Literature DB >> 19608716

Meta-analyses on suspected chronic obstructive pulmonary disease genes: a summary of 20 years' research.

Joanna Smolonska1, Cisca Wijmenga, Dirkje S Postma, H Marike Boezen.   

Abstract

RATIONALE: Chronic obstructive pulmonary disease (COPD) is a complex disorder with high mortality worldwide. Studies on the role of candidate genes and their polymorphisms in COPD development have so far produced ambiguous results.
OBJECTIVES: The aim of this study was to reveal the role of COPD candidate genes using data collected in previous research.
METHODS: We performed meta-analyses on 20 polymorphisms in 12 genes, after searching the PubMed and Embase databases for publications on COPD. These genes involve three main pathways associated with COPD development: the inflammatory, protease-antiprotease balance, and antioxidant pathways.
MEASUREMENTS AND MAIN RESULTS: We obtained significant results for three TGFB1 polymorphisms, although these were based only on a few studies. The IL1RN VNTR polymorphism increases the risk for COPD (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.09-2.65), whereas the TNFA -308 G/A polymorphism does so only in Asian populations (OR, 2.01; 95% CI, 1.21-3.31). The GSTP1 I105V polymorphism was protective for COPD in Asian populations only (OR, 0.69; 95% CI, 0.56-0.85).
CONCLUSIONS: These results demonstrate the importance of ethnicity in identifying specific COPD genes.

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Year:  2009        PMID: 19608716     DOI: 10.1164/rccm.200905-0722OC

Source DB:  PubMed          Journal:  Am J Respir Crit Care Med        ISSN: 1073-449X            Impact factor:   21.405


  49 in total

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