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Published on: April 1, 2019
ABCA1 rs4149313 polymorphism and susceptibility to coronary heart disease: a meta-analysis
Shu-Li Fan1, Xu Li, Si-Jiao Chen
1Department of Geriatrics, The First Affiliated Hospital of China Medical University, Shenyang, 110001, P.R. China.
Insights
The ABCA1 rs4149313 gene variant is linked to a higher risk of coronary heart disease (CHD). This risk is particularly significant in Asian populations, according to a comprehensive meta-analysis.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- Common polymorphisms in the ABCA1 gene are implicated in coronary heart disease (CHD) development.
- Previous individual study results on the ABCA1 rs4149313 polymorphism and CHD risk are inconclusive.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the association between the ABCA1 rs4149313 polymorphism and CHD risk.
- To investigate potential ethnic differences in this association.
Main Methods:
- A systematic literature search was performed across multiple databases up to September 1, 2013.
- Meta-analysis was conducted using STATA 12.0, calculating odds ratios (OR) and 95% confidence intervals (CI).
- Eleven case-control studies comprising 5416 CHD patients and 20,897 controls were included.
Main Results:
- The ABCA1 rs4149313 polymorphism was associated with an increased risk of CHD.
- Subgroup analysis revealed a significant association in Asian populations but not in Caucasian populations.
- Meta-regression indicated ethnicity as a primary source of heterogeneity.
Conclusions:
- The ABCA1 rs4149313 polymorphism may contribute to CHD risk.
- The association appears stronger in Asian populations compared to Caucasian populations.
- Ethnicity is a crucial factor influencing the relationship between this polymorphism and CHD risk.
Abstract:
Many existing studies have demonstrated that common polymorphisms in the ABCA1 gene may play important roles in the development and progression of coronary heart disease (CHD), but individually published results are inconclusive. This meta-analysis aimed to derive a more precise estimation of the relationship between the ABCA1 rs4149313 polymorphism and CHD risk. We searched the CISCOM, CINAHL, Web of Science, PubMed, Google Scholar, EBSCO, Cochrane Library, and CBM databases from inception through 1 September 2013. Meta-analysis was performed using the STATA 12.0 software. Odds ratios (OR) and their 95% confidence intervals (CI) were estimated. Eleven case-control studies were included with a total of 5416 CHD patients and 20,897 healthy controls. Our meta-analysis results revealed that the ABCA1 rs4149313 polymorphism may be associated with an increased risk of CHD. Subgroup analysis by ethnicity suggested that there were significant associations between the ABCA1 rs4149313 polymorphism and an increased risk of CHD in Asian populations, but not in Caucasian populations (all P > 0.05). Meta-regression analyses showed that ethnicity may be a main source of heterogeneity. The present meta-analysis suggests that the ABCA1 rs4149313 polymorphism may contribute to the risk of CHD, especially in Asian populations.
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