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Association between cyclooxygenase-2 gene polymorphisms and risk of periodontitis: a meta-analysis involving 5653 individuals

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Abstract

There −765G > C, −1195G > A, and 8473T > C polymorphisms in cyclooxygenase-2 (COX-2) gene polymorphisms and periodontitis risk were investigated based on published studies; however, their results could not give a conclusive result. Hence, we performed this meta-analysis of six published studies with eight case–control studies including these three polymorphisms which searched from PubMed and Web of Science up to October 15th, 2013. Odds ratios (ORs) with corresponding 95 % confidence intervals (CIs) were calculated to evaluate the association between the three polymorphisms of COX-2 and periodontitis risk. The results from 2,580 periodontitis patients and 3,073 healthy controls showed that none of −765G > C, −1195G > A, or 8473T > C polymorphism was not associated with periodontitis susceptibility [Take −765G > C for example: OR = 0.94, 95 % CI = (0.57–1.53) for C vs. G; OR = 2.34, 95 % CI = (0.72–7.62) for CC vs. GG; OR = 0.68, 95 % CI = (0.46–1.01) for CG vs. GG; OR = 0.81, 95 % CI = (0.52–1.27) for (CG+GG) vs. GG; OR = 2.57, 95 % CI = (0.80–8.29) for CC vs. (GG+CG)]. In subgroup analyses according to the type of periodontitis and ethnicity for −765G > C and −1195G > A, and deviations in Hardy–Weinberg equilibrium for −765G > C, we only observe a boundary association between −1195G > A polymorphism and Asian population. However, due to limitations of this meta-analysis, the results should treat with caution and we suggest the further researches should be carried out to verify our results.

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References

  1. Albandar JM, Rams TE (2000) Global epidemiology of periodontal diseases: an overview. Periodontol 29:7–10

    Article  Google Scholar 

  2. Dasanayake AP, Russell S, Boyd D, Madianos PN, Forster T, Hill E (2003) Preterm low birth weight and periodontal disease among African Americans. Dent Clin North Am 47(1):115–125 x-xi

    Article  PubMed  Google Scholar 

  3. Dumitrescu AL, Inagaki K (2010) Interrelationships between periodontal disease and mortality, cardiovascular disease, metabolic syndrome, diabetes mellitus. In: Etiology and pathogenesis of periodontal disease. Springer, Berlin, Heidelberg, pp 125–157

  4. Zeng XT, Tu ML, Liu DY, Zheng D, Zhang J, Leng W (2012) Periodontal disease and risk of chronic obstructive pulmonary disease: a meta-analysis of observational studies. PLoS One 7(10):e46508. doi:10.1371/journal.pone.0046508

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Zeng XT, Deng AP, Li C, Xia LY, Niu YM, Leng WD (2013) Periodontal disease and risk of head and neck cancer: a meta-analysis of observational studies. PLoS One 8(10):e79017. doi:10.1371/journal.pone.0079017

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Leng W-D, Zeng X-T, Chen Y-J, Zhan Z-Q, Yang Y (2013) Periodontal disease is associated with increased coronary heart disease risk: a meta-analysis based on 38 case-control studies. World J Meta-Anal 1(1):47–56. doi:10.13105/wjma.v1.i1.47

    Google Scholar 

  7. Schaefer AS, Richter GM, Nothnagel M, Manke T, Dommisch H, Jacobs G, Arlt A, Rosenstiel P, Noack B, Groessner-Schreiber B, Jepsen S, Loos BG, Schreiber S (2010) A genome-wide association study identifies GLT6D1 as a susceptibility locus for periodontitis. Hum Mol Genet 19(3):553–562. doi:10.1093/hmg/ddp508

    Article  CAS  PubMed  Google Scholar 

  8. Irfan UM, Dawson DV, Bissada NF (2001) Epidemiology of periodontal disease: a review and clinical perspectives. J Int Acad Periodontol 3(1):14–21

    CAS  PubMed  Google Scholar 

  9. Baelum V, Lopez R (2000) Periodontal disease epidemiology—learned and unlearned? Periodontol 62(1):37–58. doi:10.1111/j.1600-0757.2012.00449.x

