Haspolat Senay, Baysal Yunus, Duman Ozgür, Coşkun Mesut, Tosun Ozgür, Yeğin Olcay
Department of Pediatric Neurology, Akdeniz University Medical School, Antalya, Turkey.
J Child Neurol. 2005 Jul;20(7):565-8. doi: 10.1177/08830738050200070401.
Febrile seizures are the most common form of childhood seizures. The exact mechanism promoting convulsions during a common febrile illness remains unknown, but it is accepted that genetic influences are likely to account for at least some of the cases. Previous studies reported high interleukin-1beta levels in the cerebrospinal fluid of patients with febrile seizures. Recently, an association between a regulatory polymorphism in the genes encoding interleukin-1beta and interleukin-1Ra and febrile seizures was reported. In this study, we attempted to confirm these findings. We analyzed the cytokine gene polymorphisms of interleukin-1beta, interleukin-1alpha, and interleukin-1Ra of 73 children with febrile seizure and 152 healthy controls. The distribution of interleukin-1beta -511, interleukin-1alpha -889, and interleukin-1Ra genotypes and alleles did not differ significantly between cases and controls. Our data suggest that the studied gene polymorphisms of interleukin-1beta, interleukin-1alpha, and interleukin-1Ra do not have a significant role in the pathogenesis of febrile seizures.
热性惊厥是儿童惊厥最常见的形式。普通发热性疾病期间促发惊厥的确切机制尚不清楚,但人们认为遗传因素至少在部分病例中起作用。既往研究报道热性惊厥患者脑脊液中白细胞介素-1β水平升高。最近,有报道称编码白细胞介素-1β和白细胞介素-1受体拮抗剂(IL-1Ra)的基因中的调控多态性与热性惊厥之间存在关联。在本研究中,我们试图证实这些发现。我们分析了73例热性惊厥患儿和152例健康对照者的白细胞介素-1β、白细胞介素-1α和白细胞介素-1Ra的细胞因子基因多态性。病例组和对照组之间白细胞介素-1β -511、白细胞介素-1α -889以及白细胞介素-1Ra的基因型和等位基因分布无显著差异。我们的数据表明,所研究的白细胞介素-1β、白细胞介素-1α和白细胞介素-1Ra基因多态性在热性惊厥的发病机制中不起重要作用。