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维生素 D 受体 TaqI 多态性与结核病易感性的相关性:一项更新的荟萃分析。

Correlation between polymorphism of vitamin D receptor TaqI and susceptibility to tuberculosis: An update meta-analysis.

机构信息

Department of Public Health, Medical School of Qinghai University, Xining, China.

Xining First People's Hospital Xining, China.

出版信息

Medicine (Baltimore). 2022 Apr 22;101(16):e29127. doi: 10.1097/MD.0000000000029127.

Abstract

BACKGROUND

To investigate the association between TaqI polymorphism of the vitamin D receptor gene and tuberculosis (TB).

METHODS

A systematic search was performed in PubMed, Embase, Web of Science, Elsevier Science Direct, Cochrane Library, Chinese National Knowledge Infrastructure, Wanfang, and Chongqing VIP databases for case-control study on TaqI gene polymorphism and TB susceptivity. Quality assessment of studies was performed using the Newcastle-Ottawa Scale for the methodological assessment of case-control studies, and R 4.0.5 software was used for the meta-analysis.

RESULTS

Among the 243 selected articles, 27 in the meta-analysis. The meta-analysis showed that the TaqI gene polymorphism allene gene model (t vs T, odds ratio [OR]: 1.12, 95% confidence interval [CI]: 0.99-1.27); dominant model (tt + tT vs TT, OR: 1.12, 95% CI: 0.98-1.29); recessive model (tt vs tT + TT, OR: 1.25, 95% CI: 1.03-1.51); codominant A (tt vs TT, OR: 1.37, 95% CI: 1.00-1.87); codominant B (tT vs TT, OR: 1.09, 95% CI: 0.99-1.19). And subgroup dominant model (tt + tT vs TT, OR: 1.27, 95% CI: 1.03-1.55) in Indianas, recessive model (tt vs tT + TT, OR: 1.49, 95% CI: 1.05-2.11) in Iranians, co-dominant B (tT vs TT, OR: 1.28, 95% CI: 1.03-1.59; OR: 1.42, 95% CI: 1.05-1.93) in Indianas and Iranians.

CONCLUSION

This meta-analysis suggests a significant association between TB and the risk of TaqI in Iranians and Indians, but the vitamin D receptor polymorphism TaqI was not associated with Chinese. Thus, validation studies will be required to confirm these findings.

摘要

背景

探讨维生素 D 受体基因 TaqI 多态性与结核病(TB)的相关性。

方法

在 PubMed、Embase、Web of Science、Elsevier Science Direct、Cochrane 图书馆、中国知网、万方和重庆 VIP 数据库中,对 TaqI 基因多态性与 TB 易感性的病例对照研究进行了系统检索。使用纽卡斯尔-渥太华量表(Newcastle-Ottawa Scale)对研究进行质量评估,使用 R 4.0.5 软件进行荟萃分析。

结果

在 243 篇入选文章中,27 篇进行了荟萃分析。荟萃分析结果显示,TaqI 基因多态性等位基因模型(t 对 T,比值比[OR]:1.12,95%置信区间[CI]:0.99-1.27);显性模型(tt+ tT 对 TT,OR:1.12,95% CI:0.98-1.29);隐性模型(tt 对 tT+ TT,OR:1.25,95% CI:1.03-1.51);共显性 A(tt 对 TT,OR:1.37,95% CI:1.00-1.87);共显性 B(tT 对 TT,OR:1.09,95% CI:0.99-1.19)。亚组显性模型(tt+ tT 对 TT,OR:1.27,95% CI:1.03-1.55)在印第安人中,隐性模型(tt 对 tT+ TT,OR:1.49,95% CI:1.05-2.11)在伊朗人中,共显性 B(tT 对 TT,OR:1.28,95% CI:1.03-1.59;OR:1.42,95% CI:1.05-1.93)在印第安人和伊朗人中。

结论

荟萃分析提示 TaqI 与伊朗人和印第安人结核病风险之间存在显著相关性,但维生素 D 受体多态性 TaqI 与中国人无关。因此,需要验证性研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6de/9276446/01b468f4e2ee/medi-101-e29127-g001.jpg

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