OBJECTIVE:Circulating miR-146a is aberrantly expressed in patients with type 2 diabetes (T2D), probably resulting from gene polymorphisms. However, the role of polymorphism rs2910164 in T2D pathogenesis remains controversial. Thus, we designed a meta-analysis to investigate the association between rs2910164 and T2D. METHODS:PubMed and Embase were searched for eligible papers in English published through September 2, 2019. Random or fixed effect models were used to determine risk estimates according to heterogeneities. RESULTS:Four studies, involving 2,069 patients and 1,950 controls, were included. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were used to pool the effect size. The pooled ORs and 95% CIs were 1.501 (0.887-2.541), 1.102 (0.931-1.304), 1.276 (0.900-1.811), 1.204 (0.878-1.652), 1.238 (0.880-1.740), and 1.350 (0.904-2.016) under the homozygote, heterozygote (CG vs. GG and CC vs. CG), dominant, allele, and recessive models, respectively. Heterogeneity was detected in most genetic models, with subgroup analyses performed by ethnicity, genotyping method, and disease duration. The co-dominant model was determined to be the most appropriate genetic model. CONCLUSIONS:Our findings suggested that polymorphism rs2910164 is not correlated with T2D susceptibility. However, the results should be interpreted with caution because of confounding factors.

译文

目的:在2型糖尿病(T2D)患者中异常表达循环miR-​​146a,可能是由于基因多态性所致。然而,多态性rs2910164在T2D发病机理中的作用仍存在争议。因此,我们设计了一项荟萃分析来研究rs2910164与T2D之间的关联。
方法:检索PubMed和Embase截至2019年9月2日以英文发表的合格论文。根据异质性,使用随机或固定效应模型确定风险估计。
结果:四项研究包括2,069名患者和1,950名对照。使用赔率(OR)和95%置信区间(95%CI)合并效应量。合并的OR和95%CI为1.501(0.887-2.541),1.102(0.931-1.304),1.276(0.900-1.811),1.204(0.878-1.652),1.238(0.880-1.740)和1.350(0.904-2.016)在纯合子,杂合子(CG vs. GG和CC vs. CG),显性,等位基因和隐性模型下。在大多数遗传模型中均检测到异质性,并通过种族,基因分型方法和疾病持续时间进行了亚组分析。共主导模型被确定为最合适的遗传模型。
结论:我们的发现提示rs2910164多态性与T2D易感性无关。但是,由于存在混杂因素,应谨慎解释结果。

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