Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.

Genetic polymorphisms have been suggested as risk factors affecting the occurrence and recurrence of kidney stones, although findings regarding the latter remain inconclusive. We performed this systematic review and meta-analysis to clarify the associations between genetic polymorphisms and recurren...

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Autores principales: Widi Atmoko, Putu Angga Risky Raharja, Ponco Birowo, Agus Rizal Ardy Hariandy Hamid, Akmal Taher, Nur Rasyid
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:caf1d086b5fd4c8fbe11421c314176fe2021-11-25T06:19:17ZGenetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.1932-620310.1371/journal.pone.0251235https://doaj.org/article/caf1d086b5fd4c8fbe11421c314176fe2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251235https://doaj.org/toc/1932-6203Genetic polymorphisms have been suggested as risk factors affecting the occurrence and recurrence of kidney stones, although findings regarding the latter remain inconclusive. We performed this systematic review and meta-analysis to clarify the associations between genetic polymorphisms and recurrent kidney stones. PubMed, SCOPUS, EMBASE, and Cochrane Library databases were searched through May 28th, 2020 to identify eligible studies. The Quality in prognostic studies (QUIPS) tool was used to evaluate bias risk. Allelic frequencies and different inheritance models were assessed. All analyses were performed using Review manager 5.4. A total of 14 studies were included for meta-analysis, assessing urokinase (ApaL1) and vitamin D receptor (VDR) (ApaI, BsmI, FokI, and TaqI) gene polymorphisms. The ApaLI polymorphism demonstrated protective association in the recessive model [odds ratio (OR) 0.45, P < 0.01] albeit higher risk among Caucasians in the heterozygous model (OR 16.03, P < 0.01). The VDR-ApaI polymorphism showed protective association in the dominant model (OR 0.60, P < 0.01). Among Asians, the VDR-FokI polymorphism recessive model showed significant positive association (OR 1.70, P < 0.01) and the VDR-TaqI polymorphism heterozygous model exhibited protective association (OR 0.72, P < 0.01). The VDR-BsmI polymorphism was not significantly associated with recurrent kidney stones in any model. Urokinase-ApaLI (recessive model), VDR-ApaI (dominant model), and VDR-TaqI (heterozygous model) polymorphisms were associated with decreased recurrent kidney stone risk whereas urokinase-ApaLI (heterozygous model) and VDR-FokI polymorphisms were associated with increased risk among Caucasians and Asians, respectively. These findings will assist in identifying individuals at risk of kidney stone recurrence.Widi AtmokoPutu Angga Risky RaharjaPonco BirowoAgus Rizal Ardy Hariandy HamidAkmal TaherNur RasyidPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251235 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Widi Atmoko
Putu Angga Risky Raharja
Ponco Birowo
Agus Rizal Ardy Hariandy Hamid
Akmal Taher
Nur Rasyid
Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
description Genetic polymorphisms have been suggested as risk factors affecting the occurrence and recurrence of kidney stones, although findings regarding the latter remain inconclusive. We performed this systematic review and meta-analysis to clarify the associations between genetic polymorphisms and recurrent kidney stones. PubMed, SCOPUS, EMBASE, and Cochrane Library databases were searched through May 28th, 2020 to identify eligible studies. The Quality in prognostic studies (QUIPS) tool was used to evaluate bias risk. Allelic frequencies and different inheritance models were assessed. All analyses were performed using Review manager 5.4. A total of 14 studies were included for meta-analysis, assessing urokinase (ApaL1) and vitamin D receptor (VDR) (ApaI, BsmI, FokI, and TaqI) gene polymorphisms. The ApaLI polymorphism demonstrated protective association in the recessive model [odds ratio (OR) 0.45, P < 0.01] albeit higher risk among Caucasians in the heterozygous model (OR 16.03, P < 0.01). The VDR-ApaI polymorphism showed protective association in the dominant model (OR 0.60, P < 0.01). Among Asians, the VDR-FokI polymorphism recessive model showed significant positive association (OR 1.70, P < 0.01) and the VDR-TaqI polymorphism heterozygous model exhibited protective association (OR 0.72, P < 0.01). The VDR-BsmI polymorphism was not significantly associated with recurrent kidney stones in any model. Urokinase-ApaLI (recessive model), VDR-ApaI (dominant model), and VDR-TaqI (heterozygous model) polymorphisms were associated with decreased recurrent kidney stone risk whereas urokinase-ApaLI (heterozygous model) and VDR-FokI polymorphisms were associated with increased risk among Caucasians and Asians, respectively. These findings will assist in identifying individuals at risk of kidney stone recurrence.
format article
author Widi Atmoko
Putu Angga Risky Raharja
Ponco Birowo
Agus Rizal Ardy Hariandy Hamid
Akmal Taher
Nur Rasyid
author_facet Widi Atmoko
Putu Angga Risky Raharja
Ponco Birowo
Agus Rizal Ardy Hariandy Hamid
Akmal Taher
Nur Rasyid
author_sort Widi Atmoko
title Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
title_short Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
title_full Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
title_fullStr Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
title_full_unstemmed Genetic polymorphisms as prognostic factors for recurrent kidney stones: A systematic review and meta-analysis.
title_sort genetic polymorphisms as prognostic factors for recurrent kidney stones: a systematic review and meta-analysis.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/caf1d086b5fd4c8fbe11421c314176fe
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