Lack of association between interleukin-1 receptor antagonist gene 86-bp VNTR polymorphism and ischemic stroke: A meta-analysis.

Objective The results of published studies which examined the association between variable number tandem repeat (VNTR) polymorphism of interleukin-1 receptor antagonist (IL-1RN) and ischemic stroke (IS) are conflicting. Thus, we performed a meta-analysis to examine the potential association between IL-1RN VNTR polymorphism and IS risk. Methods A systematic literature search of PubMed, Embase, Medline, Web of Science, Cochrane Library, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, CQVIP, and WANFANG Database identified 10 studies with 2331 cases and 3335 controls. The pooled odds ratio (OR) with 95% confidence interval (95% CI) was calculated to evaluate the strength of the association. Subgroup analysis and meta-regression analysis were used to investigate the potential sources of heterogeneity. Begg funnel plots were used to explore the publication bias. Results In this study, no enough proof was found to prove the association between IL-1RN 86-bp VNTR polymorphism and IS risk with random-effects model in the homozygous model (1/1 vs 2/2, OR = 0.97, 95% CI=0.50-1.87, P-heterogeneity=.00), the heterozygous model (1/2 vs 2/2, OR=0.64, 95% CI=0.41-1.01, P-heterogeneity=.10), the dominant model (1/1+1/2 vs 2/2, OR=0.85, 95% CI=0.51-1.42, P-heterogeneity=.02), the recessive model (1/1 vs 1/2+2/2, OR=0.69, 95% CI=0.46-1.03, P-heterogeneity=.00), and allelic model (1 vs 2, OR=1.24, 95% CI=0.89-1.74, P-heterogeneity=.00). A marginally significant negative association was observed between IL-1RN 86-bp VNTR polymorphism and IS risk in the heterozygous model in the fixed-effects model (1/2 vs 2/2, OR=0.71, 95% CI=0.53-0.95, P-heterogeneity=.10). In subgroup analyses, similar association was found in the group whose control size was lower than 300. Conclusion In conclusion, our results suggested that there was no sufficient evidence to support the association between IL-1RN 86-bp VNTR polymorphism and IS. Further large epidemiologic studies need to be done to confirm these findings.