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Fcγ 受体 IIIb 遗传多态性与台湾人群牙周炎易感性的关联。

The association of Fcgamma receptor IIIb genetic polymorphism and susceptibility to periodontitis in Taiwanese individuals.

机构信息

Department of Dentistry, Division of Periodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

J Clin Periodontol. 2010 Feb;37(2):145-51. doi: 10.1111/j.1600-051X.2009.01507.x. Epub 2009 Dec 22.

Abstract

AIM

The allelic polymorphism of FcgammaRIIIb, the neutrophil-specific receptor involved in the phagocytosis of immunoglobulin G-opsonized bacteria, has functionally distinct capacities that are important in host defence mediated by neutrophils. The aim of this study was to identify whether the polymorphism of FcgammaRIIIb is associated with periodontitis in Taiwanese individuals.

MATERIALS AND METHODS

This case-control study included of 93 aggressive periodontitis (AgP) patients, 372 chronic periodontitis (CP) patients and 158 healthy controls (HC). The FcgammaRIIIb genotypes were determined by PCR using allele-specific primers. The risk for periodontitis associated with genotypes was calculated as the odds ratio (OR).

RESULTS

A significant difference was observed in the distribution of the FcgammaRIIIb genotype between either AgP and HC, or AgP and CP, but not between CP and HC. The OR for carriage of the NA2 allele (NA1NA2+NA2NA2 versus NA1NA1) in AgP was 3.27 [95% confidence interval (CI)=1.57-7.51, p=0.0027] and 2.94 (95% CI=1.49-6.48, p=0.0037), as compared with HC and CP. After adjusting for possible confounding factors, the association was still significant.

CONCLUSIONS

The results of the present study suggest that subjects carrying at least one copy of the FcgammaRIIIb-NA2 allele might be associated with susceptibility to AgP. However, the clinical implications of the FcgammaRIIIb allelic polymorphism should be determined by further studies.

摘要

目的

FcγRIIIb 是一种中性粒细胞特异性受体,参与 IgG 包被细菌的吞噬作用,其等位基因多态性具有不同的功能,在中性粒细胞介导的宿主防御中非常重要。本研究旨在探讨 FcγRIIIb 多态性是否与台湾人群的牙周炎有关。

材料和方法

本病例对照研究纳入了 93 名侵袭性牙周炎(AgP)患者、372 名慢性牙周炎(CP)患者和 158 名健康对照(HC)。采用等位基因特异性引物的 PCR 法检测 FcγRIIIb 基因型。采用比值比(OR)计算基因型与牙周炎相关的风险。

结果

AgP 与 HC 或 AgP 与 CP 之间,FcγRIIIb 基因型的分布存在显著差异,但 CP 与 HC 之间无差异。AgP 患者携带 NA2 等位基因(NA1NA2+NA2NA2 与 NA1NA1)的 OR 为 3.27(95%可信区间[CI]:1.57-7.51,p=0.0027)和 2.94(95% CI:1.49-6.48,p=0.0037),与 HC 和 CP 相比。在调整了可能的混杂因素后,这种相关性仍然显著。

结论

本研究结果提示,携带至少一个 FcγRIIIb-NA2 等位基因的个体可能与 AgP 的易感性相关。然而,FcγRIIIb 等位基因多态性的临床意义还需要进一步研究来确定。

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