亚甲基四氢叶酸还原酶、转化生长因子-β3 和转化生长因子-α 多态性及其与中国非综合征性唇腭裂风险的关联。

MTHFR, TGFB3, and TGFA polymorphisms and their association with the risk of non-syndromic cleft lip and cleft palate in China.

机构信息

National Reference Laboratory on Reproductive and Child Health, Ministry of Health, Peking University Health Science Center, Beijing, China.

出版信息

Am J Med Genet A. 2010 Feb;152A(2):291-8. doi: 10.1002/ajmg.a.33113.

Abstract

Our previous results indicated a moderate association between the methylenetetrahydrofolate reductase (MTHFR) gene 677C-T variant and an increased risk of non-syndromic cleft lip with or without cleft palate (nsCL/P) among the northern but not southern population in China, suggesting possible genetic heterogeneity in the etiology of nsCL/P between these two populations. It remains unknown whether the transforming growth factor alpha (TGFA) gene TaqI polymorphism and transforming growth factor beta 3 (TGFB3) gene CA repeats influence the risk of nsCL/P differently between the northern and southern Chinese populations. In this study of 188 Chinese case-parent triads, we found an independent association between the TGFB3 variant and risk of nsCL/P (OR = 2.10, 95% CI: 1.25-3.54 for heterozygotes; OR = 1.78, 95% CI: 0.83-3.83 for homozygotes). The MTHFR variant was associated with an increased risk of nsCL/P among children in the north (OR = 3.11, 95% CI: 1.18-8.23 for heterozygotes; OR = 3.36, 95%CI: 1.14-9.93 for homozygotes) and appear to interact marginally with the TGFB3 variant in the occurrence of nsCL/P among southern subjects (OR = 0.26, 95% CI: 0.06-1.07). No association was found between the TGFA variant and risk of nsCL/P in our data. Our results suggest that the TGFB3 gene variant may be an important genetic risk factor for nsCL/P occurrence in Chinese children, and we found no evidence of heterogeneity between northern and southern Chinese populations in the associations between TGFB3 and TGFA variants and risk of nsCL/P, but these results warrant further investigation.

摘要

我们之前的研究结果表明,亚甲基四氢叶酸还原酶(MTHFR)基因 677C-T 变异与中国北方而非南方人群中非综合征性唇裂伴或不伴腭裂(nsCL/P)的风险增加之间存在中度关联,表明这两个人群中 nsCL/P 的病因学可能存在遗传异质性。目前尚不清楚转化生长因子α(TGFα)基因 TaqI 多态性和转化生长因子β 3(TGFB3)基因 CA 重复是否会影响中国北方和南方人群中 nsCL/P 的风险。在这项对 188 个中国病例-父母三体型的研究中,我们发现 TGFB3 变异与 nsCL/P 的风险之间存在独立关联(杂合子的 OR = 2.10,95%CI:1.25-3.54;纯合子的 OR = 1.78,95%CI:0.83-3.83)。MTHFR 变异与北方儿童 nsCL/P 的风险增加相关(杂合子的 OR = 3.11,95%CI:1.18-8.23;纯合子的 OR = 3.36,95%CI:1.14-9.93),并且似乎与南方人群中 TGFB3 变异在 nsCL/P 发生中的相互作用轻微(OR = 0.26,95%CI:0.06-1.07)。在我们的数据中,未发现 TGFA 变异与 nsCL/P 的风险之间存在关联。我们的研究结果表明,TGFB3 基因变异可能是中国儿童 nsCL/P 发生的重要遗传危险因素,我们没有发现 TGFB3 和 TGFA 变异与 nsCL/P 风险之间的关联在北方和南方中国人群之间存在异质性,但这些结果值得进一步研究。

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