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Different Associations between DC-SIGN Promoter-336G/A ( rs4804803 ) Polymorphism with Severe Dengue in Asians and South-Central Americans: a Meta-Analysis

Author

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  • Jiangping Ren

    (Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou 310051, China
    Key Laboratory of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Hangzhou 310051, China
    Field Epidemiology Training Program of Zhejiang Province, Hangzhou 310051, China)

  • Zhengting Wang

    (Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou 310051, China)

  • Enfu Chen

    (Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou 310051, China
    Key Laboratory of Vaccine, Prevention and Control of Infectious Disease of Zhejiang Province, Hangzhou 310051, China)

Abstract

Objective : This study was conducted to identify the association between rs4804803 polymorphism in DC-SIGN with the susceptibility of severe dengue. Methods : A comprehensive search was conducted to identify all eligible papers in PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), and Google Scholar. Odds ratios (ORs) and corresponding 95% confidence intervals (95% CIs) were used to assess the association. Subgroup analyses were performed by ethnicity. Sensitivity analyses were performed through employing different statistical models (fixed versus random effect model). Results : A total of nine papers and 12 studies, with 1520 severe dengue and 1496 clinical dengue infection were included. The overall meta-analysis revealed significant associations between rs4804803 and severe dengue under the recession ( GG versus GA/AA : OR = 0.44, 95%CI, 0.23–0.82) and a codominant model ( GG versus AA : OR = 0.43, 95%CI, 0.23–0.81), but sensitivity analysis indicated that the significant pooled ORs were not robust. The subgroup analysis suggested that the carrier of G in rs4804803 was a risk factor for severe dengue under dominant ( GG/GA versus AA : OR = 1.86,95%CI, 1.01–3.45), superdominant ( GA versus GG/AA : OR = 1.81,95%CI, 1.02–3.21) and a codominant ( GA versus AA : OR=1.82,95%CI, 1.02–3.26) models in Asians, while it was a protective factor for severe dengue in South-central Americans under recessive ( GG versus GA/AA : OR = 0.27,95%CI, 0.10–0.70) and codominant ( GG versus AA : OR=0.24,95%CI, 0.09–0.64) models. The results from subgroup analysis were robust. Conclusions : Dendritic cell-specific intercellular adhesion molecule-3-grabbing non-integrin ( DC-SIGN ) promoter-336G/A ( rs4804803 ) polymorphism is association with severe dengue, and it acts in different directions for Asians and South-central Americans.

Suggested Citation

  • Jiangping Ren & Zhengting Wang & Enfu Chen, 2019. "Different Associations between DC-SIGN Promoter-336G/A ( rs4804803 ) Polymorphism with Severe Dengue in Asians and South-Central Americans: a Meta-Analysis," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1475-:d:226016
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