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[对氧磷酶2基因C311S变异与中国2型糖尿病患者缺血性卒中的关联]

[The association of paraoxonase 2 gene C311S variant with ischemic stroke in Chinese type 2 diabetes mellitus patients].

作者信息

Wang Xiao-yi, Xue Yao-ming, Wen Shu-juan, Zhang Ning-ling, Ji Zhong, Pan Su-yue

机构信息

Department of Endocrinology, Liuhuaqiao Hospital, Guangzhou, Guangdong, PR China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2003 Jun;20(3):215-9.

Abstract

OBJECTIVE

To investigate the association between the C311S polymorphism of paraoxonase 2 (PON2) gene and ischemic stroke in Chinese type 2 diabetes mellitus (T2DM) patients.

METHODS

A case-control study of 279 Chinese subjects (including 162 T2DM with or without ischemic stroke and 117 non-diabetic control) was performed. Genotype frequencies of C311S polymorphism were studied by polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP) analysis with DdeI digestion.

RESULTS

C311S polymorphism of PON2 gene was detected in Chinese with the C/S allele frequencies 0.145 and 0.855. The frequency distribution showed significant difference between Chinese and Asian Indian. Furthermore, the genotype distribution (SS, CS and CC) of the PON2 C311S gene polymorphism exhibited a significant difference between T2DM patients complicated with ischemic stroke and T2DM without ischemic stroke, the former had a significantly higher C allele frequency(P<0.05).

CONCLUSION

The above data indicate that the polymorphism at codon 311(Cys --> Ser)in the PON2 gene is associated with ischemic morbidity in Chinese T2DM patients and C allele might be a risk factor.

摘要

目的

探讨对氧磷酶2(PON2)基因C311S多态性与中国2型糖尿病(T2DM)患者缺血性卒中之间的关联。

方法

对279名中国受试者进行病例对照研究(包括162名伴有或不伴有缺血性卒中的T2DM患者和117名非糖尿病对照)。采用DdeI酶切的聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析研究C311S多态性的基因型频率。

结果

在中国人群中检测到PON2基因的C311S多态性,C/S等位基因频率分别为0.145和0.855。频率分布在中国人群和亚洲印度人群之间存在显著差异。此外,PON2 C311S基因多态性的基因型分布(SS、CS和CC)在合并缺血性卒中的T2DM患者和未合并缺血性卒中的T2DM患者之间存在显著差异,前者的C等位基因频率显著更高(P<0.05)。

结论

上述数据表明,PON2基因第311位密码子(半胱氨酸→丝氨酸)的多态性与中国T2DM患者的缺血性发病相关,C等位基因可能是一个危险因素。

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