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Meta-Analysis
. 2019 Jun 5;55(6):247.
doi: 10.3390/medicina55060247.

Association between the FAS/FASL Variants and Risk of Male Infertility in Asian Populations; A Systematic Review and Meta-Analysis

Affiliations
Meta-Analysis

Association between the FAS/FASL Variants and Risk of Male Infertility in Asian Populations; A Systematic Review and Meta-Analysis

Rezvan Asgari et al. Medicina (Kaunas). .

Abstract

Background and Objectives: Studies suggest that FAS/FASL polymorphisms are associated with male infertility; however, their results are still inconclusive. Therefore, this systematic review and meta-analysis aimed to summarize and clarify the overall association of FAS/FASL polymorphisms and risk of male infertility. Materials and Methods: Our search was conducted on the databases of Science Direct, PubMed and Google Scholar. For performing the meta-analysis, pooled odds ratio (OR) values with 95% confidence interval (CI) was applied in order to analyze the strength of association between the FAS/FASL polymorphisms and risk of male infertility. A total of seven relevant studies published up to September 2018 were considered. Results: FASL-844C/T genotype results of 559 patients and 623 healthy individuals were included in our study. For FAS-670A/G genotype effect, 751 patients and 821 healthy individuals were explored. Results showed that all analysis models including dominant, recessive and allelic models of FASL-844C/T and FAS-670A/G polymorphism had no significant effect on infertility in men (p > 0.05 and p > 0.05, respectively). According to sensitivity analysis, our results were stable. Conclusion: We demonstrated that FAS/FASL polymorphisms might not be an effective factor on male reproductive health. For precise determination of FAS/FASL polymorphisms effects on male infertility, large-scale case-control studies should be performed.

Keywords: FAS; FASL; male infertility; meta-analysis; polymorphism.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of the search and study selection process according to inclusion and exclusion criteria. FASL: FAS Ligand.
Figure 2
Figure 2
Forest plots of odds ratios for the association between FASL-844C/T and male infertility in models of dominant, recessive and allelic ((AC) for models of dominant, recessive and allelic, respectively).
Figure 3
Figure 3
Forest plots of odds ratios for the association between FAS-670A/G and male infertility in models of dominant, recessive and allelic ((AC) for models of dominant, recessive and allelic, respectively).
Figure 4
Figure 4
Bias of literature for FASL-844C/T and FAS-670A/G was tested by Begg’s funnel plot and Egger’s test results are depicted for three different analysis models of FAS-670A/G (A): dominant; (B): recessive; (C): allelic and FASL-844C/T (D): dominant; (E): recessive; (F): allelic.

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