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CXCL16 基因内含子多态性与汉族人群冠心病发病风险增加相关:一项基于冠状动脉造影的大样本研究。

An intron polymorphism in the CXCL16 gene is associated with increased risk of coronary artery disease in Chinese Han population: a large angiography-based study.

机构信息

Department of Cardiology, Xijing Hospotal, Fourth Military Medical University, Xi'an, China.

出版信息

Atherosclerosis. 2010 May;210(1):160-5. doi: 10.1016/j.atherosclerosis.2009.11.004. Epub 2009 Nov 10.

Abstract

OBJECTIVE

Experimental and clinical observations suggest that CXCL16, a recently discovered transmembrane chemokine combining functions of a chemokine and a scavenger receptor, could be an important player in atherosclerosis, but the relationship of its common variants with coronary artery disease (CAD) has not been extensively studied.

METHODS

We designed an angiography-based case-controlled study consisting of 1176 CAD patients and 850 control subjects to investigate the association between five common single nucleotide polymorphisms (SNPs) of CXCL16 gene and CAD risk in Chinese Han population. The plasma concentration of CXCL16 was measured by enzyme-linked immunosorbent assay.

RESULTS

No significant differences were observed for the distributions of rs2250333, rs2304973, rs2277680, and rs1051009 between CAD patients and control subjects. However, both the genotype and allele frequencies of rs3744700 showed significant differences between cases and controls (P=0.001 and P<0.001, respectively). The GG homozygotes had significantly higher CAD risk compared with the T allele carriers (GT+TT) (OR, 1.77; 95% CI, 1.28-2.43; adjusted P<0.001) in a logistic regression model after adjustment for the conventional risk factors for CAD. The GG genotypes also had increased plasma CXCL16 levels compared with T allele carriers in both cases and control subjects.

CONCLUSIONS

SNP rs3744700 of CXCL16 gene is independently associated with the development of CAD in Chinese Han population, and GG homozygote which is associated with increased expression of CXCL16 may have a promoting effect on CAD.

摘要

目的

实验和临床观察表明,CXCL16 是一种新发现的跨膜趋化因子,兼具趋化因子和清道夫受体的功能,可能在动脉粥样硬化中发挥重要作用,但 CXCL16 常见变异与冠心病(CAD)的关系尚未得到广泛研究。

方法

我们设计了一项基于血管造影的病例对照研究,纳入了 1176 例 CAD 患者和 850 例对照,以研究 CXCL16 基因 5 个常见单核苷酸多态性(SNP)与中国汉族人群 CAD 风险的关系。采用酶联免疫吸附试验检测 CXCL16 血浆浓度。

结果

rs2250333、rs2304973、rs2277680 和 rs1051009 的基因型分布在 CAD 患者和对照组之间无显著差异。然而,rs3744700 的基因型和等位基因频率在病例组和对照组之间存在显著差异(P=0.001 和 P<0.001)。在调整 CAD 的传统危险因素后,逻辑回归模型显示,GG 纯合子与 T 等位基因携带者(GT+TT)相比,CAD 风险显著增加(OR,1.77;95%CI,1.28-2.43;调整后 P<0.001)。在病例组和对照组中,GG 基因型的 CXCL16 血浆水平也高于 T 等位基因携带者。

结论

CXCL16 基因 SNP rs3744700 与中国汉族人群 CAD 的发生独立相关,与 CXCL16 表达增加相关的 GG 纯合子可能对 CAD 具有促进作用。

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