    Article  Google Scholar 

  10. Mao M, Zeng XT, Ma T, He W, Zhang C, Zhou J (2013) Interleukin-1alpha −899 (+4845) C– > T polymorphism increases the risk of chronic periodontitis: evidence from a meta-analysis of 23 case–control studies. Gene 532(1):114–119. doi:10.1016/j.gene.2013.09.043

    Article  CAS  PubMed  Google Scholar 

  11. Deng JS, Qin P, Li XX, Du YH (2013) Association between interleukin-1beta C (3953/4)T polymorphism and chronic periodontitis: evidence from a meta-analysis. Hum Immunol 74(3):371–378. doi:10.1016/j.humimm.2012.11.018

    Article  CAS  PubMed  Google Scholar 

  12. Albuquerque CM, Cortinhas AJ, Morinha FJ, Leitao JC, Viegas CA, Bastos EM (2012) Association of the IL-10 polymorphisms and periodontitis: a meta-analysis. Mol Biol Rep 39(10):9319–9329. doi:10.1007/s11033-012-1738-1

    Article  CAS  PubMed  Google Scholar 

  13. Ding C, Zhao L, Sun Y, Li L, Xu Y (2012) Interleukin-1 receptor antagonist polymorphism (rs2234663) and periodontitis susceptibility: a meta-analysis. Arch Oral Biol 57(6):585–593. doi:10.1016/j.archoralbio.2012.01.016

    Article  CAS  PubMed  Google Scholar 

  14. Heidari Z, Mahmoudzadeh-Sagheb H, Rigi-Ladiz MA, Taheri M, Moazenni-Roodi A, Hashemi M (2013) Association of TGF-beta1 −509 C/T, 29 C/T and 788 C/T gene polymorphisms with chronic periodontitis: a case-control study. Gene 518(2):330–334. doi:10.1016/j.gene.2012.12.108

    Article  CAS  PubMed  Google Scholar 

  15. Deng H, Liu F, Pan Y, Jin X, Wang H, Cao J (2011) BsmI, TaqI, ApaI, and FokI polymorphisms in the vitamin D receptor gene and periodontitis: a meta-analysis of 15 studies including 1338 cases and 1302 controls. J Clin Periodontol 38(3):199–207. doi:10.1111/j.1600-051X.2010.01685.x

    Article  CAS  PubMed  Google Scholar 

  16. Taba M Jr, Souza SL, Mariguela VC (2012) Periodontal disease: a genetic perspective. Braz Oral Res 26(Suppl 1):32–38

    Article  PubMed  Google Scholar 

  17. Fritsche E, Baek SJ, King LM, Zeldin DC, Eling TE, Bell DA (2001) Functional characterization of cyclooxygenase-2 polymorphisms. J Pharmacol Exp Ther 299(2):468–476

    CAS  PubMed  Google Scholar 

  18. Wang XF, Huang MZ, Zhang XW, Hua RX, Guo WJ (2013) COX-2-765G > C polymorphism increases the risk of cancer: a meta-analysis. PLoS One 8(9):e73213. doi:10.1371/journal.pone.0073213

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Peng WJ, He Q, Yang JX, Wang BX, Lu MM, Wang S, Wang J (2012) Meta-analysis of association between cytokine gene polymorphisms and lung cancer risk. Mol Biol Rep 39(5):5187–5194. doi:10.1007/s11033-011-1315-z

    Article  CAS  PubMed  Google Scholar 

  20. Pu X, Lippman SM, Yang H, Lee JJ, Wu X (2009) Cyclooxygenase-2 gene polymorphisms reduce the risk of oral premalignant lesions. Cancer 115(7):1498–1506. doi:10.1002/cncr.24157

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Moorman PG, Sesay J, Nwosu V, Kane JG, de Cotret AR, Worley K, Millikan R (2005) Cyclooxygenase 2 polymorphism (Val511Ala), nonsteroidal anti-inflammatory drug use and breast cancer in African American women. Cancer Epidemiol Biomarkers Prev 14(12):3013–3014. doi:10.1158/1055-9965.EPI-05-0291

    Article  CAS  PubMed  Google Scholar 

  22. Ho YP, Lin YC, Yang YH, Ho KY, Wu YM, Tsai CC (2008) Cyclooxygenase-2 Gene-765 single nucleotide polymorphism as a protective factor against periodontitis in Taiwanese. J Clin Periodontol 35(1):1–8. doi:10.1111/j.1600-051X.2007.01167.x

