The Association of Serum Complement C1q with Coronary Artery Disease: A Systematic Review and Meta-Analysis.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Ping Jia, Yizhong Wu, Yanwen Gong, Yanwen Jia, Xun Wu, Guo Jian
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引用次数: 0

Abstract

Background: Coronary artery disease (CAD) is one of the leading causes of death in middle-aged and elderly people, and its incidence has been increasing in recent years. An in-depth understanding of the pathogenesis of CAD is important to ensure the health of CAD patients.

Objective: To analyze the association of serum complement C1q with CAD," you could say something like "The objective of this meta-analysis is to investigate the relationship between serum complement C1q levels and the presence of CAD, aiming to provide insights for clinical diagnosis and treatment.

Methods: Relevant studies on C1q and CAD were searched in PubMed, Web of Science and other literature databases. Two research team members independently cross-screened the literature according to the inclusion-exclusion criteria and assessed the literature quality. RevMan5.3 software was used for statistical analysis.

Results: Three references were finally included, all of which had a Newcastle-Ottawa Scale (NOS) score ≥6, indicating high quality. A total of 2065 subjects were studied, including 1249 in the experimental group (CAD patients) and 816 in the control group (healthy population). Through the meta-analysis, it was found that the experimental group (CAD patients) had higher serum C1q than the control group (healthy controls) (P < .05). According to subgroup analysis, age, sex, sample size, diabetes mellitus (with/without), and serum complement C1q detection methods were not factors affecting the heterogeneity of the literature, and more data are needed for verification. Validation analysis with the fixed-effect model also showed higher C1q expression in the experimental group (P < .05). The graph of the funnel plot was basically symmetrical, suggesting low publication bias.

Conclusions: Serum complement C1q is elevated in CAD patients, but its mechanism of action may have a dual effect, but further research is needed to understand its precise role and clinical implications.

血清补体 C1q 与冠状动脉疾病的关系:系统回顾与元分析》。
背景:冠状动脉疾病(CAD)是导致中老年人死亡的主要原因之一,近年来其发病率呈上升趋势。深入了解冠心病的发病机制对确保冠心病患者的健康非常重要:分析血清补体 C1q 与 CAD 的关系",您可以这样说:"本荟萃分析的目的是研究血清补体 C1q 水平与 CAD 存在之间的关系,旨在为临床诊断和治疗提供启示:在 PubMed、Web of Science 和其他文献数据库中检索有关 C1q 和 CAD 的相关研究。两名研究小组成员根据纳入-排除标准独立交叉筛选文献,并评估文献质量。采用RevMan5.3软件进行统计分析:最终纳入3篇参考文献,所有文献的纽卡斯尔-渥太华量表(NOS)评分均≥6分,表明文献质量较高。研究对象共计 2065 人,其中实验组(CAD 患者)1249 人,对照组(健康人群)816 人。通过荟萃分析发现,实验组(CAD 患者)的血清 C1q 比对照组(健康对照组)高(P < .05)。根据亚组分析,年龄、性别、样本大小、糖尿病(有/无)和血清补体C1q检测方法不是影响文献异质性的因素,需要更多数据进行验证。利用固定效应模型进行的验证分析也显示,实验组的 C1q 表达量更高(P < .05)。漏斗图的图形基本对称,表明发表偏倚较低:结论:CAD 患者血清补体 C1q 升高,但其作用机制可能具有双重效应,但要了解其确切作用和临床意义还需要进一步研究。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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