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中国人群甲状腺球蛋白基因多态性与自身免疫性甲状腺疾病的关联

Association of the thyroglobulin gene polymorphism with autoimmune thyroid disease in Chinese population.

作者信息

Maierhaba Mai, Zhang Jin-An, Yu Zhi-Yun, Wang Yu, Xiao Wan-Xia, Quan Ying, Dong Bao-Ning

机构信息

Department of Endocrinology, The First Affiliated Hospital of Medical School, Xi'an Jiaotong University, No. 1 Jiankang Road, Xi'an, Shaanxi Province 710061, China.

出版信息

Endocrine. 2008 Jun;33(3):294-9. doi: 10.1007/s12020-008-9082-x.

Abstract

OBJECTIVE

This study was performed to identify the presence of previously reported thyroglobulin (Tg) gene single nucleotide polymorphisms (SNPs) in Han Chinese Asians, and to investigate their potential relation to autoimmune thyroid disease (AITD).

METHODS

Polymorphisms were determined by polymerase chain reaction-restriction fragment length polymorphism analysis (PCR-RFLP) in 228 Chinese patients with AITD (146 with Graves' disease and 82 with Hashimoto's thyroiditis) and 131 healthy Chinese controls.

RESULTS

(1) The occurrence of four common Tg gene SNPs (E10SNP24 T/G and E10SNP158 T/C in exon 10, E12SNP A/G in exon 12, and E33SNP C/T in exon 33) was confirmed in this Chinese population. No differences in allele and genotype frequencies were found between AITD patients and control subjects, or between male and female individuals in any group. Neither were differences in allele frequencies observed when Graves' disease (GD) or Hashimoto's thyroiditis (HT) patients were analyzed separately. (2) Haplotype analysis of these four SNPs revealed that the G-C-A-C haplotype was significantly associated with HT (P < 0.01, OR = 3.06, OR 95% CI [1.326-7.089]) and with serum anti-Tg antibody (Tg-Ab) positive AITD patients (P = 0.028, OR = 3.34).

CONCLUSION

Our study confirms the existence of four SNPs among Han Chinese. In addition, the association of one SNP haplotype with HT suggests that Tg may be an AITD susceptibility gene.

摘要

目的

本研究旨在确定先前报道的甲状腺球蛋白(Tg)基因单核苷酸多态性(SNP)在汉族亚洲人中的存在情况,并探讨它们与自身免疫性甲状腺疾病(AITD)的潜在关系。

方法

采用聚合酶链反应-限制性片段长度多态性分析(PCR-RFLP)方法,对228例中国AITD患者(146例格雷夫斯病患者和82例桥本甲状腺炎患者)和131例健康中国对照者进行基因多态性检测。

结果

(1)在该中国人群中证实了4种常见的Tg基因SNP(外显子10中的E10SNP24 T/G和E10SNP158 T/C、外显子12中的E12SNP A/G以及外显子33中的E33SNP C/T)的存在。AITD患者与对照受试者之间,或任何组中的男性和女性个体之间,等位基因和基因型频率均无差异。分别分析格雷夫斯病(GD)或桥本甲状腺炎(HT)患者时,等位基因频率也未观察到差异。(2)对这4个SNP的单倍型分析显示,G-C-A-C单倍型与HT显著相关(P < 0.01,OR = 3.06,OR 95% CI [1.326 - 7.089]),并且与血清抗Tg抗体(Tg-Ab)阳性的AITD患者相关(P = 0.028,OR = 3.34)。

结论

我们的研究证实了汉族人群中存在4种SNP。此外,一种SNP单倍型与HT的关联表明,Tg可能是AITD的易感基因。

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