Journal
PLOS ONE
Volume 7, Issue 4, Pages -Publisher
PUBLIC LIBRARY SCIENCE
DOI: 10.1371/journal.pone.0034839
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Funding
- National Natural Science Foundation of China [81072726]
- National Natural Science Foundation of China, Beijing, China
- natural science foundation of Fujian province [2009J01163]
- Fujian Provincial Department of Science & Technology, Fujian, China
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Objective: Elevated serum IL-6 level is a risk factor for coronary heart disease (CHD). The -174G>C and -572G>C polymorphisms in the IL-6 gene have previously been shown to modulate IL-6 levels. But the association between the -174G>C and -572G>C polymorphisms and the risk of CHD is still unclear. A meta-analysis of all eligible studies was carried out to clarify the role of IL-6 gene polymorphisms in CHD. Methods and Results: PubMed, EMBASE, Vip, CNKI and CBM-disc were searched for eligible articles in English and Chinese that were published before October 2010. 27 studies involving 11580 patients with CHD and 17103 controls were included. A meta-analysis was performed for the included articles using the RevMan 5.0 and Stata 10.0 softwares. Overall, the -174C allele was not significantly associated with CHD risk (ORs = 1.04, 95%CI = 0.98 to 1.10) when compared with the -174G allele in the additive model, and meta-analysis under other genetic models (dominant, recessive, CC versus GG, and GC versus GG) also did not reveal any significant association. On the contrary, the -572C allele was associated with a decreased risk of CHD when compared with the -572G allele (ORs = 0.79, 95%CI = 0.68 to 0.93). Furthermore, analyses under the recessive model (ORs = 0.69, 95% = 0.59 to 0.80) and the allele contrast model (genotype of CC versus GG, ORs = 0.49, 95% = 0.35 to 0.70) yielded similar results. However, statistical significance was not found when the meta-analysis was restricted to studies focusing on European populations, studies with large sample size, and cohort studies by using subgroup analysis. Conclusions: The -174G>C polymorphism in the IL-6 gene is not significantly associated with increased risks of CHD. However, The -572G>C polymorphism may contribute to CHD development. Future investigations with better study design and large number of subjects are needed.
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