血清白介素-17与骨质疏松症相关性的Meta分析

    Association between Serum Interleukin-17 and Osteoporosis: A Meta-Analysis

    • 摘要: 目的 通过统计学方法分析白介素-17与骨质疏松症的相关性。 方法 检索中国知网、中国生物医学文献检索数据库、万方科技期刊全文数据库、维普中文科技期刊全文数据库、美国国立图书馆、Web of Science、EMBASE、Cochrane 图书馆,查找白介素-17与骨质疏松症相关性的研究文献,检索时间段为建库至2019年6月1日。采用RevMan 5.3软件进行统计学分析。 结果 初步检索出732篇文献,最终纳入14篇,共涉及1 150人。结果显示绝经后骨质疏松症患者血清白介素-17水平高于绝经后骨量减少患者及骨质正常者标准化均数差=3.1,95%可信区间(1.46,4.73),P=0.000 2;标准化均数差=0.71,95%可信区间(0.37,1.05),P<0.000 1。类风湿关节炎患者骨量水平与血清白介素-17水平相关性不显著均数差=6.15,95%可信区间(-2.61,14.91),P=0.17。 结论 血清白介素-17水平升高可能与绝经后骨质疏松症相关,仍需更多大样本量、高质量的研究探索白介素-17表达与骨质疏松发生的关系及机制。

       

      Abstract: Objective To assess the relationship between interleukin-17 (IL-17) and osteoporosis. Methods Search the clinical literatures about IL - 17 and osteoporosis in China national knowledge infrastructure(CNKI), China Biology Medicine disc(CBM), Wanfang database,Chinese Weipu Database(VIP),The United States National Library of Medicine (PubMed), Web of Science, EMBASE and Cochrane library, retrieval period from inception to June 1, 2019, and analyzed data by Review Manager 5.3. Results 732 related literatures were retrieved and 14 articles were included in the final, involving a total of 1 150 people. Meta-analysis of eligible studies showed that postmenopausal osteoporosis or postmenopausal osteopenia patients had higher serum IL-17 levels compared to postmenopausal bone normal control groupSMD=3.1,95%CI(1.46,4.73), P=0.000 2; SMD=0.71,95%CI(0.37,1.05), P<0.000 1. There was no significant association between serum IL-17 and osteoporosis in rheumatoid arthritis patientsMD=6.15,95%CI(-2.61,14.91),P=0.17. Conclusion A high serum IL-17 expression is associated with postmenopausal osteoporosis, but more large and high-quality studies are needed to confirm the relation and mechanism.

       

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