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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Association between MCP-1 2518 A>G gene polymorphism and chronic kidney disease
1Department of Pediatrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. edjh123456@sina.com.
Abstract:
Monocyte chemoattractant protein-1 (MCP-1) is involved in the pathogenesis of chronic kidney diseases (CKD). MCP-1 2518 A>G gene polymorphism is associated with MCP-1 status. We performed a meta-analysis to assess the association between MCP-1 2518 A>G gene polymorphism and CKD risk. The eligible studies regarding the relationship between MCP-1 2518 A>G gene polymorphism and CKD risk were searched through electronic databases. The pooled odds ratios (ORs) and its 95% confidence intervals (CIs) were calculated by using a fixed-effects model, or in the presence of heterogeneity, a random-effects model. A total of 2415 cases and 2011 controls were recruited in our investigation. A allele/GG genotype was not associated with CKD risk in overall populations, Asians, Caucasians, and Africans. AA/AG genotype was not associated with the risk of CKD in overall populations, Asians, Caucasians, and Africans. AA genotype was associated with a lower risk of CKD in Caucasians (OR 0.816, 95% CI 0.703-0.947). AG genotype was associated with a higher risk of CKD in Caucasians (OR 1.230, 95% CI 1.042-1.452). There was no marked publication bias. In conclusion, AA genotype may be a protective factor against CKD susceptibility in Caucasians. AG genotype may be a risk factor for CKD risk in Caucasians. However, more studies are needed in the future.
Insights
The MCP-1 2518 A>G gene polymorphism was analyzed for chronic kidney disease (CKD) risk. AA genotype showed a protective effect in Caucasians, while AG genotype indicated an increased risk.
Area of Science:
- Genetics and Molecular Biology
- Nephrology
- Immunology
Background:
- Monocyte chemoattractant protein-1 (MCP-1) plays a role in chronic kidney disease (CKD) pathogenesis.
- The MCP-1 2518 A>G gene polymorphism influences MCP-1 levels and may impact CKD susceptibility.
Purpose of the Study:
- To evaluate the association between the MCP-1 2518 A>G gene polymorphism and the risk of developing CKD.
- To synthesize evidence from existing studies using a meta-analysis approach.
Main Methods:
- A comprehensive search of electronic databases was conducted to identify relevant studies.
- Meta-analysis was performed using fixed-effects or random-effects models to calculate pooled odds ratios (ORs) and 95% confidence intervals (CIs).
- The analysis included a total of 2415 cases and 2011 controls across various populations.
Main Results:
- No significant association was found between the A allele/GG genotype and CKD risk in overall populations, Asians, Caucasians, or Africans.
- Similarly, the AA/AG genotype showed no association with CKD risk across these populations.
- However, the AA genotype was associated with a reduced risk of CKD in Caucasians (OR 0.816, 95% CI 0.703-0.947).
- Conversely, the AG genotype was linked to an increased risk of CKD in Caucasians (OR 1.230, 95% CI 1.042-1.452).
- No significant publication bias was detected.
Conclusions:
- The AA genotype of the MCP-1 2518 A>G polymorphism may confer a protective effect against CKD in Caucasian populations.
- The AG genotype may represent a risk factor for CKD development in Caucasians.
- Further research is warranted to confirm these findings and explore underlying mechanisms.
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