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IFITM3 rs12252 T>C polymorphism is associated with the risk of severe influenza: a meta-analysis
1Key Laboratory of Environmental Medicine Engineering,Ministry of Education,Department of Epidemiology & Biostatistics,School of Public Health,Southeast University,Nanjing,China.
Abstract:
The interferon-inducible transmembrane protein 3 (IFITM3), as one of the key genes involved in the interferon pathway, is critical for defending the host against influenza virus, and the rs12252 T>C variant in IFITM3 might be associated with susceptibility to severe influenza. Owing to contradictory and inconclusive results, we performed a meta-analysis to assess the association between rs12252 T>C polymorphism and severe influenza risk. A comprehensive literature search up to 1 August 2014 was conducted in EMBASE, Pubmed, Web of Science, VIP, Wanfang and CNKI databases. Four eligible studies with a total of 445 influenza patients and 3396 controls were included in this meta-analysis. Overall, our results demonstrated a significant association between the IFITM3 rs12252 T>C polymorphism and influenza risk [C vs. T: odds ratio (OR) 1·68, 95% confidence interval (CI) 1·32-2·13; CC vs. CT+TT: OR 2·38, 95% CI 1·52-3·73; CC+CT vs. TT: OR 1·62, 95% CI 1·18-2·22]. Stratification by ethnicity indicated that the variant C allele was associated with an 88% increased risk of influenza in Asians (C vs. T: OR 1·88, 95% CI 1·34-2·62). Moreover, subjects carrying the variant C allele had an increased risk of developing severe illness upon influenza infection (C vs. T: OR 2·70, 95% CI 1·86-3·94). However, no significant association was observed in patients with mild infection (C vs. T: OR 1·26, 95% CI 0·93-1·71). Our meta-analysis suggests that IFITM3 rs12252 T>C polymorphism is significantly associated with increased risk of severe influenza but not with the chance of initial virus infection.
Insights
The interferon-inducible transmembrane protein 3 (IFITM3) rs12252 T>C variant is linked to a higher risk of severe influenza. This genetic polymorphism increases susceptibility to severe illness but not initial infection.
Area of Science:
- Immunogenetics
- Viral Pathogenesis
- Human Genetics
Background:
- The interferon-inducible transmembrane protein 3 (IFITM3) is crucial for antiviral defense against influenza.
- The IFITM3 rs12252 T>C polymorphism has been proposed to influence susceptibility to severe influenza.
- Previous studies on this association yielded contradictory and inconclusive results.
Purpose of the Study:
- To conduct a meta-analysis assessing the association between the IFITM3 rs12252 T>C polymorphism and the risk of severe influenza.
- To clarify the conflicting findings regarding this genetic variant and influenza severity.
Main Methods:
- A comprehensive literature search was performed across multiple databases (EMBASE, Pubmed, Web of Science, VIP, Wanfang, CNKI) up to August 1, 2014.
- Four eligible studies, comprising 445 influenza patients and 3396 controls, were included in the meta-analysis.
- Statistical analysis, including odds ratios (OR) and 95% confidence intervals (CI), was used to evaluate the associations.
Main Results:
- A significant overall association was found between the IFITM3 rs12252 T>C polymorphism and influenza risk (e.g., C vs. T: OR 1.68, 95% CI 1.32-2.13).
- Stratification by ethnicity revealed an increased influenza risk in Asians carrying the variant C allele (C vs. T: OR 1.88, 95% CI 1.34-2.62).
- The variant C allele was significantly associated with an increased risk of developing severe influenza (C vs. T: OR 2.70, 95% CI 1.86-3.94), but not with mild infections.
Conclusions:
- The IFITM3 rs12252 T>C polymorphism is significantly associated with an elevated risk of severe influenza.
- This genetic variant does not appear to influence the risk of initial influenza virus infection.
- The findings highlight the role of IFITM3 genetic variations in modulating influenza disease severity.
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