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Association of beta2-adrenoceptor polymorphisms with asthma risk and therapeutic response: a meta-analysis and systematic review

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机构: [1]Department of Respiration Medicine, West China Hospital, Sichuan University, Chengdu 610041, China [2]Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [3]Hanling Tongjin Clinic, Chengdu 611700, Sichuan, China [4]Shanghai University of Medicine and Health Science, Shanghai 200093, China.
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关键词: Beta2-adrenergic receptor meta-analysis polymorphism pharmacogenetics

摘要:
The contribution of beta2-adrenergic receptor (beta 2-AR) gene poly-morphisms to the development of asthma in the population is uncertain. We performed a meta-analysis to investigate the association between beta 2-AR polymorphisms and asthma risk and responses to treatments with different drugs. We searched ISI, Medline (Ovid), PubMed, CNKI, Wanfang, and Weipu databases and identified relevant literature reports. Statistical analysis was performed by using the software Revman 5.0 (Cochrane Collaboration, www.cochrane.org) and Stata 12.0 (Stata Corp, College Station, TX, USA, www.stata.com). A total of 61 studies including 45 case-controls, 10 cohorts, and 6 randomly controlled trials were subjected to our meta-analysis. Our results indicated that polymorphisms of beta 2-AR were not a major risk factor for the development of asthma. In the subgroup analysis by age and ethnicity, no significant associations were found among asthma patients when comparing homozygotic Arg/Arg with homozygotic Gly/Gly patients. Results from other comparative genetic models also indicated the lack of associations between this polymorphism and asthma risks. Patients with the Arg16Gly genotype might not benefit from treatments with long-acting beta-agonist (LABA) coupled with inhaled corticosteroid (ICS), ICS alone, LABA alone, or short-acting beta-agonist (SABA). Polymorphisms of beta 2-AR re not a major risk factor for the development of asthma. The results of study also show a poor correlation of therapeutic responses with beta 2-AR polymorphism.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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出版当年[2016]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Department of Respiration Medicine, West China Hospital, Sichuan University, Chengdu 610041, China
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通讯机构: [1]Department of Respiration Medicine, West China Hospital, Sichuan University, Chengdu 610041, China [*1]Department of Respiratory Medicine, West China Hospital, Sichuan University, 37 Guoxuexiang, Chengdu 610041, Sichuan Province, China.
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