PMID- 27505625 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 120 DP - 2016 Oct TI - Association of monocyte chemoattractant protein-1 gene 2518A/G polymorphism with diabetic retinopathy in type 2 diabetes mellitus: A meta-analysis. PG - 40-6 LID - S0168-8227(16)30274-1 [pii] LID - 10.1016/j.diabres.2016.07.016 [doi] AB - AIMS: The relationship between monocyte chemoattractant protein-1 (MCP-1) 2518 A/G polymorphism and diabetic retinopathy (DR) attracted intense interest recently, but the reported results are controversial. A meta-analysis was performed to assess the MCP-1 polymorphism associated with DR susceptibility in type 2 diabetes mellitus. METHODS: Eligible studies were identified from PubMed, Embase, Web of science, Chinese Biomedical database, and references of retrieved articles. Pooled odds ratios (ORs) with their 95% confidence intervals (95%CI) were calculated by fixed or random-effects models. RESULTS: Six studies involving 3415 patients without DR and 3468 with any DR were included in the final meta-analysis. Each 5 studies evaluated the associations of MCP-1 polymorphism and any DR and proliferative DR (PDR), respectively. Meta-analysis in fixed model demonstrated a significant association between MCP-1 polymorphism and any DR under the homozygous model (OR=1.36; 95%CI: 1.15-1.62, P<0.001), heterozygous model (OR=1.20; 95%CI: 1.02-1.42, P=0.031), dominant model (OR=1.28; 95%CI: 1.10-1.50, P=0.002), recessive model (OR=1.17; 95%CI: 1.05-1.31, P=0.004), and allelic model (OR=1.16; 95%CI: 1.07-1.25, P<0.001). Furthermore, a significant association of MCP-1 polymorphism and DR progression from non-proliferative DR to proliferative DR was identified under heterozygous model (OR=1.45; 95%CI: 1.04-2.02, P=0.030). Sensitivity analyses did not draw different findings. CONCLUSIONS: Meta-analysis of existing data suggested that MCP-1 2518 A/G polymorphism affected the risk of presence and progression of DR in type 2 diabetes mellitus. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Wang, Wei AU - Wang W AD - Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - He, Miao AU - He M AD - Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Huang, Wenyong AU - Huang W AD - Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou, People's Republic of China. Electronic address: andyhwyz@aliyun.com. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20160730 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Chemokine CCL2/*genetics MH - Diabetes Mellitus, Type 2/*complications/genetics MH - Diabetic Retinopathy/diagnosis/*etiology MH - *Genetic Predisposition to Disease MH - Humans MH - Polymorphism, Genetic/*genetics MH - Risk Factors OTO - NOTNLM OT - Diabetic retinopathy OT - Gene polymorphisms OT - MCP-1 OT - Meta-analysis OT - Monocyte chemoattractant protein EDAT- 2016/08/10 06:00 MHDA- 2016/12/15 06:00 CRDT- 2016/08/10 06:00 PHST- 2016/05/20 00:00 [received] PHST- 2016/07/01 00:00 [revised] PHST- 2016/07/22 00:00 [accepted] PHST- 2016/08/10 06:00 [entrez] PHST- 2016/08/10 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - S0168-8227(16)30274-1 [pii] AID - 10.1016/j.diabres.2016.07.016 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2016 Oct;120:40-6. doi: 10.1016/j.diabres.2016.07.016. Epub 2016 Jul 30.