Quantitative assessment of association between rs1801133 polymorphism and susceptibility to stroke
Wei Zhang1, Ye Wang, Guorong Bi
1Department of Neurology, Shengjing Hospital of China Medical University, Shenyang, 110004, China.
Abstract:
Methylenetetrahydrofolate reductase (MTHFR) is an important enzyme involved in folate metabolism, which is essential for DNA synthesis and methylation. Genetic variations in the MTHFR gene seem to contribute to a decreased activity of MTHFR, ultimately confer increased susceptibility to stroke. To assess the association between this polymorphism and stroke risk, we conducted a comprehensive meta-analysis based on 73 eligible studies. A total of 73 studies, including 10,225 cases and 13,800 controls identified between 1999 and 2012, were selected through researching the PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science, and Chinese Biomedical Chinese National Knowledge Infrastructure and Literature database databases. Odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to assess the association. Overall, a significant elevated risk of stroke risk was associated with the rs1801133 polymorphism in all genetic models (homozygote model: OR 1.296, 95% CI 1.109-1.514; dominant model: OR 1.179, 95% CI 1.058-1.315; recessive model: OR 1.209, 95% CI 1.063-1.375; allele comparison model: OR 1.154, 95% CI 1.061-1.256). In the stratified analyses, significantly increased stroke risks were indicated among Asians in all genetic models (homozygote model: OR 1.726, 95% CI 1.314-2.267; dominant model: OR 1.535, 95% CI 1.282-1.838; recessive model: OR 1.452, 95% CI 1.160-1.818; allele comparison model: OR 1.403, 95% CI 1.211-1.626).The present meta-analysis suggests that rs1801133 polymorphism contributes to the risk of stroke, of note, in Asian populations.
Insights
Genetic variations in the Methylenetetrahydrofolate reductase (MTHFR) gene, specifically the rs1801133 polymorphism, are linked to an increased risk of stroke. This association is particularly notable in Asian populations, highlighting a significant genetic predisposition.
Area of Science:
- Genetics
- Metabolic Disorders
- Epidemiology
Background:
- Methylenetetrahydrofolate reductase (MTHFR) is crucial for folate metabolism, DNA synthesis, and methylation.
- Genetic variations in MTHFR can lead to reduced enzyme activity, potentially increasing stroke susceptibility.
Purpose of the Study:
- To conduct a comprehensive meta-analysis assessing the association between MTHFR gene polymorphism (rs1801133) and stroke risk.
- To evaluate the overall and population-specific risks conferred by this polymorphism.
Main Methods:
- A meta-analysis was performed on 73 studies (10,225 cases, 13,800 controls) published between 1999 and 2012.
- Data was sourced from major databases including PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science, and CNKI.
- Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for various genetic models.
Main Results:
- The rs1801133 polymorphism was significantly associated with an elevated stroke risk across all genetic models (e.g., homozygote OR 1.296, allele comparison OR 1.154).
- Stratified analyses revealed a significantly increased stroke risk among Asian populations in all genetic models (e.g., homozygote OR 1.726, allele comparison OR 1.403).
Conclusions:
- The rs1801133 MTHFR polymorphism is a contributing factor to stroke risk.
- The risk associated with this polymorphism is particularly pronounced in Asian populations, warranting further investigation and potential clinical consideration.
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