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[中国过敏性哮喘儿童中活化调节正常T细胞表达和分泌因子启动子区域-28位点的多态性]

[Polymorphism of regulated upon activation, normal T cell expressed and secreted promoter region -28 position in Chinese allergic asthmatic children].

作者信息

Wang Li-Jun, Li Yi-Rong, Chen Jian-Hua, Cui Tian-Pen, Wu Jian-Min

机构信息

Department of Clinical Examination, Tongren Hospital, Beijing 100730, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2004 Jun;27(6):394-7.

Abstract

OBJECTIVE

To study the effect of regulated upon activation, normal T cell expressed and secreted (RANTES)-28 polymorphism on allergic asthma in Chinese children.

METHODS

Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to identify the polymorphism at position -28 of the RANTES promoter in 100 asthmatic children (group A). Levels of plasma IgE and RANTES were detected by chemiluminescence and ELISA respectively. The number of peripheral eosinophils was counted. Data were compared with those of the control group of 90 healthy children (group B).

RESULTS

(1) Both C allele and G allele were detected at -28 of the RANTES promoter; the prevalence of the G allele in group A was 19.5%, as compared to 10.6% in group B; the prevalence of RANTES-28G allele was significantly different between the two groups (P < 0.05). (2) For genotypes C/C, C/G and G/G in asthmatics, levels of plasma RANTES were (289 +/- 199) ng/L, (515 +/- 119) ng/L and (1 071 +/- 138) ng/L, respectively, the difference being significant among the three genotypes (P < 0.01). (3) For genotypes C/C, C/G and G/G in asthmatics, total levels of plasma IgE (lg IgE) were 2.45 +/- 0.12, 2.77 +/- 0.07 and 3.16 +/- 0.09, respectively, the difference being not significant among the three genotypes (P > 0.05). (4) The numbers of peripheral eosinophils were (2.9 +/- 1.4) x 10(8)/L, (6.4 +/- 0.8) x 10(8)/L and (9.9 +/- 2.3) x 10(8)/L in genotypes C/C, C/G and G/G in asthmatics respectively, and the difference being significant among the three genotypes (P < 0.01).

CONCLUSION

Polymorphism of RANTES C-28G was associated with susceptibility of asthma in children, and may aggravate the disease through increasing the level of RANTES and eosinophils.

摘要

目的

研究调节激活正常T细胞表达和分泌因子(RANTES)-28多态性对中国儿童过敏性哮喘的影响。

方法

采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法,对100例哮喘儿童(A组)RANTES启动子-28位点的多态性进行鉴定。分别采用化学发光法和酶联免疫吸附测定法检测血浆IgE和RANTES水平。计数外周血嗜酸性粒细胞数量。将数据与90例健康儿童对照组(B组)进行比较。

结果

(1)在RANTES启动子-28位点检测到C等位基因和G等位基因;A组G等位基因的发生率为19.5%,B组为10.6%;两组RANTES-28G等位基因的发生率差异有统计学意义(P<0.05)。(2)哮喘患者中C/C、C/G和G/G基因型的血浆RANTES水平分别为(289±199)ng/L、(515±119)ng/L和(1071±138)ng/L,三种基因型之间差异有统计学意义(P<0.01)。(3)哮喘患者中C/C、C/G和G/G基因型的血浆总IgE(lg IgE)水平分别为2.45±0.12、2.77±0.07和3.16±0.09,三种基因型之间差异无统计学意义(P>0.05)。(4)哮喘患者中C/C、C/G和G/G基因型的外周血嗜酸性粒细胞数量分别为(2.9±1.4)×10⁸/L、(6.4±0.8)×10⁸/L和(9.9±2.3)×10⁸/L,三种基因型之间差异有统计学意义(P<0.01)。

结论

RANTES C-28G多态性与儿童哮喘易感性相关,可能通过增加RANTES水平和嗜酸性粒细胞数量加重病情。

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