ADRB2 Arg16Gly Polymorphism and Pulmonary Function Response of Inhaled Corticosteroids plus Long-Acting Beta Agonists for Asthma Treatment: A Systematic Review and Meta-Analysis
Background. The beta-2 adrenergic receptor (ADRB2) Arg16Gly polymorphism may alter the bronchodilation response to long-acting beta2-agonists, thereby influencing the clinical effectiveness of LABAs plus corticosteroids (ICS) treatment. But the results of individual studies are inconclusive. Methods. A systematic search was conducted in PubMed, Embase, the Cochrane Database, WHO International Clinical Trials Registry Platform, Chinese National Knowledge Infrastructure, Wanfang, Chinese BioMedical Literature Database, and VIP databases. The meta-analysis was performed with RevMan statistical software (version 5.2), and potential publication bias was estimated by Egger's test using STATA (version 12.0), with p < 0.05 indicating significant publication bias. Results. We found 5 cohort studies with a total of 632 patients and included them in the meta-analysis. There are no significant differences in pulmonary function response between patients with the Arg/Arg and Arg/Gly phenotype (SMD -0.04, 95% CI -0.45 to 0.37; p = 0.84). There were also no significant differences in the pulmonary function response between patients with the Arg/Arg and Gly/Gly phenotype (MD -0.03, 95% CI -0.07 to 0.02; p = 0.28). Conclusions. Our systematic review and meta-analysis suggest that ADRB2 Arg16Gly polymorphism is not associated with pulmonary response to asthma treatment with ICS plus LABAs.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81360108, 81560252]; specialized fund for training of high-level talents in Health and Family Planning in Yunnan Province [L-201614]; First Affiliated Hospital of Kunming Medical University Research Fund for the Doctor [2015BS002]; Yunnan Applied Basic Research Projects-Joint Special Fund Project [2015FB029]; Health Science and Technology Internal Research Institution Project of Yunnan Province [2014NS190]
第一作者机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Clin Pharm, Kunming, Yunnan, Peoples R China
通讯作者:
通讯机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Clin Pharm, Kunming, Yunnan, Peoples R China
推荐引用方式(GB/T 7714):
Wang Xi,Li Qian,Liu Ruming,et al.ADRB2 Arg16Gly Polymorphism and Pulmonary Function Response of Inhaled Corticosteroids plus Long-Acting Beta Agonists for Asthma Treatment: A Systematic Review and Meta-Analysis[J].CANADIAN RESPIRATORY JOURNAL.2018,2018:doi:10.1155/2018/5712805.
APA:
Wang, Xi,Li, Qian,Liu, Ruming,He, Jin,Wu, Di...&Zhang, Jun.(2018).ADRB2 Arg16Gly Polymorphism and Pulmonary Function Response of Inhaled Corticosteroids plus Long-Acting Beta Agonists for Asthma Treatment: A Systematic Review and Meta-Analysis.CANADIAN RESPIRATORY JOURNAL,2018,
MLA:
Wang, Xi,et al."ADRB2 Arg16Gly Polymorphism and Pulmonary Function Response of Inhaled Corticosteroids plus Long-Acting Beta Agonists for Asthma Treatment: A Systematic Review and Meta-Analysis".CANADIAN RESPIRATORY JOURNAL 2018.(2018)