (YY + CY vs. CC or DD + HD vs. HH) and allele contrast (Y vs. C or D vs. H). No apparent publication bias or significant heterogeneity was found between studies. These results suggest that the polymorphisms C282Y and H63D are not associated with susceptibility to MS in populations of Caucasian origin. Further studies should be performed in a larger series of MS patients to evaluate the contribution of and other genetic variants associated with iron regulation in the development and progression of MS.

摘要

越来越多的证据支持铁代谢在多发性硬化症(MS)中的潜在作用。先前研究血色病基因()多态性与MS易感性之间的关联,结果并不一致。在本研究中,使用综合荟萃分析3.0软件对7项针对白种人人群的研究进行了荟萃分析。通过比值比及95%置信区间来估计与MS风险之间C282Y和H63D多态性的关联强度。应用Cochran's Q统计量和I检验来量化研究间的异质性。使用Egger检验来估计发表偏倚。在以下遗传比较模型中,C282Y和H63D多态性与MS风险增加无显著关联(所有P≥0.05):显性模型(YY + CY对CC或DD + HD对HH)和等位基因对比(Y对C或D对H)。研究间未发现明显的发表偏倚或显著异质性。这些结果表明,C282Y和H63D多态性与白种人人群的MS易感性无关。应在更多MS患者中进行进一步研究,以评估在MS发生和发展过程中的作用以及与铁调节相关的其他基因变异的贡献。

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