Aydoğan Hülya Yilmaz, Küçükhüseyin Ozlem, Tekeli Atike, Isbir Turgay
Department of Molecular Medicine, The Institute of Experimental Medicine, Istanbul University, İstanbul, Turkey.
Genet Test Mol Biomarkers. 2012 Feb;16(2):134-7. doi: 10.1089/gtmb.2011.0077. Epub 2011 Aug 23.
The aim of the present study was to investigate the individual and combined effects of receptor for advanced glycation end products (RAGE) -374T/A, RAGE Gly82Ser, and peroxisome proliferator-activated receptor gamma (PPAR-γ) Pro12Ala polymorphisms on the development of coronary artery disease (CAD).
This study was carried out in 87 patients with CAD and 52 CAD-free healthy controls. Polymerase chain reaction, restriction fragment length polymorphism, and agarose gel electrophoresis techniques were used to determine RAGE -374T/A, RAGE Gly82 Ser, and PPAR-γ Pro12 Ala.
Individual allele and genotype frequencies of RAGE -374T/A, RAGE Gly82Ser, and PPAR-γ Pro12Ala polymorphisms were not significantly different between study groups. However, compared with the control group, wild-type T allele frequency was found to be higher in patients with diabetes (p=0.009). To investigate the combined effects of RAGE and PPAR polymorphisms, haplotype analysis was elevated and there was no statistical difference between the haplotypes of RAGE Gly82Ser with RAGE-374T/A or PPAR Pro12Ala. However, the frequency of RAGE-374T/PPAR12Ala haplotype was found to be higher in both the patient group (p=0.024) and in patients without diabetes (p=0.037).
The results of the present study demonstrated that possessing the A allele of RAGE -374T/A polymorphism by diabetic CAD patients and possessing the-374T/Ala12 haplotype of RAGE -374T/A and PPAR-γ Pro12 Ala polymorphisms by the patients group were the most important risk factors for CAD.
本研究旨在调查晚期糖基化终末产物受体(RAGE)-374T/A、RAGE Gly82Ser和过氧化物酶体增殖物激活受体γ(PPAR-γ)Pro12Ala基因多态性对冠状动脉疾病(CAD)发生发展的个体及联合作用。
本研究纳入87例CAD患者和52例无CAD的健康对照。采用聚合酶链反应、限制性片段长度多态性和琼脂糖凝胶电泳技术检测RAGE -374T/A、RAGE Gly82 Ser和PPAR-γ Pro12 Ala。
研究组间RAGE -374T/A、RAGE Gly82Ser和PPAR-γ Pro12Ala基因多态性的个体等位基因和基因型频率无显著差异。然而,与对照组相比,糖尿病患者中野生型T等位基因频率较高(p=0.009)。为研究RAGE和PPAR基因多态性的联合作用,进行了单倍型分析,RAGE Gly82Ser与RAGE-374T/A或PPAR Pro12Ala的单倍型之间无统计学差异。然而,患者组(p=0.024)和非糖尿病患者(p=0.037)中RAGE-374T/PPAR12Ala单倍型频率均较高。
本研究结果表明,糖尿病CAD患者携带RAGE -374T/A多态性的A等位基因,以及患者组携带RAGE -374T/A和PPAR-γ Pro12 Ala多态性的-374T/Ala12单倍型是CAD最重要的危险因素。