Non-Cochrane · aetiology · PM32460726

The association between genetic variants in lactotransferrin and dental caries: a meta- and gene-based analysis.

Li Xueyan, Su Yi, Liu Di, et al. · BMC medical genetics · 2020 · PubMed · doi:10.1186/s12881-020-01029-7

Oral HealthDental cariesAMSTAR 2: not applicable
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
17
current version
GRADE rated
0
No studies
0
Included studies
6
linked below
No studies 0 · 0%Ungraded 17 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationHuman subjects screened for dental caries in both case and control groups, with genotype data on LTF variants available in both groupsSubjects with and without dental caries from 6 studies (main rs1126478 meta-analysis: 1066 caries and 736 controls; n=1802 across 4 studies)
InterventionGenetic variants (polymorphisms) in the lactotransferrin (LTF) gene, primarily rs1126478rs1126478 (4-study meta-analysis); single-study LTF variants rs11216477, rs6441989, rs2073495, rs11716497; gene-based joint analysis of multiple LTF variants
ComparisonReference alleles/genotypes under additive, allelic, dominant, recessive and co-dominant genetic modelsCaries-free controls; reference alleles and genotypes per genetic model
OutcomesRisk of dental caries (odds ratio); dental caries severityDental caries risk (OR); dental caries severity; joint (gene-based) association
Study designsHuman genetic association studies with genotype data in case and control groups6 case-control genetic association studies (4 in the main rs1126478 meta-analysis)
TimingNot specifiedNot specified

Search date: December 5, 2019 (papers published before this date). Databases: PubMed; Cochrane Library; HuGE; Google Scholar

Questions and results

rs1126478, additive (per-allele) model vs Reference allele A

Population: Human subjects with dental caries and caries-free controls
2 questions
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Sensitivity analysis excluding the study using adult data (Fine 2013)
The additive-model association remained non-significant after excluding the adult-data study (OR 1.47, 95% CI 0.92 to 2.35; ungraded).
Source: Results (Association of rs1126748 with dental caries); Additional file 1 (Figure S1) · same question in other reviews
OR 1.47 [0.92, 2.35]3 studies · 1752 participantsUngraded
Dental caries
rs1126478 showed no significant association with dental caries under an additive genetic model (OR 1.41, 95% CI 0.98 to 2.02; ungraded).
Source: Table 2; Fig. 3; Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.41 [0.98, 2.02]4 studies · 1802 participantsUngraded

rs1126478, allelic model (G allele) vs A allele

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Allelic model (G vs. A)
rs1126478 showed no significant association with dental caries under an allelic model (OR 1.41, 95% CI 0.48 to 4.13; ungraded).
Source: Table 2; Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.41 [0.48, 4.13]4 studies · 1802 participantsUngraded

rs1126478, dominant model (GG or GA genotype) vs AA genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Dominant model (GG + GA vs. AA)
rs1126478 showed no significant association with dental caries under a dominant model (OR 1.32, 95% CI 0.43 to 4.03; ungraded).
Source: Table 2; Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.32 [0.43, 4.03]4 studies · 1802 participantsUngraded

rs1126478, recessive model (GG genotype) vs GA or AA genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Recessive model (GG vs. GA + AA)
rs1126478 showed no significant association with dental caries under a recessive model (OR 1.55, 95% CI 0.44 to 5.38; ungraded).
Source: Table 2; Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.55 [0.44, 5.38]4 studies · 1802 participantsUngraded

rs1126478, co-dominant model (GA genotype) vs GG or AA genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Co-dominant model (GA vs. GG + AA)
rs1126478 showed no significant association with dental caries under a co-dominant model (OR 0.97, 95% CI 0.72 to 1.32; ungraded).
Source: Table 2; Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 0.97 [0.72, 1.32]4 studies · 1802 participantsUngraded

