PMID- 26346467 OWN - NLM STAT- MEDLINE DCOM- 20161216 LR - 20201019 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 41 IP - 10 DP - 2015 Oct TI - Interleukin-18 gene polymorphisms and risk of recurrent pregnancy loss: A systematic review and meta-analysis. PG - 1506-13 LID - 10.1111/jog.12800 [doi] AB - Interleukin-18 (IL-18) plays a potential pathological role in recurrent pregnancy loss (RPL). The results of published studies on the relationship between IL-18 gene promoter polymorphisms (-137G/C and-607C/A) and RPL risk remain controversial. This meta-analysis was performed to evaluate the association of IL-18, -137G/C and-607C/A gene polymorphisms with the risk of RPL under recessive, dominant and additive genetic models. A literature search was conducted in Medline, Embase and Web of Science for studies that described the effect of IL-18 gene polymorphisms on RPL risk. The numbers of each -137G/C and-607C/A genotype in the case and control groups were extracted. Quality of the original studies' methodology was also assessed. Meta-analysis was performed using Stata 13.1 software and the fixed effect model was used. Five articles were included in this meta-analysis. No significant heterogeneity between the studies was noted. The IL-18 -137 G/C polymorphism was significantly associated with an increased risk of RPL under a recessive genetic model (CC vs. GG + CG: odds ratio = 1.56, 95% confidence interval = 1.13 ~ 2.15). For the -607C/A mutation, we failed to find any association under any genetic models. The Egger's regression asymmetry test showed no publication bias. Our present study indicates a positive association between the CC genotype of the IL-18 -137G/C gene and RPL risk. Future well-designed large studies are needed to validate the association between IL-18 gene polymorphisms and the risk of RPL. CI - (c) 2015 Japan Society of Obstetrics and Gynecology. FAU - Chen, Hui AU - Chen H AD - Clinical Epidemiology Unit, Qilu Hospital, Shandong University, Jinan, China. AD - Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. FAU - Yang, Xiaorong AU - Yang X AD - Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. FAU - Du, Jinge AU - Du J AD - Clinical Epidemiology Unit, Qilu Hospital, Shandong University, Jinan, China. AD - Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. FAU - Lu, Ming AU - Lu M AD - Clinical Epidemiology Unit, Qilu Hospital, Shandong University, Jinan, China. AD - Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20150908 PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 RN - 0 (IL18 protein, human) RN - 0 (Interleukin-18) SB - IM MH - Abortion, Habitual/*genetics MH - Female MH - Humans MH - Interleukin-18/*genetics MH - Polymorphism, Genetic MH - Pregnancy OTO - NOTNLM OT - interleukin-18 OT - meta-analysis OT - polymorphism OT - recurrent pregnancy loss EDAT- 2015/09/09 06:00 MHDA- 2016/12/17 06:00 CRDT- 2015/09/09 06:00 PHST- 2015/04/15 00:00 [received] PHST- 2015/06/09 00:00 [accepted] PHST- 2015/09/09 06:00 [entrez] PHST- 2015/09/09 06:00 [pubmed] PHST- 2016/12/17 06:00 [medline] AID - 10.1111/jog.12800 [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2015 Oct;41(10):1506-13. doi: 10.1111/jog.12800. Epub 2015 Sep 8.