The present meta-analysis of relevant case–control studies was conducted to
investigate the possible relationships between genetic variations in the killer cell
immunoglobulin-like receptor (KIR) gene clusters
of the human KIR gene family and susceptibility
to ankylosing spondylitis (AS). The following electronic databases were searched for
relevant articles without language restrictions: the Web of Science, the Cochrane
Library Database, PubMed, EMBASE, CINAHL, the Chinese Biomedical Database (CBM) and
Chinese National Knowledge Infrastructure (CNKI) databases, covering all papers
published until 2013. STATA statistical software was adopted in this meta-analysis
as well. We also calculated the crude odds ratios (OR) and its 95 % confidence
intervals (95 % CI). Seven case–control studies with 1,004 patients diagnosed with
AS and 2,138 healthy cases were implicated in our meta-analysis, and 15 genes in the
KIR gene family were also evaluated. The results of our meta-analysis show
statistical significance between the genetic variations in the KIR2DL1, KIR2DS4, KIR2DS5 and KIR3DS1 genes and an
increased susceptibility to AS (KIR2DL1: OR 7.82,
95 % CI 3.87–15.81, P< 0.001; KIR2DS4: OR 1.91, 95 % CI 1.16–3.13, P = 0.010; KIR2DS5:
OR1.51, 95 % CI 1.14–2.01, P = 0.004; KIR3DS1: OR 1.58, 95 % CI 1.34–1.86, P< 0.001; respectively). However, we failed to found
positive correlations between other genes and susceptibility to AS (all P >0.05). The current meta-analysis provides
reliable evidence that genetic variations in the KIR gene family may contribute to susceptibility to AS, especially
for the KIR2DL1, KIR2DS4, KIR2DS5 and KIR3DS1
genes.