The COX-2 rs20417 Polymorphism and Risk of Coronary Artery Disease: Evidence from 17,621 Subjects

Autor: Wenbin Wu, Miao Zhang, Yu Fu, Wang Heng, Guoheng Zhang, Dong Liu, Cunjiang Li, Zhang Hui, Shijiang Yang
Rok vydání: 2014
Předmět:
Zdroj: Heart, Lung and Circulation. 23:572-577
ISSN: 1443-9506
DOI: 10.1016/j.hlc.2014.01.002
Popis: Background The Cyclooxygenase-2 (COX-2) rs20417 polymorphism has been implicated in coronary artery disease (CAD) risk, but individually published studies have shown inconsistent results. The aim of this study was to clarify the effects of COX-2 rs20417 polymorphism on CAD risk. Methods A systematic literature search up to October 27, 2013 was carried out in PubMed, EMBASE, and Chinese National Knowledge Infrastructure (CNKI) databases, and the references of retrieved articles were screened. Crude odds ratios (ORs) with 95% confidence intervals (CIs) were analysed for co-dominant model (CC vs. GG), additive model (C vs. G), dominant model (CC+GC vs. GG), and recessive model (CC vs. GG+GC) to assess the association using fixed- or random-effect model. Results We identified nine articles (10 case-control studies) that included 3,439 cases and 14,182 controls for the present meta-analysis. Significant association between COX-2 rs20417 polymorphism and risk of CAD was observed in co-dominant model (OR=0.64, 95% CI=0.43-0.95, p =0.026) and recessive model (OR=0.77, 95% CI=0.61-0.97, p =0.025). Moreover, in the subgroup analysis stratified by ethnicity, significant associations were observed in Asians (OR=0.28, 95% CI=0.13–0.61, p =0.001 for CC vs. GC+GG; OR=0.24, 95% CI=0.11–0.51, p Conclusions These results suggest that COX-2 rs20417 polymorphism may contribute to CAD development, especially in Asians.
Databáze: OpenAIRE