Meta-Analysis of miR-146a Polymorphisms Association with Coronary Artery Diseases and Ischemic Stroke

Mei-Hua Bao1, Yan Xiao2, Qing-Song Zhang3

  • 1Department of Anatomy, Histology and Embryology, Changsha Medical University, Changsha 410219, China. mhbao78@163.com.

Insights

The miR-146a rs2910164 polymorphism is linked to reduced coronary artery disease (CAD) risk. This single nucleotide polymorphism (SNP) shows no significant association with ischemic stroke (IS) susceptibility overall.

Area of Science:

  • Genetics and Molecular Biology
  • Cardiovascular Diseases
  • Neurology

Background:

  • Coronary artery disease (CAD) and ischemic stroke (IS) are major causes of mortality, both stemming from atherosclerosis.
  • MicroRNA-146a (miR-146a) plays a role in the progression of CAD and IS.
  • A specific single nucleotide polymorphism (SNP), rs2910164, in the miR-146a precursor has been investigated for its association with CAD and IS risk, but findings remain inconsistent.

Purpose of the Study:

  • To conduct a meta-analysis evaluating the association between the miR-146a rs2910164 polymorphism and the risk of CAD and IS.
  • To clarify the conflicting results from previous studies regarding rs2910164 and its impact on atherosclerosis-related disease susceptibility.

Main Methods:

  • A systematic literature search was performed across major databases: Pubmed, Embase, Cochrane CENTRAL, CNKI, and CBM.
  • Eight studies comprising 3138 cases and 3097 controls were included in the meta-analysis.
  • Crude odds ratios (ORs) with 95% confidence intervals were calculated using random- or fixed-effect models to assess the strength of association for rs2910164.

Main Results:

  • The rs2910164 polymorphism was significantly associated with a reduced risk of CAD across multiple genetic models (allelic, homozygous, heterozygous, dominant).
  • Individuals with the GG genotype, GG + GC genotype, or G allele showed a lower risk of developing CAD.
  • No significant overall association was found between rs2910164 and IS susceptibility. However, subgroup analyses indicated a potential increased risk in large sample sizes and among Koreans under specific models.

Conclusions:

  • The rs2910164 polymorphism is associated with a decreased risk of coronary artery disease.
  • Rs2910164 is not definitively linked to ischemic stroke risk, despite some subgroup findings.
  • Rs2910164 may serve as a potential predictive marker for CAD susceptibility, but not for IS.

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