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Provedor de dados:  BJMBR
País:  Brazil
Título:  HLA-DR3 antigen in the resistance to idiopathic dilated cardiomyopathy
Autores:  Jin,B.
Wu,B.W.
Wen,Z.C.
Shi,H.M.
Zhu,J.
Data:  2016-01-01
Ano:  2016
Palavras-chave:  HLA-DR
Dilated cardiomyopathy
Polymorphism
Meta-analysis
Resumo:  Idiopathic dilated cardiomyopathy (IDC) has been hypothesized as a multifactorial disorder initiated by an environment trigger in individuals with predisposing human leukocyte antigen (HLA) alleles. Published data on the association between HLA-DR3 antigen and IDC risk are inconclusive. To derive a more precise estimation of the relationship, a meta-analysis was performed. Studies were identified by searching the PUBMED and Embase database (starting from June 2015). A total of 19 case-control studies including 1378 cases and 10383 controls provided data on the association between HLA-DR3 antigen and genetic susceptibility to IDC. Overall, significantly decreased frequency of HLA-DR3 allele (OR=0.72; 95%CI=0.58-0.90; P=0.004) was found in patients with IDC compared with controls. When stratified by myocardial biopsy or non-biopsy cases, statistically decreased risk was found for IDC in myocardial biopsy cases (OR=0.69; 95%CI=0.57-0.84; P=0.0003). In the subgroup analysis by ethnicity, borderline statistically significantly decreased risk was found among Europeans from 12 case-control studies (OR=0.76; 95%CI=0.58-1.00; P=0.05). In conclusion, our results suggest that individuals with HLA-DR3 antigen may have a protective effect against IDC.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2016000400708
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/1414-431X20165131
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.49 n.4 2016
Direitos:  info:eu-repo/semantics/openAccess
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