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解读自身免疫易感性:PTPN22基因变异的荟萃分析

Deciphering autoimmune susceptibility: a meta-analysis of PTPN22 gene variants.

作者信息

Thomas Sheena Mariam, Veerabathiran Ramakrishnan

机构信息

Human Cytogenetics and Genomics Laboratory, Faculty of Allied Health Sciences, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam-603103, Tamil Nadu, India.

出版信息

Immunol Res. 2025 Mar 11;73(1):59. doi: 10.1007/s12026-025-09614-9.

Abstract

Autoimmune disorders are intricate conditions where the immune system directs its attack towards the body's tissues. The goal is to perform a thorough meta-analysis focusing on the genetic and epigenetic aspects of autoimmune disorders, specifically examining the role of the PTPN22 gene, particularly the rs2476601 variation, in influencing susceptibility to autoimmune diseases. The study followed PRISMA 2020 guidelines and PROSPERO registration and conducted a comprehensive meta-analysis to explore the association between PTPN22 gene variations and autoimmune disorders. Case-control studies presenting genotype information were included, and quantitative data analysis was performed using MetaGenyo software. The meta-analysis included 43 studies with 20,669 controls and 9,397 cases of autoimmune diseases, focusing on the PTPN22 gene rs2476601 polymorphism. Significant associations were observed between the PTPN22 polymorphisms across multiple genetic models, including allelic, dominant, and recessive models. However, no link was found between the over-dominant model. The obtained p-values were < 0.01 for the allele model (C vs T; OR: 0.63, 95% CI: 0.48-0.81, I = 92%), 0.03 for the dominant model (CC + CT vs. TT; OR: 0.47, 95% CI: 0.24-0.95, I = 87%), and < 0.01 for the recessive model (TT vs. CT + CC; OR: 0.61, 95% CI: 0.47-0.79, I = 89%). However, the over-dominant model (CT vs. CC + TT; OR: 1.68, 95% CI: 1.32-2.15, I = 86%) did not show a significant p-value (> 0.05). This meta-analysis emphasizes the significant impact of PTPN22 gene variations on autoimmune diseases, suggesting its potential as a biomarker for assessing risk and guiding targeted interventions.

摘要

自身免疫性疾病是复杂的病症,免疫系统会攻击身体组织。目的是进行一项全面的荟萃分析,聚焦于自身免疫性疾病的遗传和表观遗传方面,特别研究蛋白酪氨酸磷酸酶非受体22基因(PTPN22基因),尤其是rs2476601变异,在影响自身免疫性疾病易感性方面的作用。该研究遵循PRISMA 2020指南和PROSPERO注册要求,并进行了全面的荟萃分析,以探讨PTPN22基因变异与自身免疫性疾病之间的关联。纳入了呈现基因型信息的病例对照研究,并使用MetaGenyo软件进行定量数据分析。该荟萃分析纳入了43项研究,其中有20,669名对照和9,397例自身免疫性疾病病例,重点关注PTPN22基因的rs2476601多态性。在包括等位基因、显性和隐性模型在内的多个遗传模型中,均观察到PTPN22多态性之间存在显著关联。然而,在超显性模型中未发现关联。在等位基因模型(C与T;比值比:0.63,95%置信区间:0.48 - 0.81,异质性I² = 92%)中获得的p值 < 0.01,在显性模型(CC + CT与TT;比值比:0.47,95%置信区间:0.24 - 0.95,异质性I² = 87%)中为0.03,在隐性模型(TT与CT + CC;比值比:0.61,95%置信区间:0.47 - 0.79,异质性I² = 89%)中 < 0.01。然而,超显性模型(CT与CC + TT;比值比:1.68,95%置信区间:1.32 - 2.15,异质性I² = 86%)未显示出显著的p值(> 0.05)。这项荟萃分析强调了PTPN22基因变异对自身免疫性疾病的重大影响,表明其作为评估风险和指导靶向干预的生物标志物的潜力。

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