rs1126478 genotype distribution vs Caries-free control genotype distribution

Population: Human subjects stratified by dental caries severity and caries-free controls
6 questions
OutcomeEffectEvidenceStatus / GRADE
Dental caries (by severity)
Moderate caries (DMFT 8 to 12); Wang et al. 2018
rs1126478 was significantly associated with moderate-level dental caries in a single study (OR 0.72, 95% CI 0.65 to 0.80; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 0.72 [0.65, 0.80]1 studyUngraded
Dental caries (by severity)
Moderate caries (DMFT 2 to 3); Volckova et al. 2014
rs1126478 showed no significant association with moderate-level dental caries in a single study (OR 1.04, 95% CI 0.80 to 1.34; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.04 [0.80, 1.34]1 studyUngraded
Dental caries (by severity)
Severe/high caries (DMFT 4 or more); Volckova et al. 2014
rs1126478 showed no significant association with severe-level dental caries in a single study (OR 1.20, 95% CI 0.94 to 1.54; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.20 [0.94, 1.54]1 studyUngraded
Dental caries (by severity)
Low caries (DMFT 1); Volckova et al. 2014
rs1126478 was inversely associated with low-level dental caries in a single study (OR 0.65, 95% CI 0.47 to 0.90; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 0.65 [0.47, 0.90]1 studyUngraded
Dental caries (by severity)
Severe caries (DMFT 13 to 20); Wang et al. 2018
rs1126478 was significantly associated with severe-level dental caries in a single study (OR 0.78, 95% CI 0.70 to 0.87; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 0.78 [0.70, 0.87]1 studyUngraded
Dental caries (by severity)
Moderate or severe caries combined; Volckova et al. 2014
rs1126478 was significantly associated with combined moderate-or-severe dental caries in a single study (OR 1.88, 95% CI 1.50 to 2.37; ungraded).
Source: Results (Association of rs1126748 with dental caries) · same question in other reviews
OR 1.88 [1.50, 2.37]1 studyUngraded

LTF rs1126477 variant vs Reference allele/genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Single study (Wang et al. 2018)
LTF rs11216477 was significantly associated with dental caries in a single study (OR 1.17, 95% CI 1.06 to 1.29; ungraded).
Source: Table 3; Results (Association of other genetic variants in LTF with dental caries) · same question in other reviews
OR 1.17 [1.06, 1.29]1 study · 910 participantsUngraded

LTF rs6441989 variant vs Reference allele/genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Single study (Doetzer et al. 2015)
LTF rs6441989 showed no significant association with dental caries in a single study (OR 1.02, 95% CI 0.92 to 1.14; ungraded).
Source: Table 3; Results (Association of other genetic variants in LTF with dental caries) · same question in other reviews
OR 1.02 [0.92, 1.14]1 study · 677 participantsUngraded

LTF rs2073495 variant vs Reference allele/genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Single study (Doetzer et al. 2015)
LTF rs2073495 showed no significant association with dental caries in a single study (OR 0.99, 95% CI 0.86 to 1.15; ungraded).
Source: Table 3; Results (Association of other genetic variants in LTF with dental caries) · same question in other reviews
OR 0.99 [0.86, 1.15]1 study · 677 participantsUngraded

LTF rs11716497 variant vs Reference allele/genotype

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Single study (Doetzer et al. 2015)
LTF rs11716497 showed no significant association with dental caries in a single study (OR 1.04, 95% CI 0.90 to 1.21; ungraded).
Source: Table 3; Results (Association of other genetic variants in LTF with dental caries) · same question in other reviews
OR 1.04 [0.90, 1.21]1 study · 677 participantsUngraded

Multiple LTF gene variants (joint / gene-based) vs Caries-free controls

Population: Human subjects with dental caries and caries-free controls
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Gene-based joint association (LTF)
A gene-based analysis indicated that multiple LTF variants were jointly associated with dental caries risk (weighted TPM P = 0.0007; no pooled effect estimate; ungraded).
Source: Table 4; Results (Gene-based analysis) · same question in other reviews
P-value (gene-based, weighted TPM) 0.0007NRUngraded

Included primary studies 6

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Azevedo 2010
Analysis of the association between lactotransferrin (LTF) gene polymorphism and dental caries.
PMID:20485928
1 other reviewnot statednot extracted yetnot extracted yet
Doetzer 2015
Lactotransferrin Gene Polymorphism Associated with Caries Experience.
PMID:25998152
this review onlynot statednot extracted yetnot extracted yet
Fine 2013
A lactotransferrin single nucleotide polymorphism demonstrates biological activity that can reduce susceptibility to caries.
PMID:23460521
this review onlynot statednot extracted yetnot extracted yet
Volckova 2014
Lack of association between lactotransferrin polymorphism and dental caries.
PMID:24217007
this review onlynot statednot extracted yetnot extracted yet
Wang 2017
The association of Enamelin, Lactoferrin, and Tumour necrosis factor alpha gene polymorphisms with high caries susceptibility in Chinese…
PMID:28395167
this review onlynot statednot extracted yetnot extracted yet
Wang 2018
Lack of association between LTF gene polymorphisms and different caries status in primary dentition.
PMID:29989276
this review onlynot statednot extracted yetnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).