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Quantitative assessment of the association between the GSTM1-null genotype and the risk of childhood asthma.

AbstractBACKGROUND:
Many studies investigated the association between the glutathione S-transferase M 1 (GSTM1)-null genotype and childhood asthma risk, but there was obvious inconsistence among those studies. The aim of this meta-analysis was to quantify the strength of association between the GSTM1-null genotype and risk of childhood asthma.
METHODS:
We searched the PubMed, Embase, and Wangfang databases for studies relating the association between the GSTM1-null genotype and risk of childhood asthma. We estimated the pooled odds ratio (OR) with its 95% confidence interval (95% CI) to assess the association.
RESULTS:
Nineteen case-control studies with 4,543 childhood asthma cases and 19,394 controls were included into this meta-analysis. Meta-analysis of all 19 studies showed that the GSTM1-null genotype was associated with increased risk of childhood asthma (OR=1.17, 95% CI 1.03-1.34, p=0.017). Subgroup analyses by ethnicity suggested that the GSTM1-null genotype was associated with an increased risk of childhood asthma in Caucasians and Africans (for Caucasians, fixed-effects OR=1.16, 95% CI 1.07-1.27, p=0.001; for Africans, fixed-effects OR=1.92, 95% CI 1.35-2.74, p<0.001). The cumulative meta-analyses showed a trend of obvious association between the GSTM1-null genotype and risk of childhood asthma as information accumulated in the analyses of both total studies and Caucasians. No evidence of publication bias was observed.
CONCLUSION:
Meta-analyses of available data suggest a significant association between the GSTM1-null genotype and the risk of childhood asthma, and the GSTM1-null genotype contributes to increased risk of childhood asthma, especially in Caucasians and Africans.
AuthorsFang Li, Shizhi Li, Hongyu Chang, Yaling Nie, Li Zeng, Xia Zhang, Yi Wang
JournalGenetic testing and molecular biomarkers (Genet Test Mol Biomarkers) Vol. 17 Issue 9 Pg. 656-61 (Sep 2013) ISSN: 1945-0257 [Electronic] United States
PMID23368529 (Publication Type: Journal Article, Meta-Analysis, Review)
Chemical References
  • Glutathione Transferase
  • glutathione S-transferase M1
Topics
  • Adolescent
  • Asthma (epidemiology, genetics)
  • Black People (genetics)
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Genotype
  • Glutathione Transferase (genetics)
  • Humans
  • Male
  • PubMed
  • Risk Factors
  • White People (genetics)

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