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纤连蛋白基因多态性与尘肺病的关系

[Relationship between gene polymorphism of fibronectin and pneumoconiosis].

作者信息

Fan Xue-yun, Wang Yong-heng, Li Cui-lan, Yao San-qiao, Cao Yan

机构信息

Department of Occupational and Environmental Health, North China Coal Medical College, Tangshan 063000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2009 Jan;27(1):7-10.

Abstract

OBJECTIVE

To explore the relationship between the genetic polymorphism of fibronectin (FN) (4 genetic locus) and pneumoconiosis.

METHODS

128 male I-period pneumoconiosis were selected as cases who were examined with radiography and diagnosed by the Pneumoconiosis Diagnosis Expert Panel, based on the Chinese National Diagnosis Criteria of Pneumoconiosis (GBZ 70 - 2002). According to 1:1 paired matching method, 128 dust exposure workers were selected as control who were exposed to same dust as cases. The difference of age and cumulative length of service between case and control was not over five years and two years, respectively. 5 ml peripheral venous blood was drawn and anticoagulated with 2% EDTA. The polymorphisms of FN (MspI, TaqIb, HindIII, HaeIIIb) were detected, using the method of polymerase chain restriction fragment length polymorphism (PCR-RFLP) techniques and PCR.

RESULTS

The frequencies of FN Msp I (CC) in cases and control groups were 10.9% and 3.9%, respectively. The difference was significant (P < 0.05). The frequencies of FN (MspI) C allele were 41.8% and 31.2% in case and control, and the difference between cases and controls was significant (P < 0.05). The frequencies of FN HaeIIIb (AA) genotype in cases (24.2%) was higher than that in control groups (17.9%), OR = 5.0 (95% CI: 4.840 approximately 24.210). The frequencies of FN (HaeIIIb) A allele were 51.9% and 42.2% in case and control, and the difference was significant (P < 0.05). The difference of TaqIb and HindIII genotype between cases and controls were not significant (P > 0.05).

CONCLUSION

The risk of suffering from pneumoconiosis increases in workers carrying FN (MspICC or HaeIIIb AA) genotype after exposure to dust. Workers both carrying FN (HaeIIIb AA) and (MspICC) genotypes are more susceptible to pneumoconiosis. The relationship between genetic polymorphism of FN (TaqIIb, HindIII) and pneumoconiosis has not been found.

摘要

目的

探讨纤连蛋白(FN)(4个基因位点)基因多态性与尘肺病之间的关系。

方法

选取128例男性一期尘肺病患者作为病例组,依据《中华人民共和国尘肺病诊断标准》(GBZ 70 - 2002)进行胸部X线检查,并经尘肺病诊断专家委员会诊断。按照1:1配对匹配法,选取128名与病例组接触相同粉尘的接尘工人作为对照组。病例组与对照组年龄差值不超过5岁,累计工龄差值不超过2年。采集5ml外周静脉血,用2%乙二胺四乙酸(EDTA)抗凝。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术及PCR方法检测FN(MspI、TaqIb、HindIII、HaeIIIb)基因多态性。

结果

病例组和对照组中FN Msp I(CC)基因型频率分别为10.9%和3.9%,差异有统计学意义(P < 0.05)。病例组和对照组中FN(MspI)C等位基因频率分别为41.8%和31.2%,病例组与对照组差异有统计学意义(P < 0.05)。病例组中FN HaeIIIb(AA)基因型频率(24.2%)高于对照组(17.9%),比值比(OR)= 5.0(95%可信区间:4.840至24.210)。病例组和对照组中FN(HaeIIIb)A等位基因频率分别为51.9%和42.2%,差异有统计学意义(P < 0.05)。病例组与对照组TaqIb和HindIII基因型差异无统计学意义(P > 0.05)。

结论

携带FN(MspI CC或HaeIIIb AA)基因型的工人在接触粉尘后患尘肺病的风险增加。同时携带FN(HaeIIIb AA)和(MspI CC)基因型的工人更易患尘肺病。未发现FN(TaqIIb、HindIII)基因多态性与尘肺病之间的关系。

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