Institute of Human Respiratory Disease, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
Mitochondrion. 2011 Jul;11(4):553-8. doi: 10.1016/j.mito.2011.02.003. Epub 2011 Mar 6.
We conducted a case-control study to investigate the association of mitochondrial DNA (mtDNA) haplogroups with acute mountain sickness (AMS) in Han Chinese from southwestern (SW) China. Pearson's chi-square test or Fisher's exact test revealed significant reduction of mtDNA haplogroups D and M9, while a significant increase of haplogroup M7 in AMS subjects compared with non-AMS subjects. The multivariate logistic regression analysis after adjustment for body mass index (BMI), a risk factor of AMS in the present study, showed that both D and M9 were associated with significantly decreased risk of AMS, while M7 was associated with a significantly increased risk of AMS (OR=0.605, p=0.000; OR=0.037, p=0.001, and OR=2.419, p=0.001, respectively). In addition, further analysis stratified by the AMS severities indicated that haplogroup B was correlated with a 2.41-folds increased risk of developing severe AMS (95%C.I=1.288-4.514, p=0.006). Our findings provide evidence that, in SW Han Chinese, mtDNA haplogroups D and M9 are related to individual tolerance to AMS, while haplogroups M7 and B are risk factors for AMS.
我们进行了一项病例对照研究,以调查线粒体 DNA(mtDNA)单倍群与来自中国西南部(SW)汉族人群的急性高原病(AMS)之间的关联。Pearson's chi-square 检验或 Fisher's exact 检验显示,与非 AMS 受试者相比,AMS 受试者中 mtDNA 单倍群 D 和 M9 显著减少,而单倍群 M7 显著增加。在调整本研究中 AMS 的危险因素体重指数(BMI)后进行的多变量逻辑回归分析显示,D 和 M9 均与 AMS 的风险显著降低相关,而 M7 与 AMS 的风险显著增加相关(OR=0.605,p=0.000;OR=0.037,p=0.001,OR=2.419,p=0.001)。此外,根据 AMS 严重程度进行的进一步分析表明,单倍群 B 与发生严重 AMS 的风险增加 2.41 倍相关(95%CI=1.288-4.514,p=0.006)。我们的研究结果提供了证据,表明在 SW 汉族人群中,mtDNA 单倍群 D 和 M9 与个体对 AMS 的耐受性有关,而单倍群 M7 和 B 是 AMS 的危险因素。