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[新疆维吾尔族人群载脂蛋白A5基因多态性与冠心病的相关性]

[Association of apolipoprotein A5 gene polymorphism with coronary heart disease in Uygur population of Xinjiang].

作者信息

Yuan Shan, Ma Yi-tong, Xie Xiang, Yang Yi-ning, Fu Zhen-yan, Ma Xiang, Li Xiao-mei, Xiang Yang, Liu Fen, Chen Bang-dang

机构信息

Department of Coronary Artery Disease, Heart Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830054 PR China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2011 Feb;28(1):73-7. doi: 10.3760/cma.j.issn.1003-9406.2011.01.017.

DOI:10.3760/cma.j.issn.1003-9406.2011.01.017
PMID:21287515
Abstract

OBJECTIVE

To investigate the association of the -12238T/C polymorphism of apolipoprotein A5 (APOA5) gene with coronary heart disease (CHD) and the influence of serum lipid levels in Chinese Uygur population of Xinjiang.

METHODS

The -12238T/C polymorphism of APOA5 gene in 344 patients with CHD and 408 controls was analyzed by polymerase chain reaction-restriction fragment length polymorphism; the serum lipid levels were detected as well.

RESULTS

The frequencies of CC, TC and TT genotype were 6.69%, 43.31% and 50.00% in the CHD group, while they were 14.95%, 45.10% and 39.95% in the control group. There was significant difference in the distribution of genotypes between the two groups (P < 0.01). Logistic regression analyses adjusted for age, gender, smoking, serum total cholesterol, presence of hypertension and diabetes revealed that individuals carrying CC genotype had an increased risk of CHD compared with TT genotype (OR = 0.328, 95%CI: 0.154-0.700). There was also significant difference in serum triglyceride level in genotypes between these two groups (P < 0.01). Patients in CHD group who carried CC and TC genotypes had lower serum triglyceride level than the TT genotype carriers.

CONCLUSION

The -12238T/C polymorphism of APOA5 gene has influence on the serum triglyceride level in Uygur population of Xinjianxg. This polymorphism might be associated with development of CHD, and the CC genotype might be a protective factor in the development of CHD.

摘要

目的

探讨新疆维吾尔族人群载脂蛋白A5(APOA5)基因-12238T/C多态性与冠心病(CHD)的关系及其对血脂水平的影响。

方法

采用聚合酶链反应-限制性片段长度多态性方法分析344例冠心病患者和408例对照者APOA5基因-12238T/C多态性,并检测血脂水平。

结果

冠心病组CC、TC和TT基因型频率分别为6.69%、43.31%和50.00%,对照组分别为14.95%、45.10%和39.95%。两组基因型分布差异有统计学意义(P<0.01)。经年龄、性别、吸烟、血清总胆固醇、高血压和糖尿病等因素校正后的Logistic回归分析显示,携带CC基因型个体患冠心病的风险高于TT基因型个体(OR=0.328,95%CI:0.154-0.700)。两组基因型间血清甘油三酯水平也有显著差异(P<0.01)。冠心病组中携带CC和TC基因型的患者血清甘油三酯水平低于TT基因型携带者。

结论

APOA5基因-12238T/C多态性对新疆维吾尔族人群血清甘油三酯水平有影响。该多态性可能与冠心病的发生有关,CC基因型可能是冠心病发生的保护因素。

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