Tumor Necrosis Factor (TNF) -308G>A, Nitric Oxide Synthase 3 (NOS3) +894G>T Polymorphisms and Migraine Risk: A Meta-Analysis.

Tumor Necrosis Factor (TNF) -308G>A, Nitric Oxide Synthase 3 (NOS3) +894G>T Polymorphisms and Migraine Risk: A Meta-Analysis.
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DOI:
10.1371/journal.pone.0129372
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发表时间:
2015
期刊:
影响因子:
3.7
通讯作者:
Yu S
Yu S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chen M;Tang W;Hou L;Liu R;Dong Z;Han X;Zhang X;Wan D;Yu S

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关于肿瘤坏死因子 (TNF) –308G>A 和一氧化氮合酶 3 (NOS3) +894G>T 多态性与偏头痛之间的关联,已有相互矛盾的数据报道。我们对病例对照研究进行了荟萃分析,以评估 TNF –308G>A 和 NOS3 +894G>T 多态性是否赋予偏头痛遗传易感性。我们根据截至 2014 年 7 月发表的研究,对 TNF –308G>A 进行了更新的荟萃分析,对 NOS3 +894G>T 进行了荟萃分析。假设等位基因对比、显性模型、隐性模型和共显性模型作为汇总效应估计,我们计算了研究特定比值比 (OR) 和 95% 置信区间 (95% CI)。分析中纳入了 11 项针对 6682 名偏头痛患者和 22591 名对照者的 TNF –308G>A 研究,以及 6 项针对 1055 名偏头痛患者和 877 名对照者的 NOS3 +894G>T 研究。两者均未表明基因多态性与偏头痛风险之间的总体关联。亚组分析表明,TNF –308G>A 变异的“A”等位基因会增加非白种人患偏头痛的风险(主导模型:合并 OR = 1.82;95% CI 1.15 – 2.87)。在白人和非白人中,先兆偏头痛 (MA) 的风险均增加。亚组分析表明,NOS3 +894G>T 变体的“T”等位基因会增加非白种人患偏头痛的风险(共显性模型:合并 OR = 2.10;95% CI 1.14 – 3.88)。我们的研究结果似乎支持以下假设:TNF –308G>A 多态性可能是非白种人偏头痛的遗传易感因素,而 NOS3 +894G>T 多态性可能调节非白种人偏头痛的风险。
Conflicting data have been reported on the association between tumor necrosis factor (TNF) –308G>A and nitric oxide synthase 3 (NOS3) +894G>T polymorphisms and migraine. We performed a meta-analysis of case-control studies to evaluate whether the TNF –308G>A and NOS3 +894G>T polymorphisms confer genetic susceptibility to migraine. We performed an updated meta-analysis for TNF –308G>A and a meta-analysis for NOS3 +894G>T based on studies published up to July 2014. We calculated study specific odds ratios (OR) and 95% confidence intervals (95% CI) assuming allele contrast, dominant model, recessive model, and co-dominant model as pooled effect estimates. Eleven studies in 6682 migraineurs and 22591 controls for TNF –308G>A and six studies in 1055 migraineurs and 877 controls for NOS3 +894G>T were included in the analysis. Neither indicated overall associations between gene polymorphisms and migraine risk. Subgroup analyses suggested that the “A” allele of the TNF –308G>A variant increases the risk of migraine among non-Caucasians (dominant model: pooled OR = 1.82; 95% CI 1.15 – 2.87). The risk of migraine with aura (MA) was increased among both Caucasians and non-Caucasians. Subgroup analyses suggested that the “T” allele of the NOS3 +894G>T variant increases the risk of migraine among non-Caucasians (co-dominant model: pooled OR = 2.10; 95% CI 1.14 – 3.88). Our findings appear to support the hypothesis that the TNF –308G>A polymorphism may act as a genetic susceptibility factor for migraine among non-Caucasians and that the NOS3 +894G>T polymorphism may modulate the risk of migraine among non-Caucasians.
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