Source:http://linkedlifedata.com/resource/pubmed/id/15688186
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2005-4-4
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pubmed:abstractText |
Several reports demonstrate association between variants of the cytotoxic T lymphocyte antigen-4 (CTLA-4) and autoimmune diseases. CTLA-4 may generate autoimmunity by immune dysregulation, making CTLA-4 an attractive candidate gene for systemic lupus erythematosus (SLE) susceptibility. Previous CTLA-4 association studies with SLE, however, have produced inconsistent results. We have performed a meta-analysis to better assess the purported associations. A total of 14 independent studies (to July 2004) testing association between one or more CTLA-4 polymorphisms and SLE were used in this analysis. We have compared allele and genotype frequencies at four polymorphic sites found in exon-1 (at +49), the promoter region (at -318 and -1722), and the 3' untranslated region (3'UTR) (dinucleotide repeat). We have evaluated both fixed and random effect models, depending on the presence of between-study heterogeneity. The data demonstrate that the exon-1 +49 polymorphism is significantly associated with SLE susceptibility. The overall risk, measured by odds ratio (OR), for exon-1 +49 GG genotype is 1.287 [95% confidence interval (CI)=1.031-1.562, P=0.011]. Stratification by ethnicity indicates the exon-1 +49 GG genotype is associated with SLE, at least in Asians (OR=1.293, 95% CI=1.031-1.620, P=0.026). European-derived populations have an effect of similar magnitude (OR=1.268, 95% CI=0.860-1.870, P=0.230), though not significant. Similar trends are found in allele-specific risk estimates and disease association. The OR for the exon-1 +49 risk allele (G) in Asians is 1.246 (95% CI=1.057-1.469, P=0.009), while Europeans have no evidence of allelic association (OR=0.978, 95% CI=0.833-1.148, P=0.780). In conclusion, this meta-analysis supports the CTLA-4 exon-1 +49 (A/G) polymorphism influencing the risk for developing SLE, especially in Asians.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/AI053747,
http://linkedlifedata.com/resource/pubmed/grant/AI063622,
http://linkedlifedata.com/resource/pubmed/grant/AI24717,
http://linkedlifedata.com/resource/pubmed/grant/AR048928,
http://linkedlifedata.com/resource/pubmed/grant/AR049084,
http://linkedlifedata.com/resource/pubmed/grant/AR12253,
http://linkedlifedata.com/resource/pubmed/grant/AR42460,
http://linkedlifedata.com/resource/pubmed/grant/AR48940,
http://linkedlifedata.com/resource/pubmed/grant/DE15223,
http://linkedlifedata.com/resource/pubmed/grant/RR01577,
http://linkedlifedata.com/resource/pubmed/grant/RR020143,
http://linkedlifedata.com/resource/pubmed/grant/RR14467
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0340-6717
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
116
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
361-7
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:15688186-Antigens, CD,
pubmed-meshheading:15688186-Antigens, Differentiation,
pubmed-meshheading:15688186-Asian Continental Ancestry Group,
pubmed-meshheading:15688186-CTLA-4 Antigen,
pubmed-meshheading:15688186-Gene Frequency,
pubmed-meshheading:15688186-Genetic Predisposition to Disease,
pubmed-meshheading:15688186-Humans,
pubmed-meshheading:15688186-Lupus Erythematosus, Systemic,
pubmed-meshheading:15688186-Polymorphism, Genetic
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pubmed:year |
2005
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pubmed:articleTitle |
CTLA-4 polymorphisms and systemic lupus erythematosus (SLE): a meta-analysis.
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pubmed:affiliation |
Arthritis and Immunology Research Program, Oklahoma Medical Research Foundation, 825 N.E. 13th Street, Oklahoma City, OK 73104, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, U.S. Gov't, Non-P.H.S.,
Meta-Analysis,
Research Support, N.I.H., Extramural
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