Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies

<i>Background and Objectives:</i> Several studies inspected the impact of <i>P2X7</i> polymorphisms on individual susceptibility to tuberculosis (TB), but the findings are still controversial and inconclusive. To achieve a more precise estimation, we conducted a meta-analysis...

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Main Authors: Mohsen Taheri, Hosna Sarani, Abdolkarim Moazeni-Roodi, Mohammad Naderi, Mohammad Hashemi
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/6/298
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author Mohsen Taheri
Hosna Sarani
Abdolkarim Moazeni-Roodi
Mohammad Naderi
Mohammad Hashemi
author_facet Mohsen Taheri
Hosna Sarani
Abdolkarim Moazeni-Roodi
Mohammad Naderi
Mohammad Hashemi
author_sort Mohsen Taheri
collection DOAJ
description <i>Background and Objectives:</i> Several studies inspected the impact of <i>P2X7</i> polymorphisms on individual susceptibility to tuberculosis (TB), but the findings are still controversial and inconclusive. To achieve a more precise estimation, we conducted a meta-analysis of all eligible studies on the association between <i>P2X7</i> polymorphisms and TB risk. <i>Materials and</i> <i>Methods:</i> Relevant studies were identified by searching the PubMed, Web of Science, Scopus and Google scholar databases up to November 2018. Twenty-four full-text articles were included in our meta-analysis. The strength of association between <i>P2X7</i> polymorphisms and TB risk was evaluated by odds ratios (ORs) and 95% confidence intervals (95% CIs) under five genetic models. <i>Results:</i> The findings of this meta-analysis revealed that the rs3751143 variant significantly increased the risk of TB in heterozygous codominant (OR = 1.44, 95%CI = 1.17&#8722;1.78, <i>p</i> = 0.0006, AC vs. AA), homozygous codominant (OR = 1.87, 95% CI = 1.40&#8722;2.49, <i>p</i> = 0.0004, CC vs. AA), dominant (OR = 1.50, 95% CI = 1.22&#8722;1.85, <i>p</i> = 0.0002, AC + CC vs. AA), recessive (OR = 1.61, 95% CI = 1.25&#8722;2.07, <i>p</i> = 0.001, CC vs. AC + AA), and allele (OR = 1.41, 95% CI = 1.19&#8722;1.67, <i>p</i> &lt; 0.0001, C vs. A) genetic models. Stratified analysis showed that rs3751143 increased the risk of pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) in all genetic models. Furthermore, the rs3751143 increased risk of TB in the Asian population. The findings did not support an association between the rs2393799, rs1718119, rs208294, rs7958311, and rs2230911 polymorphisms of <i>P2X7</i> and TB risk. <i>Conclusions:</i> The findings of this meta-analysis suggest that <i>P2X7</i> rs3751143 polymorphism may play a role in susceptibility to TB in the Asian population. More well-designed studies are required to elucidate the exact role of <i>P2X7</i> polymorphisms on TB development.
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spelling doaj.art-f4911d38501f4ec7a67b83b88324b98f2023-09-03T00:33:03ZengMDPI AGMedicina1010-660X2019-06-0155629810.3390/medicina55060298medicina55060298Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control StudiesMohsen Taheri0Hosna Sarani1Abdolkarim Moazeni-Roodi2Mohammad Naderi3Mohammad Hashemi4Genetics of Non-communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan 9816743463, IranChildren and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan 9816743111, IranDepartment of Clinical Biochemistry, Iranshahr University of Medical Sciences, Iranshahr 9916643535, IranInfectious Diseases and Tropical Medicine Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan 9816743111, IranGenetics of Non-communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan 9816743463, Iran<i>Background and Objectives:</i> Several studies inspected the impact of <i>P2X7</i> polymorphisms on individual susceptibility to tuberculosis (TB), but the findings are still controversial and inconclusive. To achieve a more precise estimation, we conducted a meta-analysis of all eligible studies on the association between <i>P2X7</i> polymorphisms and TB risk. <i>Materials and</i> <i>Methods:</i> Relevant studies were identified by searching the PubMed, Web of Science, Scopus and Google scholar databases up to November 2018. Twenty-four full-text articles were included in our meta-analysis. The strength of association between <i>P2X7</i> polymorphisms and TB risk was evaluated by odds ratios (ORs) and 95% confidence intervals (95% CIs) under five genetic models. <i>Results:</i> The findings of this meta-analysis revealed that the rs3751143 variant significantly increased the risk of TB in heterozygous codominant (OR = 1.44, 95%CI = 1.17&#8722;1.78, <i>p</i> = 0.0006, AC vs. AA), homozygous codominant (OR = 1.87, 95% CI = 1.40&#8722;2.49, <i>p</i> = 0.0004, CC vs. AA), dominant (OR = 1.50, 95% CI = 1.22&#8722;1.85, <i>p</i> = 0.0002, AC + CC vs. AA), recessive (OR = 1.61, 95% CI = 1.25&#8722;2.07, <i>p</i> = 0.001, CC vs. AC + AA), and allele (OR = 1.41, 95% CI = 1.19&#8722;1.67, <i>p</i> &lt; 0.0001, C vs. A) genetic models. Stratified analysis showed that rs3751143 increased the risk of pulmonary tuberculosis (PTB) and extrapulmonary tuberculosis (EPTB) in all genetic models. Furthermore, the rs3751143 increased risk of TB in the Asian population. The findings did not support an association between the rs2393799, rs1718119, rs208294, rs7958311, and rs2230911 polymorphisms of <i>P2X7</i> and TB risk. <i>Conclusions:</i> The findings of this meta-analysis suggest that <i>P2X7</i> rs3751143 polymorphism may play a role in susceptibility to TB in the Asian population. More well-designed studies are required to elucidate the exact role of <i>P2X7</i> polymorphisms on TB development.https://www.mdpi.com/1010-660X/55/6/298P2X7polymorphismtuberculosismeta-analysis
spellingShingle Mohsen Taheri
Hosna Sarani
Abdolkarim Moazeni-Roodi
Mohammad Naderi
Mohammad Hashemi
Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
Medicina
P2X7
polymorphism
tuberculosis
meta-analysis
title Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
title_full Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
title_fullStr Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
title_full_unstemmed Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
title_short Association between P2X7 Polymorphisms and Susceptibility to Tuberculosis: An Updated Meta-Analysis of Case-Control Studies
title_sort association between p2x7 polymorphisms and susceptibility to tuberculosis an updated meta analysis of case control studies
topic P2X7
polymorphism
tuberculosis
meta-analysis
url https://www.mdpi.com/1010-660X/55/6/298
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