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Myeloperoxidase polymorphism and coronary artery disease risk: A meta-analysis
Yan Wang1, Xu-Yan Chen, Ke Wang
1Department of Emergency Department of Intensive Care Unit, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.
Insights
This meta-analysis found a link between the myeloperoxidase (MPO) 463G/A gene variant and coronary artery disease (CAD) risk. However, the MPO 129G/A polymorphism showed no significant association with CAD.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Molecular Biology
Background:
- The myeloperoxidase (MPO) gene has two common polymorphisms, 463G/A and 129G/A.
- Previous studies suggest a link between these MPO gene polymorphisms and coronary artery disease (CAD), but findings are inconsistent.
Purpose of the Study:
- To clarify the association between MPO gene polymorphisms (463G/A and 129G/A) and the risk of coronary artery disease (CAD).
Main Methods:
- A comprehensive meta-analysis was conducted using literature retrieved from PubMed, EMBASE, and the Cochrane Library up to March 2015.
- Included were 8 case-control studies comprising 3491 CAD cases and 7293 controls.
- Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the genetic associations.
Main Results:
- Strong evidence indicated an association between the MPO 463G/A polymorphism and CAD risk, particularly under the dominant genetic model (OR = 0.872, 95% CI = 0.77-0.99).
- The MPO 129G/A polymorphism did not show a significant association with CAD risk (pooled OR for AA+AG vs. GG = 0.906, 95% CI = 0.74-1.10).
Conclusions:
- The MPO 463G/A polymorphism is associated with an increased risk of coronary artery disease.
- No significant association was found between the MPO 129G/A polymorphism and CAD risk, suggesting differential roles of these variants.
Abstract:
The myeloperoxidase (MPO) gene 463G/A and 129G/A polymorphisms have been reported to be associated with coronary artery disease (CAD), but the results remain inconclusive. This meta-analysis was designed to clarify these controversies.PubMed, EMBASE, and the Cochrane Library were used to retrieve the relevant literature up to March 2015 according to keywords. A total of 8 case-control studies, including 3491 cases and 7293 controls, were included in this meta-analysis. Summary odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were calculated.There was strong evidence of an association between the MPO 463G/A polymorphism and CAD. The data revealed that only the dominant model was associated with CAD (dominant model: OR = 0.872, 95% CI = 0.77-0.99). Regarding the 129G/A gene polymorphism, the pooled OR for the genotype AA + AG versus GG was 0.906 (95% CI = 0.74-1.10).This meta-analysis suggested an association between the MPO 463G/A polymorphism and the risk of CAD, but there is no significant association between the MPO 129G/A gene polymorphism and CAD risk.
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