    Article  CAS  PubMed  Google Scholar 

  23. Xie CJ, Xiao LM, Fan WH, Xuan DY, Zhang JC (2009) Common single nucleotide polymorphisms in cyclooxygenase-2 and risk of severe chronic periodontitis in a Chinese population. J Clin Periodontol 36(3):198–203. doi:10.1111/j.1600-051X.2008.01366.x

    Article  CAS  PubMed  Google Scholar 

  24. Schaefer AS, Richter GM, Nothnagel M, Laine ML, Noack B, Glas J, Schrezenmeir J, Groessner-Schreiber B, Jepsen S, Loos BG, Schreiber S (2010) COX-2 is associated with periodontitis in Europeans. J Dent Res 89(4):384–388. doi:10.1177/0022034509359575

    Article  CAS  PubMed  Google Scholar 

  25. Loo WT, Wang M, Jin LJ, Cheung MN, Li GR (2011) Association of matrix metalloproteinase (MMP-1, MMP-3 and MMP-9) and cyclooxygenase-2 gene polymorphisms and their proteins with chronic periodontitis. Arch Oral Biol 56(10):1081–1090. doi:10.1016/j.archoralbio.2011.03.011

    Article  CAS  PubMed  Google Scholar 

  26. Li G, Yue Y, Tian Y, Li JL, Wang M, Liang H, Liao P, Loo WT, Cheung MN, Chow LW (2012) Association of matrix metalloproteinase (MMP)-1, 3, 9, interleukin (IL)-2, 8 and cyclooxygenase (COX)-2 gene polymorphisms with chronic periodontitis in a Chinese population. Cytokine 60(2):552–560. doi:10.1016/j.cyto.2012.06.239

    Article  CAS  PubMed  Google Scholar 

  27. Daing A, Singh SV, Saimbi CS, Khan MA, Rath SK (2012) Cyclooxygenase 2 gene polymorphisms and chronic periodontitis in a North Indian population: a pilot study. J Periodontal Implant Sci 42(5):151–157. doi:10.5051/jpis.2012.42.5.151

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  28. Pabalan NA (2010) Meta-analysis in cancer genetics. Asian Pac J Cancer Prev 11(1):33–38

    PubMed  Google Scholar 

  29. DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7(3):177–188

    Article  CAS  PubMed  Google Scholar 

  30. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283(15):2008–2012

    Article  CAS  PubMed  Google Scholar 

  31. Wells G, Shea B, O’connell D, Peterson J, Welch V, Losos M, Tugwell P (2000) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. The Ottawa Health Research Institute. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

  32. Leng WD, He MN, Chen QL, Gong H, Zhang L, Zeng XT (2013) Vascular endothelial growth factor (VEGF) gene polymorphisms and risk of head and neck cancer: a meta-analysis involving 2,444 individuals. Mol Biol Rep 40(10):5987–5992. doi:10.1007/s11033-013-2708-y

    Article  CAS  PubMed  Google Scholar 

  33. Coory MD (2010) Comment on: Heterogeneity in meta-analysis should be expected and appropriately quantified. Int J Epidemiol 39(3):932. doi:10.1093/ije/dyp157 author reply 933

    Article  PubMed  Google Scholar 

  34. Van der Velden U, Abbas F, Armand S, Loos BG, Timmerman MF, Van der Weijden GA, Van Winkelhoff AJ, Winkel EG (2006) Java project on periodontal diseases. The natural development of periodontitis: risk factors, risk predictors and risk determinants. J Clin Periodontol 33(8):540–548. doi:10.1111/j.1600-051X.2006.00953.x

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported (in part) by the Foundation of Education and Science Planning Project of Hubei Province (2012A050) and the Intramural Research Program of the Hubei University of Medcine (2011CZX01), without commercial or not-for-profit sectors. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. No additional external funding received for this study.

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Correspondence to Xian-Tao Zeng.

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Ling Jiang and Hong Weng are co-first authors.

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Jiang, L., Weng, H., Chen, MY. et al. Association between cyclooxygenase-2 gene polymorphisms and risk of periodontitis: a meta-analysis involving 5653 individuals. Mol Biol Rep 41, 4795–4801 (2014). https://doi.org/10.1007/s11033-014-3350-z

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