Yim J J, Yoo C G, Lee C-T, Kim Y W, Han S K, Shim Y S
Department of Internal Medicine and Lung Institute, Clinical Research Institute, Seoul National University College of Medicine, 28 Yongdon, Chongno-Gu, Seoul 110-744, South Korea.
Lung. 2002;180(2):119-25. doi: 10.1007/s004080000086.
The fact that only 10-20% of chronic heavy cigarette smokers develop symptomatic COPD and correlations of pulmonary function among twins and families suggests the presence of genetic susceptibility in the development of COPD. Genetic susceptibility to COPD might depend on the variations in enzyme activities that detoxify cigarette smoke products, such as microsomal epoxide hydrolase (mEPHX) and glutathione-S transferase (GST). The purpose of this study was to determine whether polymorphism of GSTP1 gene is linked to a genetic susceptibility to COPD. The hypothesis we tested here was that the polymorphism supposed to decrease GSTP1 activity would be the genetic risk for the development of COPD. Using PCR followed by restriction fragment length polymorphism (PCR-RFLP), genotypes of Ile105Val polymorphism in exon 5 of glutathione S-transferase P1 (GSTP1) gene were determined in 89 patients with COPD and 94 healthy smoking control subjects at the Seoul National University Hospital. Although the frequency of homozygous wild allele in exon 5 of GSTP1 gene in patients with COPD was higher than that observed in healthy controls (71% vs. 61%), the difference was not considered statistically significant. Neither the heterozygous nor homozygous mutant allele differed in frequency between the two groups. In conclusion, the genetic polymorphisms of exon 5 of GSTP1 gene may not be associated with development of COPD in Koreans.
事实上,只有10%-20%的慢性重度吸烟者会出现有症状的慢性阻塞性肺疾病(COPD),并且双胞胎及家族成员之间肺功能的相关性表明,COPD的发生存在遗传易感性。COPD的遗传易感性可能取决于对香烟烟雾产物进行解毒的酶活性变化,如微粒体环氧化物水解酶(mEPHX)和谷胱甘肽-S转移酶(GST)。本研究的目的是确定GSTP1基因多态性是否与COPD的遗传易感性相关。我们在此检验的假设是,假定会降低GSTP1活性的多态性将是COPD发生的遗传风险因素。在首尔国立大学医院,采用聚合酶链反应(PCR)及随后的限制性片段长度多态性分析(PCR-RFLP),对89例COPD患者和94名健康吸烟对照者的谷胱甘肽S转移酶P1(GSTP1)基因第5外显子Ile105Val多态性的基因型进行了测定。尽管COPD患者中GSTP1基因第5外显子纯合野生等位基因的频率高于健康对照者(71%对61%),但该差异未被认为具有统计学意义。两组之间杂合突变等位基因和纯合突变等位基因的频率均无差异。总之,GSTP1基因第5外显子的基因多态性可能与韩国人COPD的发生无关。