Open Access常见的1型以及2型糖尿病基因变异与成人迟发型自身免疫性糖尿病之间的关系:一项meta分析
Author(s) -
Ramu Deepika,
Perumal Venkatesan,
Paul Solomon F. D.
Publication year - 2019
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12879
Subject(s) - ptpn22 , medicine , tcf7l2 , odds ratio , type 2 diabetes , type 1 diabetes , genotype , confidence interval , meta analysis , allele , diabetes mellitus , gastroenterology , case control study , single nucleotide polymorphism , endocrinology , genetics , gene , biology
Background The aim of this meta‐analysis was to determine the association of common type 1 diabetes (T1D) and type 2 diabetes (T2D) gene variants (protein tyrosine phosphatase non‐receptor 22 [ PTPN22 ] rs2476601C/T , insulin [ INS ] rs689A/T and transcription factor 7‐like 2 [ TCF7L2 ] rs7903146C/T) with latent autoimmune diabetes in adults (LADA). Methods A systematic search of electronic databases was conducted up to 2017 and data from 16 independent case‐control studies for three gene variants were pooled. The pooled allele and genotype frequencies for each T1D and T2D gene variant were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) to assess the strength of the association. Heterogeneity tests and evaluation of publication bias were performed for all studies. Results In all, 8869 cases and 20 829 controls pooled from 16 case‐control studies were included in the analysis. For rs2476601, a significant association was found for homozygote TT (OR 2.67; 95% CI 1.92‐3.70; P < 0.0001), heterozygote CT (OR 1.61; 95% CI 1.44‐1.79; P < 0.0001), and the T allele (OR 1.62; 95% CI 1.48‐1.78; P < 0.0001). Overall, a significant inverse association was observed for rs689 in the TT genotype (OR 0.43; 95% CI 0.30‐0.64; P < 0.0001), AT genotype (OR 0.53; 95% CI 0.45‐0.62; P < 0.0001), and T allele (OR 0.61; 95% CI 0.52‐0.71; P < 0.0001). For the rs7903146 polymorphism, the T allele (OR 1.19; 95% CI 1.00‐1.40; P = 0.04) may be associated with the risk of LADA. Conclusion The rs2476601C/T, rs689A/T, and rs7903146C/T polymorphisms were found to be associated with the risk of LADA, thereby indicating that, genetically, LADA could be an admixture of both T1D and T2D.