Association of C-reactive protein gene polymorphisms with the risk of ischemic stroke: A systematic review and
Wei Chen1,2,3, Xiaomin Zhu4, Yueqiang Hu2
1Graduate School of Jiangxi University of Chinese Medicine, Nanchang, China.
Insights
C-reactive protein (CRP) gene variants show no significant association with ischemic stroke (IS) risk. Further research is needed for specific CRP gene polymorphisms like rs1800947 in certain populations.
Area of Science:
- Genetics and Molecular Biology
- Neurology
- Cardiovascular Research
Background:
- Ischemic stroke (IS) is a complex condition influenced by genetic and environmental factors.
- Previous studies on C-reactive protein (CRP) gene polymorphisms and IS risk have yielded inconsistent results.
- This meta-analysis aimed to clarify the association between CRP gene variants and IS risk.
Approach:
- A comprehensive literature search was conducted across major databases (PubMed, EMBASE, Cochrane Library, Google Scholar) from 1950 to 2022.
- Twelve case-control studies involving 3880 IS cases and 5233 controls were analyzed.
- Odds ratios (OR) with 95% Confidence Intervals (CIs) were calculated using fixed/random effect models for five CRP gene polymorphisms (rs1800947, rs1130864, rs3093059, rs2794521, rs1205).
Key Points:
- No significant association was found between CRP gene polymorphisms rs1130864, rs3093059, rs2794521, and rs1205 and IS risk across all models.
- A trend towards significant association was observed for rs1800947 under dominant, recessive, and allelic models.
- A protective association was noted for rs1130864 under the dominant model and for rs3093059 under the allelic model.
Conclusions:
- The analyzed CRP gene variants (rs1800947, rs1130864, rs3093059, rs2794521, rs1205) are not definitively linked to ischemic stroke risk.
- Further investigation into the rs1800947 polymorphisms within specific populations is warranted.
Background And Purpose:
The heterogeneous, complex condition known as ischemic stroke (IS) is brought on by the interaction of a number of risk factors and genetic variables. The association between C-reactive protein (CRP) gene polymorphisms and IS has, however, been the subject of inconsistent findings. Therefore, we conducted a meta-analysis to comprehensively address possible associations of CRP genes with the risk of IS.
Methods:
A comprehensive literature search for all the published articles was performed in electronic databases including PubMed, EMBASE, Cochrane Library, and Google Scholar from January 1, 1950 to June 30, 2022. Odds ratio (OR) with 95% Confidence interval (CIs) along with fixed/random effect models were used to calculate summary estimates.
Results:
Twelve case-control studies totalling 3880 IS cases and 5233 controls were included for the association of CRP gene polymorphisms (rs1800947, rs1130864, rs3093059, rs2794521, and rs1205). Across all genotyping models, we discovered that rs1130864, rs3093059, rs2794521, and rs1205SNPs were not substantially related to IS risk. A trend for significant association for rs1800947 under dominant (OR = 1.19; 95% CI = 0.97 to 1.48), recessive (OR = 1.49; 95% CI = 0.71 to 3.14) and allelic model (OR = 1.21; 95% CI = 0.99 to 1.48) was observed. However, protective association for rs1130864 under dominant (OR = 0.80; 95% CI = 0.70 to 0.91) and rs3093059 under allelic model (OR = 0.18; 95% CI = 0.14 to 0.22) was found.
Conclusion:
Our thorough study revealed that the CRP gene variants rs1800947, rs1130864, rs3093059, rs2794521, and rs1205 could not be related to the risk of ischemic stroke. However, additional research must focus on the rs1800947 polymorphisms in a particular group.
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