Capital Medical University, Ministry of Education, Institute of Heart Lung and Blood Vessel Diseases, Beijing Anzhen Hospital Affiliated to the Capital Medical University, China.
Acta Pharmacol Sin. 2010 Oct;31(10):1376-80. doi: 10.1038/aps.2010.159. Epub 2010 Sep 27.
Genetic susceptibility is an important risk factor for aortic aneurysm and dissection. Recent case-control association studies have identified six single nucleotide polymorphisms (SNPs) associated with abdominal aortic aneurysm (AAA) in a Caucasian population. We aimed to determine whether these loci confer susceptibility to thoracic aortic dissection (TAD) in a Chinese Han population and thus to establish cross-race susceptibility to TAD.
This study analyzed blood DNA isolated from 206 TAD patients and 180 controls from the ethnic Chinese Han population. Six SNPs - rs819146, rs8003379, rs2853523, rs326118, rs3788205, and rs10757278 - were genotyped using high-throughput matrix-assisted laser desorption ionization-time-of-flight (MALDI-TOF) mass spectrometry.
The A allele frequency for the SNP on 9p21, tagged as rs10757278, was higher in male TAD patients than in male controls (P=0.017). Moreover, with adjustment for traditional cardiovascular risk factors (sex, age, hypertension, dyslipidemia, diabetes, and smoking), the rs10757278 [odds ratio (OR) 0.63, 95% confidence interval (CI) 0.43 to 0.93] polymorphism was found to be an independent susceptibility factor for TAD in men.
Our results suggest that a sequence variant on 9p21 is an important susceptibility locus that confers high cross-race risk for development of TAD in Chinese Han population.
遗传易感性是主动脉瘤和夹层的重要危险因素。最近的病例对照关联研究已经在白种人群中发现了与腹主动脉瘤(AAA)相关的六个单核苷酸多态性(SNP)。我们旨在确定这些基因座是否在汉族人群中赋予胸主动脉夹层(TAD)易感性,从而建立 TAD 的跨种族易感性。
本研究分析了来自汉族人群的 206 例 TAD 患者和 180 例对照的血液 DNA。使用高通量基质辅助激光解吸电离飞行时间(MALDI-TOF)质谱法对六个 SNP(rs819146、rs8003379、rs2853523、rs326118、rs3788205 和 rs10757278)进行基因分型。
9p21 上标记为 rs10757278 的 SNP 的 A 等位基因频率在男性 TAD 患者中高于男性对照(P=0.017)。此外,在调整传统心血管危险因素(性别、年龄、高血压、血脂异常、糖尿病和吸烟)后,rs10757278[比值比(OR)0.63,95%置信区间(CI)0.43 至 0.93]多态性被发现是男性 TAD 的独立易感性因素。
我们的结果表明,9p21 上的序列变异是一个重要的易感基因座,赋予汉族人群 TAD 发展的高跨种族风险。