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Published on: April 4, 2018
Association between the CYP11B2 gene -344T>C polymorphism and coronary artery disease: a meta-analysis
1Department of Cardiology, The General Hospital of the Chinese Armed Police Forces, Beijing, China.
Insights
The CYP11B2 gene -344T>C polymorphism may influence coronary artery disease (CAD) risk, particularly in Caucasian and Asian populations. This meta-analysis highlights ethnic differences in genetic susceptibility to CAD.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Molecular Biology
Background:
- The association between the CYP11B2 gene -344T>C polymorphism and coronary artery disease (CAD) risk remains controversial.
- Previous studies have yielded conflicting results regarding this genetic association.
Purpose of the Study:
- To conduct a meta-analysis to clarify the relationship between the CYP11B2 gene -344T>C polymorphism and CAD risk.
- To investigate potential ethnic variations in the association between the polymorphism and CAD.
Main Methods:
- A systematic literature search was performed on PubMed, EMBASE, and China National Knowledge Infrastructure databases for studies published before April 2014.
- Meta-analysis was employed to combine data from five studies involving 3687 subjects.
- Stratified analyses were conducted based on ethnicity.
Main Results:
- No significant overall association between the CYP11B2 -344T>C polymorphism and CAD risk was found in the general population.
- Significant associations were observed in stratified analyses: a protective effect in Caucasians (TT vs TC: OR = 0.80) and an increased risk in Asians (TT vs TC: OR = 1.25).
- Results remained robust after excluding a study that deviated from Hardy-Weinberg equilibrium.
Conclusions:
- The CYP11B2 gene -344T>C polymorphism may be associated with susceptibility to coronary artery disease (CAD).
- Ethnic background plays a role in the relationship between this polymorphism and CAD risk, suggesting differential susceptibility in Caucasian and Asian populations.
Abstract:
Numerous studies have evaluated the association between the CYP11B2 gene -344T>C polymorphism and coronary artery disease (CAD) risk. However, the specific association is still controversial. To address this issue, PubMed, EMBASE, and China National Knowledge Infrastructure databases were searched for eligible articles that reported on the relationship between the CYP11B2 gene -344T>C polymorphism and CAD, and were published before April 2014. Data from five separate studies with 3687 subjects were analyzed by meta-analysis. No significant variation in CAD risk was detected by any of the genetic models in the overall study population. Taking into account the effect of ethnicity, further stratified analyses demonstrated significant association in both Caucasian (TT vs TC: OR = 0.80, 95%CI = 0.64-1.00) and Asian populations (TT vs TC: OR = 1.25, 95%CI = 1.01-1.54; dominant model: OR = 0.80, 95%CI = 0.66-0.98). The pooled ORs were not substantially altered after the exclusion of one study in the control group that deviated from Hardy-Weinberg equilibrium, highlighting the reliability of our meta-analysis results. In conclusion, this meta-analysis suggested that the -344T>C polymorphism in the CYP11B2 gene might be associated with susceptibility to CAD in Caucasians and Asians.
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