The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis

Objective: Low-density lipoprotein receptor (LDL-R) gene polymorphisms have been indicated to be correlated with ischemic cerebrovascular disease including ischemic stroke susceptibility. However, the results from each published study are inconsistent. Methods: All eligible case-control studies that...

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Main Authors: Zhiming Dai, Yifan Wang, Peidi Li, Huijuan Zhang, Xiaohui Gou
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024023454
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author Zhiming Dai
Yifan Wang
Peidi Li
Huijuan Zhang
Xiaohui Gou
author_facet Zhiming Dai
Yifan Wang
Peidi Li
Huijuan Zhang
Xiaohui Gou
author_sort Zhiming Dai
collection DOAJ
description Objective: Low-density lipoprotein receptor (LDL-R) gene polymorphisms have been indicated to be correlated with ischemic cerebrovascular disease including ischemic stroke susceptibility. However, the results from each published study are inconsistent. Methods: All eligible case-control studies that met the search terms were retrieved in PubMed, Embase, Wanfang Med Online and Chinese National Knowledge Infrastructure (CNKI) databases. We identified seven independent case-control studies with a total of 10,355 subjects from Chinese population up to May 2023. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the susceptibility of ischemic stroke. Results: Meta-analysis results indicated that rs1122608 polymorphism of LDL-R gene significantly decreased ischemic stroke risk under dominant model (OR = 0.69, 95% CI = 0.54–0.87), heterozygote comparison (OR = 0.69, 95% CI = 0.53–0.92) and allele comparison (OR = 0.74, 95% CI = 0.65–0.84) in overall analysis. Furthermore, pooled analysis showed that significant associations were observed between rs688 polymorphism and ischemic stroke risk in heterozygote carriers (OR = 1.71, 95% CI = 1.07–2.71) and dominant model (OR = 1.67, 95% CI = 1.04–2.68) in Chinese population. Conclusions: Our comprehensive meta-analysis on the role of LDL-R gene rs1122608 and rs688 polymorphisms in the risk of ischemic stroke revealed that the rs1122608 polymorphism was associated with a decreased risk, while the rs688 polymorphism was associated with an increased risk of ischemic stroke in Chinese population. Further multicenter studies were needed to confirm the effect on the susceptibility of ischemic stroke.
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spelling doaj.art-1eff7fa498c8475396ade3d415c7d78e2024-03-09T09:27:57ZengElsevierHeliyon2405-84402024-02-01104e26314The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysisZhiming Dai0Yifan Wang1Peidi Li2Huijuan Zhang3Xiaohui Gou4Anesthesia Operation Center, The First People's Hospital of Xianyang, Xianyang, 712099, PR China; Department of Anesthesiology, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, 710004, PR China; Corresponding author. Anesthesia Operation Center, The First People's Hospital of Xianyang, Xianyang, 712000, PR China.Anesthesia Operation Center, The First People's Hospital of Xianyang, Xianyang, 712099, PR ChinaDepartment of Anesthesiology, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, 710004, PR ChinaDepartment of Anesthesiology, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, 710004, PR ChinaAnesthesia Operation Center, The First People's Hospital of Xianyang, Xianyang, 712099, PR ChinaObjective: Low-density lipoprotein receptor (LDL-R) gene polymorphisms have been indicated to be correlated with ischemic cerebrovascular disease including ischemic stroke susceptibility. However, the results from each published study are inconsistent. Methods: All eligible case-control studies that met the search terms were retrieved in PubMed, Embase, Wanfang Med Online and Chinese National Knowledge Infrastructure (CNKI) databases. We identified seven independent case-control studies with a total of 10,355 subjects from Chinese population up to May 2023. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the susceptibility of ischemic stroke. Results: Meta-analysis results indicated that rs1122608 polymorphism of LDL-R gene significantly decreased ischemic stroke risk under dominant model (OR = 0.69, 95% CI = 0.54–0.87), heterozygote comparison (OR = 0.69, 95% CI = 0.53–0.92) and allele comparison (OR = 0.74, 95% CI = 0.65–0.84) in overall analysis. Furthermore, pooled analysis showed that significant associations were observed between rs688 polymorphism and ischemic stroke risk in heterozygote carriers (OR = 1.71, 95% CI = 1.07–2.71) and dominant model (OR = 1.67, 95% CI = 1.04–2.68) in Chinese population. Conclusions: Our comprehensive meta-analysis on the role of LDL-R gene rs1122608 and rs688 polymorphisms in the risk of ischemic stroke revealed that the rs1122608 polymorphism was associated with a decreased risk, while the rs688 polymorphism was associated with an increased risk of ischemic stroke in Chinese population. Further multicenter studies were needed to confirm the effect on the susceptibility of ischemic stroke.http://www.sciencedirect.com/science/article/pii/S2405844024023454Low-density lipoprotein receptorPolymorphismIschemic strokeMeta-analysis
spellingShingle Zhiming Dai
Yifan Wang
Peidi Li
Huijuan Zhang
Xiaohui Gou
The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
Heliyon
Low-density lipoprotein receptor
Polymorphism
Ischemic stroke
Meta-analysis
title The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
title_full The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
title_fullStr The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
title_full_unstemmed The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
title_short The association between polymorphism of LDL-R gene and ischemic stroke risk in Chinese population: A meta-analysis
title_sort association between polymorphism of ldl r gene and ischemic stroke risk in chinese population a meta analysis
topic Low-density lipoprotein receptor
Polymorphism
Ischemic stroke
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2405844024023454
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