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免疫相关基因中选定遗传变异与多发性硬化症风险的荟萃分析。

Meta-analysis of the Selected Genetic Variants in Immune-Related Genes and Multiple Sclerosis Risk.

机构信息

Department of Biological Science and Technology, School of Chemistry, Chemical Engineering and Life Sciences, Wuhan University of Technology, Wuhan, 430070, China.

Institute of WUT-AMU, Wuhan University of Technology, Wuhan, 430070, China.

出版信息

Mol Neurobiol. 2024 Oct;61(10):8175-8187. doi: 10.1007/s12035-024-04095-7. Epub 2024 Mar 13.

Abstract

Previous studies have suggested that certain variants in immune-related genes may participate in the pathogenesis of multiple sclerosis (MS), including rs17824933 in the CD6 gene, rs1883832 in the CD40 gene, rs2300747 in the CD58 gene, rs763361 in the CD226 gene, rs16944 in the IL-1β gene, rs2243250 in the IL-4 gene, and rs12722489 and rs2104286 in the IL-2Rα gene. However, the results remained inconclusive and conflicting. In view of this, a comprehensive meta-analysis including all eligible studies was conducted to investigate the association between these 8 selected genetic variants and MS risk. Up to June 2023, 64 related studies were finally included in this meta-analysis. The odds ratios (ORs) and corresponding 95% confidence intervals (CIs) calculated by the random-effects model were used to evaluate the strength of association. Publication bias test, sensitivity analyses, and trial sequential analysis (TSA) were conducted to examine the reliability of statistical results. Our results indicated that rs17824933 in the CD6 gene, rs1883832 in the CD40 gene, rs2300747 in the CD58 gene, rs763361 in the CD226 gene, and rs12722489 and rs2104286 in the IL-2Rα gene may serve as the susceptible factors for MS pathogenesis, while rs16944 in the IL-1β gene and rs2243250 in the IL-4 gene may not be associated with MS risk. However, the present findings need to be confirmed and reinforced in future studies.

摘要

先前的研究表明,某些免疫相关基因的变异可能参与多发性硬化症(MS)的发病机制,包括 CD6 基因中的 rs17824933、CD40 基因中的 rs1883832、CD58 基因中的 rs2300747、CD226 基因中的 rs763361、IL-1β 基因中的 rs16944、IL-4 基因中的 rs2243250 和 IL-2Rα 基因中的 rs12722489 和 rs2104286。然而,结果仍然存在不确定性和矛盾。有鉴于此,进行了一项包含所有合格研究的综合荟萃分析,以调查这 8 个选定的遗传变异与 MS 风险之间的关联。截至 2023 年 6 月,最终有 64 项相关研究纳入本荟萃分析。采用随机效应模型计算的比值比(ORs)和相应的 95%置信区间(CIs)用于评估关联的强度。进行了发表偏倚检验、敏感性分析和试验序贯分析(TSA),以检查统计结果的可靠性。我们的结果表明,CD6 基因中的 rs17824933、CD40 基因中的 rs1883832、CD58 基因中的 rs2300747、CD226 基因中的 rs763361 以及 IL-2Rα 基因中的 rs12722489 和 rs2104286 可能是 MS 发病机制的易感因素,而 IL-1β 基因中的 rs16944 和 IL-4 基因中的 rs2243250 与 MS 风险无关。然而,这些发现需要在未来的研究中得到证实和加强。

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