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白细胞介素 6 单核苷酸多态性与西班牙类风湿关节炎患者心血管疾病之间缺乏关联。

Lack of association between IL6 single nucleotide polymorphisms and cardiovascular disease in Spanish patients with rheumatoid arthritis.

机构信息

Department of Rheumatology, Hospital Universitario Marqués de Valdecilla, IFIMAV, 39008 Santander, Spain.

出版信息

Atherosclerosis. 2011 Dec;219(2):655-8. doi: 10.1016/j.atherosclerosis.2011.07.124. Epub 2011 Aug 5.

Abstract

INTRODUCTION

Rheumatoid arthritis (RA) is a complex polygenic inflammatory disease associated with accelerated atherosclerosis. IL-6 is a key mediator of inflammation in RA. A recent study showed an association between IL6-174 G/C gene polymorphism and cardiovascular (CV) disease in UK individuals with RA. To confirm this association we assessed the influence of three IL6 gene polymorphisms in the risk of CV disease in a large series of patients with RA.

MATERIAL AND METHODS

We studied 1250 Spanish patients with RA. Besides genotyping the traditional single nucleotide polymorphism (SNP) promoter -174G/C (rs1800795), we assessed another two SNPs (rs2069827 and rs2069840) located in the IL6 gene that were selected by SNP-tagging.

RESULTS

Two-hundred and twenty (17.6%) of the 1250 patients experienced CV events. No significant differences in the genotype, allele and haplotype frequencies between RA patients with and without CV events were observed.

CONCLUSION

Our results do not confirm in a Spanish population the association of IL6 gene with CV disease in RA previously reported in the UK.

摘要

简介

类风湿关节炎(RA)是一种与动脉粥样硬化加速相关的复杂多基因炎症性疾病。白细胞介素 6(IL-6)是 RA 炎症的关键介质。最近的一项研究表明,IL6-174G/C 基因多态性与英国 RA 患者的心血管(CV)疾病之间存在关联。为了证实这一关联,我们评估了三个 IL6 基因多态性在大量 RA 患者 CV 疾病风险中的影响。

材料与方法

我们研究了 1250 名西班牙 RA 患者。除了对传统的单核苷酸多态性(SNP)启动子 -174G/C(rs1800795)进行基因分型外,我们还评估了位于 IL6 基因中的另外两个 SNP(rs2069827 和 rs2069840),它们是通过 SNP 标记选择的。

结果

1250 名患者中有 220 名(17.6%)发生 CV 事件。在有和没有 CV 事件的 RA 患者之间,基因型、等位基因和单倍型频率没有显著差异。

结论

我们的结果在西班牙人群中没有证实先前在英国报道的 IL6 基因与 RA 中 CV 疾病的关联。

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