Table 2.
Pooled estimates and stratified analysis for the associations between MTR c.2756A>G (rs1805087), MTRR c.66A>G (rs1801394), TC2 c.776C>G (rs1801198), CBS c.844ins68, and MTHFD1 c.1958G>A (rs2236225) polymorphisms and maternal risk for Down syndrome.
| Polymorphism | Comparison | Population | Study (n) | Test of association | Test of heterogeneity | Tests of publication bias (P value) | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | P value (Z test) | χ 2 | I 2 | P value | Rank test (Begg and Mazumdar [46]) |
Linear regression (Egger et al. [47]) | ||||
| MTR c.2756A>G | GG/AG versus AA | All | 8 | 1.14 (0.97–1.33)b | 0.11 | 7.01 | 0% | 0.43 | 0.27 | 0.20 |
| Caucasian | 3 | 1.08 (0.84–1.40)b | 0.55 | 2.69 | 26% | 0.26 | — | — | ||
| Brazilian | 5 | 1.17 (0.96–1.42)b | 0.12 | 4.11 | 3% | 0.39 | 0.48 | 0.65 | ||
| GG versus AG/AA | All | 8 | 1.18 (0.80–1.76)b | 0.41 | 3.69 | 0% | 0.81 | 0.27 | 0.34 | |
| Caucasian | 3 | 0.80 (0.35–1.82)b | 0.60 | 0.72 | 0% | 0.70 | — | — | ||
| Brazilian | 5 | 1.34 (0.85–2.12)b | 0.21 | 1.92 | 0% | 0.75 | 0.23 | 0.18 | ||
| AG versus AA | All | 8 | 1.13 (0.96–1.33)b | 0.15 | 9.26 | 24% | 0.23 | 0.06 | 0.16 | |
| Caucasian | 3 | 1.10 (0.85–1.44)b | 0.46 | 3.24 | 38% | 0.20 | — | — | ||
| Brazilian | 5 | 1.14 (0.93–1.40)b | 0.21 | 5.99 | 33% | 0.20 | 0.48 | 0.58 | ||
| GG versus AA | All | 8 | 1.25 (0.84–1.88)b | 0.27 | 2.97 | 0% | 0.89 | 0.54 | 0.43 | |
| Caucasian | 3 | 0.85 (0.37–1.94)b | 0.70 | 0.61 | 0% | 0.74 | — | — | ||
| Brazilian | 5 | 1.42 (0.89–2.27)b | 0.14 | 1.28 | 0% | 0.86 | 0.48 | 0.19 | ||
| G versus A | All | 8 | 1.11 (0.97–1.26)b | 0.14 | 5.33 | 0% | 0.62 | 0.27 | 0.29 | |
| Caucasian | 3 | 1.04 (0.83–1.31)b | 0.71 | 1.82 | 0% | 0.40 | — | — | ||
| Brazilian | 5 | 1.14 (0.96–1.34)b | 0.12 | 3.18 | 0% | 0.53 | 0.81 | 0.73 | ||
|
| ||||||||||
| MTRR c.66A>G | GG/AG versus AA | All | 13 | 1.29 (1.09–1.53)b | 0.003 | 18.68 | 36% | 0.10 | 0.25 | 0.08 |
| All in HWE | 11 | 1.28 (1.00–1.65)a | 0.05 | 18.42 | 46% | 0.05 | 0.21 | 0.06 | ||
| Caucasian | 6 | 1.42 (1.08–1.88)b | 0.01 | 9.39 | 47% | 0.09 | 0.46 | 0.31 | ||
| Brazilian | 6 | 1.14 (0.91–1.42)b | 0.25 | 4.87 | 0% | 0.43 | 0.46 | 0.89 | ||
| GG versus AG/AA | All | 13 | 1.33 (1.03–1.71)a | 0.03 | 26.11 | 54% | 0.01 | 0.59 | 0.27 | |
| All in HWE | 11 | 1.37 (1.00–1.88)a | 0.05 | 25.82 | 61% | 0.004 | 0.44 | 0.34 | ||
| Caucasian | 6 | 1.43 (1.13–1.83)b | 0.003 | 9.44 | 47% | 0.09 | 0.46 | 0.64 | ||
| Brazilian | 6 | 1.09 (0.86–1.37)b | 0.47 | 8.35 | 40% | 0.14 | 0.71 | 0.44 | ||
| AG versus AA | All | 13 | 1.22 (1.01–1.47)b | 0.04 | 12.47 | 4% | 0.41 | 0.36 | 0.17 | |
| All in HWE | 11 | 1.20 (0.99–1.47)b | 0.07 | 12.11 | 17% | 0.28 | 0.44 | 0.13 | ||
| Caucasian | 6 | 1.31 (0.98–1.75)b | 0.07 | 7.89 | 37% | 0.16 | 0.46 | 0.36 | ||
| Brazilian | 6 | 1.11 (0.86–1.43)b | 0.44 | 2.98 | 0% | 0.70 | 0.46 | 0.60 | ||
| GG versus AA | All | 13 | 1.57 (1.07–2.31)a | 0.02 | 28.81 | 58% | 0.004 | 0.30 | 0.07 | |
| All in HWE | 11 | 1.61 (1.02–2.53)a | 0.04 | 28.72 | 65% | 0.001 | 0.35 | 0.07 | ||
| Caucasian | 6 | 1.65 (0.95–2.88)a | 0.08 | 10.87 | 54% | 0.05 | >0.99 | 0.41 | ||
| Brazilian | 6 | 1.16 (0.83–1.62)b | 0.37 | 9.88 | 49% | 0.08 | >0.99 | 0.33 | ||
