LBP rs2232618 polymorphism contributes to risk of sepsis after trauma.

LBP rs2232618 polymorphism contributes to risk of sepsis after trauma.
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LBP rs2232618 多态性增加创伤后败血症的风险

DOI:
10.1186/s13017-018-0214-1
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发表时间:
2018
期刊:
World journal of emergency surgery : WJES
影响因子:
--
通讯作者:
Jiang JX
Jiang JX
中科院分区:
其他
文献类型:
--
作者:
Lu HX;Sun JH;Wen DL;Du J;Zeng L;Zhang AQ;Jiang JX

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背景研究发现LBP基因rs 2232618多态性(Phe 436 Leu)是一种功能性变异,与创伤患者脓毒症的易感性相关。我们的目的是通过扩大人口样本量,并进行荟萃分析,以确定更多的evidence.MethodsTraumatic患者从西南(n= 1296)和东南(n= 445)的中国参加了我们的研究。基因分型后,分析rs 2232618与脓毒症风险的关系。此外,我们进行了全面的文献检索和荟萃分析,以确定是否rs 2232618多态性赋予易感性sepsis.ResultsSignificance之间的相关性观察rs 2232618和败血症的风险在西南地区的患者(显性模型P= 0.002,隐性模型P= 0.006)。在东南队列(显性模型P= 0.005)和总体合并队列(显性和隐性模型P= 4.5 × 10−4,P= 0.041)中证实了这种关联。多因素Logistic回归分析显示,rs 2232618多态性与脓毒症的高风险相关(西南组OR = 1.77,95%CI = 1.26- 2.48,P = 0.001;东南组OR = 2.11,95%CI = 1.24- 3.58,P = 0.006;总队列OR = 1.54,95%CI = 1.34- 2.08,P = 0.006)。此外,对四项研究进行了荟萃分析(包括本研究)证实LBP中的rs 2232618增加了脓毒症的风险。显性模型OR = 1.75,P < 0.001,隐性模型OR = 6.08,P = 0.003;结论rs 2232618 T等位基因可显著增加脓毒症的发病风险。
BackgroundPrevious study revealed that rs2232618 polymorphism (Phe436Leu) within LBP gene is a functional variant and associated with susceptibility of sepsis in traumatic patients. Our aim was to confirm the reported association by enlarging the population sample size and perform a meta-analysis to find additional evidence.MethodsTraumatic patients from Southwest (n= 1296) and Southeast (n= 445) of China were enrolled in our study. After genotyping, the relationship between rs2232618 and the risk of sepsis was analyzed. Furthermore, we proceeded with a comprehensive literature search and meta-analysis to determine whether the rs2232618 polymorphism conferred susceptibility to sepsis.ResultsSignificance correlation was observed between rs2232618 and risk of sepsis in Southwest patients (P= 0.002 for the dominant model,P= 0.006 for the recessive model). The association was confirmed in Southeast cohort (P= 0.005 for the dominant model) and overall combined cohorts (P= 4.5 × 10−4,P= 0.041 for the dominant and recessive model). Multiple logistical regression analyses suggested that rs2232618 polymorphism was related to higher risk of sepsis (OR = 1.77, 95% CI = 1.26–2.48,P= 0.001 in Southwest patients; OR = 2.11, 95% CI = 1.24–3.58,P= 0.006 in Southeast cohort; OR = 1.54, 95% CI = 1.34–2.08,P= 0.006 in overall cohort). Furthermore, meta-analysis of four studies (including the present study) confirmed that rs2232618 within LBP increased the risk of sepsis (OR = 1.75,P< 0.001 for the dominant model; OR = 6.08,P= 0.003 for the recessive model; OR = 2.72,P< 0.001 for the allelic model).ConclusionsThe results from our replication study and meta-analysis provided firm evidence that rs2232618T allele significantly increased the risk of sepsis.
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