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Meta 分析白细胞介素-10 基因多态性与结核病易感性:来自近期研究的启示。

Meta-analysis of interleukin-10 gene polymorphisms and tuberculosis susceptibility: Insights from recent studies.

出版信息

Hum Antibodies. 2024;32(4):169-179. doi: 10.3233/HAB-240024.

DOI:10.3233/HAB-240024
PMID:39031350
Abstract

BACKGROUND

Tuberculosis (TB) remains a universal health problem with significant morbidity and mortality. Understanding the genetic factors affecting TB susceptibility is crucial for effective prevention and treatment. Interleukin-10 (IL-10), a regulatory cytokine, may influence TB pathogenesis through genetic variations.

METHODS

The PubMed, Embase, and Google Scholar databases were searched to find studies on the relationship between IL-10 gene variants and tuberculosis. Relevant studies from 2016 to 2024 were identified through database searches. The selected case-control studies met the inclusion criteria. Software such as Review Manager was used to analyze quantitative data, with statistical significance set at p< 0.05. We calculated odds ratios and their respective confidence intervals to evaluate the associations.

RESULTS

Nine studies examined IL-10 gene polymorphisms (rs1800871 and rs1800872) in TB susceptibility. The present study did not show a notable association between IL-10 gene polymorphisms and TB among all genetic models (allelic, homozygote, heterozygote, dominant, and recessive). The obtained p-value > 0.05 indicates an insignificant association between both gene polymorphisms of IL-10. An OR-1.13; 95% CI-0.85, 1.50 was obtained for the SNP rs1800871, whereas an OR-1.02; 95% CI-0.75, 1.40 was obtained for the SNP rs1800872.

CONCLUSION

Our meta-analysis revealed no significant association between IL-10 gene polymorphisms and TB susceptibility, suggesting that these variations may not significantly contribute to TB susceptibility. Further research with a larger sample size and diverse ethnicities is needed to explore additional genetic variations and their implications in TB pathogenesis.

摘要

背景

结核病(TB)仍然是一个普遍存在的健康问题,具有显著的发病率和死亡率。了解影响结核病易感性的遗传因素对于有效预防和治疗至关重要。白细胞介素-10(IL-10)是一种调节细胞因子,其遗传变异可能通过影响结核病的发病机制。

方法

通过检索 PubMed、Embase 和 Google Scholar 数据库,查找有关 IL-10 基因变异与结核病关系的研究。通过数据库检索确定了 2016 年至 2024 年的相关研究。选择符合纳入标准的病例对照研究。使用 Review Manager 等软件对定量数据进行分析,以 p<0.05 为统计学显著性水平。我们计算了比值比及其相应的置信区间,以评估关联。

结果

有 9 项研究检查了 IL-10 基因多态性(rs1800871 和 rs1800872)与结核病易感性的关系。本研究在所有遗传模型(等位基因、纯合子、杂合子、显性和隐性)中均未显示 IL-10 基因多态性与结核病之间存在显著关联。获得的 p 值>0.05 表明 IL-10 两个基因多态性之间无显著关联。SNP rs1800871 的 OR 值为 1.13;95%CI-0.85,1.50,而 SNP rs1800872 的 OR 值为 1.02;95%CI-0.75,1.40。

结论

我们的荟萃分析显示,IL-10 基因多态性与结核病易感性之间没有显著关联,这表明这些变异可能不会显著导致结核病易感性。需要进一步开展具有更大样本量和不同种族的研究,以探索其他遗传变异及其在结核病发病机制中的意义。

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