临床荟萃

• 循证研究 •    下一篇

ARID5B基因rsl0821936多态位点与儿童急性淋巴细胞白血病易感关联的系统评价和meta分析

  

  1. 厦门大学附属第一医院 儿科,福建  厦门  361000
  • 出版日期:2020-03-20 发布日期:2020-03-27
  • 通讯作者: 温红,Email:wenhong711@aliyun.com
  • 基金资助:
    厦门市科学技术局科技惠民项目----闽南地区急性淋巴细胞白血病患儿基因多态性与甲氨蝶呤治疗相关性研究 (3502Z20164007)

Relationship between ARID5B gene rs10821936 polymorphism and risk of  childhood acute lymphoblastic leukemia: a systematic and metaanalysis

  1. Department of Pediatrics,  the First Affiliated Hospital of Xiamen University,  Xiamen 361000,  China
  • Online:2020-03-20 Published:2020-03-27
  • Contact: Corresponding author: Wen Hong, Email: wenhong711@aliyun.com

摘要: 目的  评价ARID5B基因rsl0821936多态位点与儿童急性淋巴细胞白血病(ALL)易感的关联。方法  计算机检索Cochrane图书馆、PubMed、EMCC、OVID、中国知网、维普中文期刊数据库和万方数据库上的中英文相关文献,检索时间均为建库至2019年03月。2名研究者独立提取资料数据和评价纳入文献,并进行文献偏倚风险评价。 采用RevMan5.3和Stata 12.0软件,分别以风险等位基因频率、隐性、显性、共显性和等位基因模型对基因多态性与儿童ALL易感的关联进行meta分析。结果  15篇文献共19个研究纳入meta分析,病例组11 542例,对照组30 205例。所有模型meta分析结果显示,风险等位基因频率(OR=1.77, 95%CI:1.701.85)、隐性(OR=1.94, 95%CI:1.612.23)、显性(OR=1.92, 95%CI:1.752.12)、共显性(OR=2.65, 95%CI:2.313.03;OR=1.71, 95%CI:1.541.89)及等位基因模型(OR=1.67, 95%CI:1.491.87)与儿童ALL易感风险均存在关联。按照种族进行分组分析显示,中国人群的显性模型(CC+TC vs TT)(OR=2.16,95%CI:0.935.00)与儿童ALL易感性无关,其余各基因模型亚组分析与增加儿童ALL发生风险仍具有关联。结论  ARID5B基因rsl0821936多态位点与增加儿童ALL易感风险可能存在关联,但与中国儿童ALL人群的易感相关性仍有待进一步研究。

关键词: 前体细胞淋巴母细胞白血病淋巴瘤, ARID5B, rs10821936, 基因多态性, Meta分析, 系统评价

Abstract: Objective  To explore the association between ARID5B gene rs10821936 polymorphism and the risk of childhood acute lymphoblastic leukemia (ALL).Methods  The cochrane  library, PubMed, EMCC, OVID,CNKI, VIP and Wanfang digital knowledge service platform were searched for relevant articles published in English and Chinese up to March 2019.Two researchers independently extracted data and assessed the literature.Literature bias risk assessment was also conducted.RevMan5.3 and Stata 12.0 software were used to analyze the association between gene polymorphism and  the risk of childhood ALL with risk allele frequency,  recessive,  dominant,  codominant and allele models,  respectively.Results  A total of 19 studies in 15 references were included in the metaanalysis,  including 11 542 cases in  case group and 30 205 cases in  control group. Metaanalysis results of all models showed that risk allele frequency (OR=1.77,  95%CI:1.701.85),  recessive (OR=1.94,  95%CI:1.612.23),  dominant (OR=1.92,  95%CI: 1.752.12),  codominant (OR=2.65,  95%CI:2.313.03),  and allele model (OR=1.67,  95%CI:1.491.87) were associated withthe risk of childhood ALL. According to the group analysis by race,  the dominance model (CC+TC vs TT) of Chinese population (OR=2.16,  95%CI:0.935.00) was not correlated with the susceptibility of childhood ALL,  while the subgroup analysis of other gene models was still correlated with the increased risk of ALL in children.Conclusion  ARID5B gene SNPs rsl0821936  may be associated with an increased risk of childhood ALL, but the susceptibility correlation with ALL in Chinese children remains further study.

Key words: precursor cell lymphoblastic leukemialymphoma, ARID5B, rs10821936 polymorphism, genetic polymorphism, metaanalysis, systematic review