Source:http://linkedlifedata.com/resource/pubmed/id/20177792
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2011-5-2
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pubmed:abstractText |
In the past decade, a number of case-control studies have been carried out to investigate the relationship between the ApoE polymorphism and diabetic nephropathy. However, the results have been inconclusive. To investigate this inconsistency, we performed a meta-analysis of all available studies dealing with the relationship between the ApoE polymorphism and DN. The 23 studies in the meta- analysis included 6,012 diabetic patients with (n = 2,979) and without (n = 3,033) DN. The ApoE ?2 allele was significantly associated with DN (OR = 1.64, 95% CI: 1.26-2.13; P(Z) = 0.00027), whereas the ?4 allele was non-significantly associated with DN (OR = 0.93, 95% CI: 0.78-1.11; P(Z) = 0.418). However, significant heterogeneity was detected. In further subgroup analyses, genotyping methods, outcome of cases and duration of diabetes in controls were found to explain some of the heterogeneity. Genotypic analysis also found a strong association between the ?2 carriers and DN (OR = 1.61, 95% CI: 1.22-2.13; P(Z) = 0.001) and indicated that ?4 tended to have a marginally significant protective effect for DN (OR = 0.82, 95% CI: 0.65-1.03; P(Z) = 0.085). The results of our meta-analysis support a genetic association between the ApoE polymorphism and DN. ?2 increases the risk of DN in diabetes patients, while ?4 trends to be protective. These findings may have implications for therapeutic intervention in diabetic nephropathy.
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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 |
Jun
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pubmed:issn |
1573-4978
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
3243-52
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pubmed:meshHeading |
pubmed-meshheading:20177792-Alleles,
pubmed-meshheading:20177792-Apolipoproteins E,
pubmed-meshheading:20177792-Diabetic Nephropathies,
pubmed-meshheading:20177792-Genetic Variation,
pubmed-meshheading:20177792-Genotype,
pubmed-meshheading:20177792-Humans,
pubmed-meshheading:20177792-Polymorphism, Genetic,
pubmed-meshheading:20177792-PubMed
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pubmed:year |
2011
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pubmed:articleTitle |
Genetic diversity of the apolipoprotein E gene and diabetic nephropathy: a meta-analysis.
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pubmed:affiliation |
Bio-X Center, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, 1954 Huashan Road, Shanghai 200030, China.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Meta-Analysis
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