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醛固酮合成酶(CYP11B2)基因-344T/C多态性与蒙古族原发性高血压的相关性

[Association of aldosterone synthase (CYP11B2) gene -344T/C polymorphism with essential hypertension in Mongolian nationality].

作者信息

Pan Xing-qiang, Liu Yong-yue, Wang Ling-fei, Liu Yao-jun, Zhang Yong-hong, Qiu Chang-chun, Tong Wei-jun

机构信息

Department of Epidemiology, Soochow University, Suzhou 215123, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2010 Sep;44(9):800-5.

Abstract

OBJECTIVE

To explore the relationship between the -344T/C polymorphism of aldosterone synthase (CYP11B2) gene and essential hypertension in Chinese Mongolian population.

METHODS

By cluster-sampling method, a total of 1575 Mongolian people in Tongliao city of Inner Mongolia were included in this study. And 417 subjects were normotension, 596 subjects were prehypertension and 562 subjects were essential hypertension. A survey was conducted to collect data by personal interview using a standard questionnaire, meanwhile fasting blood samples were drawn. Height, weight, waist circumference, blood pressure, blood-fat indexes and fasting plasma glucose were measured. The variant genotypes of CYP11B2 were identified by PCR assays. The relationship between the -344T/C polymorphism of CYP11B2 gene and essential hypertension were analyzed by multinomial logistic regression model.

RESULTS

Crude prevalence of prehypertension among Mongolian people was 37.84% (596/1575) and hypertension was 35.68% (562/1575). The age-standardized prevalence of prehypertension was 38.57% and hypertension was 31.53%. The frequency of the T and C allele was 0.66 (481/728) and 0.34 (247/728) for normotension group, 0.69 (696/1042) and 0.33 (346/1042) for prehypertension group, 0.71 (706/998) and 0.29 (292/998) for hypertension group. The multiple logistic models showed CYP11B2 variant genotypes were associated with prehypertension (TT/CC, OR = 1.33, 95%CI: 0.87 - 2.01; TC/CC, OR = 1.74, 95%CI: 1.13 - 2.67; TC + TT/CC, OR = 1.49, 95%CI: 1.01 - 2.22); CYP11B2 variant genotypes were associated with hypertension (TT/CC, OR = 1.70, 95%CI: 1.07 - 2.70; TC/CC, OR = 1.59, 95%CI: 0.98 - 2.50; TC + TT/CC, OR = 1.66, 95%CI: 1.06 - 2.58).

CONCLUSION

CYP11B2 gene -344T/C polymorphism were associated with essential hypertension in Chinese Mongolian population.

摘要

目的

探讨醛固酮合酶(CYP11B2)基因-344T/C多态性与中国蒙古族人群原发性高血压的关系。

方法

采用整群抽样法,选取内蒙古通辽市1575名蒙古族居民纳入本研究。其中417名受试者血压正常,596名受试者为高血压前期,562名受试者为原发性高血压。采用标准问卷通过个人访谈收集数据,同时采集空腹血样。测量身高、体重、腰围、血压、血脂指标和空腹血糖。采用聚合酶链反应(PCR)检测CYP11B2的变异基因型。采用多项逻辑回归模型分析CYP11B2基因-344T/C多态性与原发性高血压的关系。

结果

蒙古族人群高血压前期的粗患病率为37.84%(596/1575),高血压患病率为35.68%(562/1575)。年龄标准化的高血压前期患病率为38.57%,高血压患病率为31.53%。血压正常组T和C等位基因频率分别为0.66(481/728)和0.34(247/728),高血压前期组分别为0.69(696/1042)和0.33(346/1042),高血压组分别为0.71(706/998)和0.29(292/998)。多项逻辑模型显示,CYP11B2变异基因型与高血压前期相关(TT/CC,比值比[OR]=1.33,95%置信区间[CI]:0.87-2.01;TC/CC,OR=1.74,95%CI:1.13-2.67;TC+TT/CC,OR=1.49,95%CI:1.01-2.22);CYP11B2变异基因型与高血压相关(TT/CC,OR=1.70,95%CI:1.07-2.70;TC/CC,OR=1.59,95%CI:0.98-2.50;TC+TT/CC,OR=1.66,95%CI:1.06-2.58)。

结论

CYP11B2基因-344T/C多态性与中国蒙古族人群原发性高血压相关。

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