慢性病学杂志2023,Vol.24Issue(2) :165-174,179.DOI:10.16440/J.CNKI.1674-8166.2023.02.02

过氧化物酶体增殖物激活受体γ基因多态性与动脉粥样硬化相关性的meta分析

Relationship between peroxisome proliferator-activated receptor-γ gene polymorphisms and atherosclerosis:a meta-analysis

杨寅卓 胡继宏 徐沛沛 于静 陈丽
慢性病学杂志2023,Vol.24Issue(2) :165-174,179.DOI:10.16440/J.CNKI.1674-8166.2023.02.02

过氧化物酶体增殖物激活受体γ基因多态性与动脉粥样硬化相关性的meta分析

Relationship between peroxisome proliferator-activated receptor-γ gene polymorphisms and atherosclerosis:a meta-analysis

杨寅卓 1胡继宏 2徐沛沛 1于静 1陈丽1
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作者信息

  • 1. 甘肃中医药大学公共卫生学院,甘肃 兰州 730000;西北营养与环境相关疾病中医药防控协同创新中心
  • 2. 甘肃中医药大学公共卫生学院,甘肃 兰州 730000;西北营养与环境相关疾病中医药防控协同创新中心;甘肃中医药大学科研实验中心
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摘要

目的 系统评价过氧化物酶体增殖物激活受体(peroxisome proliferator-activated receptor,PPAR)-γ基因rs1801282位点/rs3856806位点多态性与动脉粥样硬化疾病的相关性.方法 计算机检索中国知网、万方数据库、PubMed、Web of Science和中国生物医学文献数据库,检索时限为建库至2021年12月9日.根据文献纳入和排除标准,筛选纳入所有符合PPAR-γ基因rs1801282/rs3856806位点多态性与动脉粥样硬化疾病相关性的病例对照研究,采用R软件对纳入的文献资料进行meta分析,根据OR值和95%CI评估相关性.采用Begg's检验和漏斗图识别发表偏倚.结果 共纳入文献36篇,研究对象共23 395例.Meta分析结果显示,在rs1801282位点携带PA和AA基因是携带PP基因型动脉粥样硬化疾病发病风险的1.30倍(OR=1.30,95%CI 1.05~1.60,P<0.05),携带A等位基因是携带P基因发病风险的1.24倍(OR=1.24,95%CI 1.04~1.48,P<0.05);在rs3856806位点携带CT和TT基因是携带CC基因发病风险的0.78倍(OR=0.78,95%CI 0.63~0.96,P<0.05).亚组分析结果显示,rs1801282位点多态性与其他国家亚组和冠心病亚组人群存在显著相关性,而rs3856806位点多态性则与中国、冠心病和心肌梗死亚组人群存在显著相关性.纳入文献无明显发表偏倚.结论 PPAR-γ基因rs1801282位点和rs3856806位点与动脉粥样硬化疾病发病存在显著相关性,其中rs1801282位点PA和AA基因型与等位基因A可能是动脉粥样硬化疾病发病的危险因素,rs3856806位点CT和TT基因型可能是动脉粥样硬化疾病发病的保护因素.

Abstract

Objective To systematically evaluate the association between the rs1801282/rs3856806 polymor-phisms of the peroxisome proliferator-activated receptor(PPAR)-γ gene and atherosclerotic disease.Methods The China National Knowledge Network,Wanfang Journal Database,PubMed,Web of Science,and China Biomedical Literature Database were searched by computer,and the retrieval time was from database estab-lishment to 9 December 2021.According to the inclusion and exclusion criteria,all case-control studies that were in line with the rs1801282/rs3856806 polymorphisms of the PPAR-γ gene and associated with athero-sclerotic disease were screened and included.R software was used to perform a meta-analysis of the includ-ed literature.Correlations were assessed based on theORvalue and 95% CI.The Begg's test and a funnel plot were used to identify publication bias.Results A total of 36 studies were included involving 23,395 subjects.The meta-analysis showed that PA and AA gene carriers at rs1801282 were 1.30-fold more likely to develop atherosclerotic disease than PP gene carriers(OR=1.30,95% CI1.05-1.60,P<0.05),carrying the A allele had a 1.24-fold increased risk of carrying the P gene(OR=1.24,95% CI1.04-1.48,P<0.05),and CT and TT gene carriers at rs3856806 were 0.78-fold more likely to be CC gene carriers(OR=0.78,95% CI0.63-0.96,P<0.05).Subgroup analysis showed that the rs1801282 polymorphism was significantly associated with other subgroups and coronary heart disease subgroups,while the rs3856806 poly-morphism was significantly associated with Chinese ethnicity,coronary heart disease,and myocardial infarc-tion subgroups.There was no significant publication bias in the included literature.Conclusions The rs1801282 and rs3856806 polymorphisms of the PPAR-γ gene are shown to be significantly correlated with the incidence of atherosclerotic disease.The PA and AA genotypes and allele A of the rs1801282 polymor-phism may be risk factors for the incidence of atherosclerotic disease.The CT and TT genotypes at rs3856806 may be protective from atherosclerotic disease.

关键词

过氧化物酶体增殖物激活受体γ/基因多态性/动脉粥样硬化/meta分析

Key words

Peroxisome proliferator activated receptor γ/Gene polymorphism/Atherosclerosis/Meta-analysis

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基金项目

西北营养与环境相关疾病中医药防控协同创新中心2020年度开放基金项目(ZYXT-20-01)

出版年

2023
慢性病学杂志

慢性病学杂志

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参考文献量41
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