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中国人群中染色体 18q11.2 内肺结核遗传多态性的精细定位:一项病例对照研究。

Fine mapping of genetic polymorphisms of pulmonary tuberculosis within chromosome 18q11.2 in the Chinese population: a case-control study.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, PR China.

出版信息

BMC Infect Dis. 2011 Oct 22;11:282. doi: 10.1186/1471-2334-11-282.

Abstract

BACKGROUND

Recently, one genome-wide association study identified a susceptibility locus of rs4331426 on chromosome 18q11.2 for tuberculosis in the African population. To validate the significance of this susceptibility locus in other areas, we conducted a case-control study in the Chinese population.

METHODS

The present study consisted of 578 cases and 756 controls. The SNP rs4331426 and other six tag SNPs in the 100 Kbp up and down stream of rs4331426 on chromosome 18q11.2 were genotyped by using the Taqman-based allelic discrimination system.

RESULTS

As compared with the findings from the African population, genetic variation of the SNP rs4331426 was rare among the Chinese. No significant differences were observed in genotypes or allele frequencies of the tag SNPs between cases and controls either before or after adjusting for age, sex, education, smoking, and drinking history. However, we observed strong linkage disequilibrium of SNPs. Constructed haplotypes within this block were linked the altered risks of tuberculosis. For example, in comparison with the common haplotype AA(rs8087945-rs12456774), haplotypes AG(rs8087945-rs12456774) and GA(rs8087945-rs12456774) were associated with a decreased risk of tuberculosis, with the adjusted odds ratio(95% confidence interval) of 0.34(0.27-0.42) and 0.22(0.16-0.29), respectively.

CONCLUSIONS

Susceptibility locus of rs4331426 discovered in the African population could not be validated in the Chinese population. None of genetic polymorphisms we genotyped were related to tuberculosis in the single-point analysis. However, haplotypes on chromosome 18q11.2 might contribute to an individual's susceptibility. More work is necessary to identify the true causative variants of tuberculosis.

摘要

背景

最近,一项全基因组关联研究在非洲人群中发现了 18 号染色体 11.2 上 rs4331426 与结核病易感性的关联位点。为了验证该易感位点在其他地区的意义,我们在中国人群中进行了病例对照研究。

方法

本研究包括 578 例病例和 756 例对照。采用 Taqman 等位基因鉴别系统对 18 号染色体 11.2 上 rs4331426 上下游 100 Kbp 内的 SNP rs4331426 及其他 6 个标签 SNP 进行基因分型。

结果

与非洲人群的研究结果相比,中国人群中 SNP rs4331426 的遗传变异较为罕见。病例组和对照组之间的标签 SNP 基因型或等位基因频率在调整年龄、性别、教育程度、吸烟和饮酒史前后均无显著差异。然而,我们观察到 SNP 之间存在很强的连锁不平衡。该块内构建的单倍型与结核病风险的改变有关。例如,与常见的单倍型 AA(rs8087945-rs12456774)相比,AG(rs8087945-rs12456774)和 GA(rs8087945-rs12456774)单倍型与结核病的风险降低相关,调整后的比值比(95%置信区间)分别为 0.34(0.27-0.42)和 0.22(0.16-0.29)。

结论

在非洲人群中发现的 rs4331426 易感位点在中国人群中无法得到验证。我们所检测的单核苷酸多态性与结核病的单点分析均无关。然而,18 号染色体 11.2 上的单倍型可能与个体的易感性有关。需要进一步的研究来确定结核病的真正致病变异。

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