Szolnoki Zoltan, Maasz Anita, Magyari Lili, Horvatovich Katalin, Farago Bernadett, Kondacs Andras, Bodor Anita, Hadarits Ferenc, Orosz Peter, Ille Alexandru, Melegh Bela
Department of Cerebrovascular Disease, Pandy Kalman County Hospital, Gyula, Hungary.
Clin Neurol Neurosurg. 2009 Apr;111(3):227-30. doi: 10.1016/j.clineuro.2008.09.027. Epub 2008 Nov 14.
The galectin-2 protein is presumed to play a regulatory role in the intracellular trafficking of the lymphotoxin-alpha (LTA) cytokine. LTA is a pro-inflammatory factor, its 252GG homozygote variant is considered as a susceptibility factor for arteriosclerosis and cardiovascular diseases. By contrast, the galectin-2-encoding gene LGALS2 3279TT homozygote variant has been demonstrated to exert protection against myocardial infarction by reducing the transcriptional level of galectin-2, thereby leading to a reduced extracellular secretion of LTA.
In the present study, we examined whether the LGALS2 3279TT homozygote variant alone can influence the prevalence of ischaemic stroke, and whether it can interact somehow with the disadvantageous LTA 252GG homozygote variant. Genetic and clinical data of 385 ischemic stroke patients and 303 stroke and neuroimaging alteration-free controls were analysed.
The combination of the LGALS2 3279TT and LTA 252GG homozygote was significantly less frequent in the ischemic stroke group (1.56%) than in the controls (5.94%, p<0.00187; overall stroke group: crude OR: 0.25, 95% CI: 0.1-0.64; adjusted OR: 0.03, 95% CI: 0.025-0.71).
This finding suggests a gene-gene interaction.
据推测,半乳糖凝集素-2蛋白在淋巴毒素-α(LTA)细胞因子的细胞内运输中起调节作用。LTA是一种促炎因子,其252GG纯合子变体被认为是动脉粥样硬化和心血管疾病的易感因素。相比之下,已证明编码半乳糖凝集素-2的基因LGALS2 3279TT纯合子变体通过降低半乳糖凝集素-2的转录水平来预防心肌梗死,从而减少LTA的细胞外分泌。
在本研究中,我们研究了LGALS2 3279TT纯合子变体是否单独影响缺血性中风的患病率,以及它是否能以某种方式与不利的LTA 252GG纯合子变体相互作用。分析了385例缺血性中风患者和303例无中风及神经影像学改变的对照者的基因和临床数据。
缺血性中风组中LGALS2 3279TT和LTA 252GG纯合子的组合频率(1.56%)显著低于对照组(5.94%,p<0.00187;总体中风组:粗OR:0.25,95%CI:0.1 - 0.64;调整后OR:0.03,95%CI:0.025 - 0.71)。
这一发现提示了基因-基因相互作用。