Abstract
Background
Previous studies have investigated the association between rs2304016 and rs17183814 polymorphisms in sodium voltage-gated channel alpha subunit 2 (SCN2A) and epilepsy risk and responsiveness to antiepileptic drugs (AEDs) but with conflicting results. Our aim was to reevaluate the relationship by performing a systematic review and meta-analysis.
Methods
By searching PubMed, Medline, and CNKI, 14 studies were selected. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were computed to measure the association between rs17183814 and rs2304016 polymorphisms and the risk of epilepsy and AEDs response using the fixed-effects model or the random-effects model.
Results
No significant association between the rs17183814 in SCN2A and the risk of epilepsy was observed (heterozygous comparison: OR = 0.78, 95% CI: 0.61–1.00; homozygous comparison: OR = 1.34, 95% CI: 0.63–2.86; dominant model: OR = 0.82, 95% CI: 0.64–1.04; recessive model: OR = 1.44, 95% CI: 0.68–3.05; allele comparison: OR = 0.88, 95%CI: 0.71–1.10). Moreover, neither the rs17183814 nor the rs2304016 was associated with AEDs response.
Conclusion
This meta-analysis suggests that the rs17183814 and rs2304016 polymorphisms in SCN2A are not associated with the risk of epilepsy and response to AEDs.
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Funding
This work was supported by the grants from West China Hospital, Sichuan University (No. TJZ202006 and 20HXJS007), the Key Project for Science and Technology Department of Sichuan Province (No. 2018SZ0216), and Sichuan University (No. 2017scu11038).
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SMXT designed and revised the manuscript. YR and QR collected the data and drafted the manuscript. CK and YW helped to check the data and performed statistical analysis.
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Yang, R., Qian, R., Chen, K. et al. Genetic polymorphisms in SCN2A are not associated with epilepsy risk and AEDs response: evidence from a meta-analysis. Neurol Sci 42, 2705–2711 (2021). https://doi.org/10.1007/s10072-021-05242-x
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DOI: https://doi.org/10.1007/s10072-021-05242-x