| G versus A | All | 13 | 1.18 (0.99–1.40)a | 0.07 | 35.50 | 66% | 0.0004 | 0.20 | 0.12 | |
| All in HWE | 11 | 1.20 (0.96–1.49)a | 0.10 | 35.38 | 72% | 0.0001 | 0.28 | 0.12 | ||
| Caucasian | 6 | 1.26 (0.96–1.66)a | 0.10 | 13.85 | 64% | 0.02 | >0.99 | 0.84 | ||
| Brazilian | 6 | 1.00 (0.88–1.14)b | 0.97 | 8.26 | 39% | 0.14 | 0.71 | 0.64 | ||
|
| ||||||||||
| CβS c.844ins68 | Ins +/+ + Ins −/+ versus Ins −/− | All | 6 | 1.03 (0.80–1.31)b | 0.84 | 2.60 | 0% | 0.76 | 0.13 | 0.22 |
| Brazilian | 4 | 1.10 (0.83–1.45)b | 0.51 | 1.37 | 0% | 0.71 | 0.75 | 0.79 | ||
| Ins +/+ versus Ins −/+ + Ins −/− | All | 6 | 1.07 (0.50–2.28)b | 0.86 | 2.96 | 0% | 0.56 | 0.75 | 0.73 | |
| Brazilian | 4 | 1.17 (0.53–2.56)b | 0.70 | 2.42 | 0% | 0.49 | 0.75 | 0.75 | ||
| Ins −/+ versus Ins −/− | All | 6 | 1.02 (0.79–1.32)b | 0.87 | 3.33 | 0% | 0.65 | 0.27 | 0.36 | |
| Brazilian | 4 | 1.09 (0.81–1.45)b | 0.57 | 2.47 | 0% | 0.48 | 0.75 | 0.99 | ||
| Ins +/+ versus Ins −/− | All | 6 | 1.10 (0.51–2.34)b | 0.81 | 2.69 | 0% | 0.61 | 0.75 | 0.74 | |
| Brazilian | 4 | 1.20 (0.54–2.64)b | 0.65 | 2.10 | 0% | 0.55 | 0.33 | 0.76 | ||
| Ins + versus Ins − | All | 6 | 1.07 (0.86–1.34)b | 0.54 | 1.33 | 0% | 0.93 | 0.71 | 0.65 | |
| Brazilian | 4 | 1.07 (0.83–1.37)b | 0.61 | 0.51 | 0% | 0.92 | 0.33 | 0.21 | ||
|
| ||||||||||
| MTHFD-1 c.1958G>A | AA + GA versus GG | All | 5 | 1.22 (0.96–1.55)b | 0.10 | 1.86 | 0% | 0.76 | 0.48 | 0.38 |
| All in HWE | 4 | 1.28 (0.98–1.67)b | 0.07 | 1.16 | 0% | 0.76 | 0.33 | 0.21 | ||
| AA versus GA + GG | All | 5 | 0.96 (0.71–1.30)b | 0.79 | 1.61 | 0% | 0.81 | 0.08 | 0.43 | |
| All in HWE | 4 | 0.96 (0.68–1.37)b | 0.84 | 1.60 | 0% | 0.66 | 0.33 | 0.53 | ||
| GA versus GG | All | 5 | 1.26 (0.98–1.62)b | 0.07 | 2.62 | 0% | 0.62 | 0.48 | 0.37 | |
| All in HWE | 4 | 1.33 (1.01–1.75)b | 0.04 | 1.86 | 0% | 0.60 | 0.75 | 0.27 | ||
| AA versus GG | All | 5 | 1.05 (0.74–1.50)b | 0.77 | 0.66 | 0% | 0.96 | 0.81 | 0.81 | |
| All in HWE | 4 | 1.09 (0.73–1.62)b | 0.67 | 0.54 | 0% | 0.91 | 0.75 | 0.85 | ||
| A versus G | All | 5 | 1.08 (0.92–1.27)b | 0.35 | 1.30 | 0% | 0.86 | 0.48 | 0.40 | |
| All in HWE | 4 | 1.11 (0.93–1.33)b | 0.26 | 0.87 | 0% | 0.83 | 0.75 | 0.39 | ||
|
| ||||||||||
| TC2 c.776C>G | GG + CG versus CC | All | 4 | 1.27 (0.83–1.93)a | 0.27 | 8.03 | 63% | 0.05 | 0.33 | 0.53 |
| All in HWE | 2 | 0.92 (0.64–1.32)b | 0.66 | 0.38 | 0% | 0.53 | — | — | ||
| GG versus CG + CC | All | 4 | 0.94 (0.70–1.27)b | 0.70 | 5.65 | 47% | 0.13 | 0.75 | 0.91 | |
| All in HWE | 2 | 1.12 (0.40–3.16)a | 0.83 | 4.32 | 77% | 0.04 | — | — | ||
| CG versus CC | All | 4 | 1.34 (0.82–2.19)a | 0.25 | 9.74 | 69% | 0.02 | 0.75 | 0.67 | |
| All in HWE | 2 | 0.89 (0.61–1.31)b | 0.56 | 0 | 0% | 0.96 | — | — | ||
| GG versus CC | All | 4 | 1.22 (0.87–1.72)b | 0.25 | 4.61 | 35% | 0.20 | 0.75 | 0.57 | |
| All in HWE | 2 | 1.04 (0.61–1.78)b | 0.88 | 3.60 | 72% | 0.06 | — | — | ||
| G versus C | All | 4 | 1.12 (0.95–1.32)b | 0.19 | 6.17 | 51% | 0.10 | 0.08 | 0.20 | |
| All in HWE | 2 | 0.97 (0.75–1.25)b | 0.79 | 2.63 | 62% | 0.10 | — | — | ||
OR: odds ratio; CI: confidence interval.
Bold values indicate significant associations.
aRandom-effect model.
bFixed-effect model.
—: insufficient strata.