Previous studies reported the association between interleukin-6(IL-6)-174G/C gene polymorphism and the risk of diabetic nephropathy in type 2 diabetes mellitus(T2DN).However,the results remain controversial.In the pre...Previous studies reported the association between interleukin-6(IL-6)-174G/C gene polymorphism and the risk of diabetic nephropathy in type 2 diabetes mellitus(T2DN).However,the results remain controversial.In the present study,we conducted a meta-analysis to further examine this relationship between IL-6-174G/C gene polymorphism and T2DN.Three databases(PubMed,SinoMed and ISI Web of Science)were used to search clinical case-control studies about IL-6-174G/C polymorphism and T2DN published until Apr.14,2018.Fixed-or random-effects n lodels were used to calculate the effect sizes of odds ratio(OR)and 95%confide nee intervals(95%CI).Moreover,subgroup analysis was performed in tenns of the excretion rate of albuminuria.All the statistical analyses were con ducted using Stata 12.0.A total of 11 case-control studies were included in this study,involving 1203 cases of T2DN and 1571 cases of T2DM without DN.Metaanalysis showed that there was an association between IL-6-174G/C polymorphism and increased risk of T2DN under the allelic and recessive genetic models(G vs.C:OR=1.10,95%CI 1.03-1」&P=0.006;GG vs.CC+GC:OR=1.11,95%CI 1.02-1.21,P=0.016).In the subgroup analysis by albuminuria,a significant association of IL-6-174G/C polymorphism with risk of T2DN was noted in the microalbuminuria group under the recessive model(OR=1.54,95%CI 1.02-2.32,P=0.038).In conclusion,this meta-analysis suggests that IL-6-174G/C gene polymorphism is associated with the risk of T2DN.展开更多
目的系统评价白细胞介素-10(interleukin-10,IL-10)基因-1082A/G多态性与糖尿病肾病(diabetic nephropathy,DN)易感性之间的关系。方法检索建库以来至2019年6月间与IL-10基因1082A/G及DN发病风险相关的病例对照研究,使用纽卡斯尔渥太华(...目的系统评价白细胞介素-10(interleukin-10,IL-10)基因-1082A/G多态性与糖尿病肾病(diabetic nephropathy,DN)易感性之间的关系。方法检索建库以来至2019年6月间与IL-10基因1082A/G及DN发病风险相关的病例对照研究,使用纽卡斯尔渥太华(Newcastle-Ottawa Scale,NOS)标准对纳入文献进行质量评价。采用STATA12.0软件进行统计分析,选择发病风险比值比(odds ratio,OR)及95%置信区间(confidence interval,CI)为效应指标。结果本研究共纳入10项研究,包含DN患者1759例,单纯糖尿病(diabetes mellitus,DM)患者1525例,健康对照(healty control,HC)者2209例。DN组与单纯DM组比较,IL-10基因-1082A/G多态性在各遗传模型上差异均无统计学意义(P>0.05)。DN组与健康人群比较,IL-10基因-1082A/G多态性在纯合子模型下与DN呈明显相关性(GG vs AA:OR=0.577,P<0.05)。将地区进行亚组分析发现,亚洲人群中IL-10基因-1082A/G多态性在除杂合子模型外的其他遗传模型中差异均有统计学意义(G vs A:OR=0.589,P=0.031;GG vs AA:OR=0.349,P=0.000;GG vs GA+AA:OR=0.588,P=0.015;GG+GA vs AA:OR=0.629,P=0.000)。结论IL-10基因-1082A/G多态性与DN发病相关,亚洲人群中G等位基因、GG基因型是DN发病的保护因素。展开更多
文摘Previous studies reported the association between interleukin-6(IL-6)-174G/C gene polymorphism and the risk of diabetic nephropathy in type 2 diabetes mellitus(T2DN).However,the results remain controversial.In the present study,we conducted a meta-analysis to further examine this relationship between IL-6-174G/C gene polymorphism and T2DN.Three databases(PubMed,SinoMed and ISI Web of Science)were used to search clinical case-control studies about IL-6-174G/C polymorphism and T2DN published until Apr.14,2018.Fixed-or random-effects n lodels were used to calculate the effect sizes of odds ratio(OR)and 95%confide nee intervals(95%CI).Moreover,subgroup analysis was performed in tenns of the excretion rate of albuminuria.All the statistical analyses were con ducted using Stata 12.0.A total of 11 case-control studies were included in this study,involving 1203 cases of T2DN and 1571 cases of T2DM without DN.Metaanalysis showed that there was an association between IL-6-174G/C polymorphism and increased risk of T2DN under the allelic and recessive genetic models(G vs.C:OR=1.10,95%CI 1.03-1」&P=0.006;GG vs.CC+GC:OR=1.11,95%CI 1.02-1.21,P=0.016).In the subgroup analysis by albuminuria,a significant association of IL-6-174G/C polymorphism with risk of T2DN was noted in the microalbuminuria group under the recessive model(OR=1.54,95%CI 1.02-2.32,P=0.038).In conclusion,this meta-analysis suggests that IL-6-174G/C gene polymorphism is associated with the risk of T2DN.
文摘目的系统评价白细胞介素-10(interleukin-10,IL-10)基因-1082A/G多态性与糖尿病肾病(diabetic nephropathy,DN)易感性之间的关系。方法检索建库以来至2019年6月间与IL-10基因1082A/G及DN发病风险相关的病例对照研究,使用纽卡斯尔渥太华(Newcastle-Ottawa Scale,NOS)标准对纳入文献进行质量评价。采用STATA12.0软件进行统计分析,选择发病风险比值比(odds ratio,OR)及95%置信区间(confidence interval,CI)为效应指标。结果本研究共纳入10项研究,包含DN患者1759例,单纯糖尿病(diabetes mellitus,DM)患者1525例,健康对照(healty control,HC)者2209例。DN组与单纯DM组比较,IL-10基因-1082A/G多态性在各遗传模型上差异均无统计学意义(P>0.05)。DN组与健康人群比较,IL-10基因-1082A/G多态性在纯合子模型下与DN呈明显相关性(GG vs AA:OR=0.577,P<0.05)。将地区进行亚组分析发现,亚洲人群中IL-10基因-1082A/G多态性在除杂合子模型外的其他遗传模型中差异均有统计学意义(G vs A:OR=0.589,P=0.031;GG vs AA:OR=0.349,P=0.000;GG vs GA+AA:OR=0.588,P=0.015;GG+GA vs AA:OR=0.629,P=0.000)。结论IL-10基因-1082A/G多态性与DN发病相关,亚洲人群中G等位基因、GG基因型是DN发病的保护因素。