Li Yafei, Wu Bo, Xiong Hongyan, Zhu Caizhong, Zhang Lu
Department of Epidemiology, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, PR China.
Respir Med. 2007 Sep;101(9):1977-81. doi: 10.1016/j.rmed.2007.04.006. Epub 2007 May 25.
Asthma is a complex disease resulting from multiple gene-gene and gene-environment interactions. Study on gene-gene interactions could provide insight into the pathophysiologic mechanisms of the disease.
We investigated the single nucleotide polymorphisms and interactions among three different loci in three candidate genes (STAT-6 G2964A, STAT-4 T90089C and IFN-gamma T874A) in 95 Chinese asthmatic subjects and 95 matched controls to determine the possible associations with asthma.
Genotyping of the gene polymorphisms was performed by means of PCR-SSCP analysis. Genotype-phenotype associations were examined in dominant and recessive genetic models using logistic regression. The method of multifactor dimensionality reduction was used to analyze gene-gene interactions.
No statistically significant difference was found in the distribution of the STAT-6 G2964A polymorphisms between asthmatic patients and controls in this case-control study. The STAT-4 T90089C polymorphisms were significantly associated with asthma in the dominant model (p=0.007). As for the IFN-gamma T874A, the significant associations were found in both dominant model (p=0.004) and recessive model (p=0.006). A significant gene-gene interaction was found among STAT-6, STAT-4 and IFN-gamma on the risk of asthma. In the best 3-locus model, the odds ratio for the high-risk to the low-risk group was 6.9 (95% CI, 3.5-13.7; p<0.0001).
Our findings suggest that STAT-4 T90089C and IFN-gamma T874A polymorphisms might be the genetic factors for the risk of asthma in the Chinese population. In addition, the significant interactions among STAT-6 G2964A, STAT-4 T90089C and IFN-gamma T874A may increase an individual's susceptibility and contribute to the pathogenesis of asthma.
哮喘是一种由多种基因-基因和基因-环境相互作用导致的复杂疾病。对基因-基因相互作用的研究有助于深入了解该疾病的病理生理机制。
我们在95名中国哮喘患者和95名匹配的对照中,研究了三个候选基因(STAT-6 G2964A、STAT-4 T90089C和IFN-γ T874A)中三个不同位点的单核苷酸多态性及其相互作用,以确定它们与哮喘的可能关联。
采用PCR-SSCP分析对基因多态性进行基因分型。使用逻辑回归在显性和隐性遗传模型中检验基因型-表型关联。采用多因素降维法分析基因-基因相互作用。
在本病例对照研究中,哮喘患者与对照之间STAT-6 G2964A多态性的分布无统计学显著差异。STAT-4 T90089C多态性在显性模型中与哮喘显著相关(p = 0.007)。至于IFN-γ T874A,在显性模型(p = 0.004)和隐性模型(p = 0.006)中均发现显著关联。在STAT-6、STAT-4和IFN-γ之间发现了与哮喘风险相关的显著基因-基因相互作用。在最佳的三位点模型中,高危组与低危组的比值比为6.9(95%可信区间,3.5 - 13.7;p < 0.0001)。
我们的研究结果表明,STAT-4 T90089C和IFN-γ T874A多态性可能是中国人群哮喘风险的遗传因素。此外,STAT-6 G2964A、STAT-4 T90089C和IFN-γ T874A之间的显著相互作用可能会增加个体的易感性,并有助于哮喘的发病机制。