与宿主炎症细胞因子基因多态性相关的弯曲菌病的风险和预后。

Risk and prognosis of campylobacteriosis in relation to polymorphisms of host inflammatory cytokine genes.

机构信息

Department of Infectious Diseases, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark.

出版信息

Scand J Immunol. 2012 Apr;75(4):449-54. doi: 10.1111/j.1365-3083.2012.02678.x.

Abstract

The risk of infection with Campylobacter jejuni/coli as well as complications may be related to host genetics. We assessed six single-nucleotide polymorphisms in inflammatory cytokine genes in 105 patients with Campylobacter jejuni/coli gastroenteritis. The population distribution of the genes was determined in healthy subjects. The patients responded to mailed questionnaires with regard to reactive arthritis (RA) and irritable bowel syndrome (IBS) in 6-month follow-up. The genotype INFG(+ 874A/A) was less frequent in patients than in controls (20% versus 33%; P = 0.015), whereas the distribution of the other five SNPs did not differ from controls. After 6 months, RA had developed in 15 subjects and IBS in 20 subjects. RA was significant more frequent in patients with IL-18(-137G/G) (22%) than IL-18(-137C/C) (0%), P = 0.03, with INFG(+874 T/T (32%) than INFG(+874A/A) (0%), P = 0.007, and with INFG(+2197 A/A) (22%) than INFG(+2197G/G) (0%), P = 0.02. The development of IBS was not linked to gene polymorphisms. In conclusion, the risk of acquiring clinical gastroenteritis with Campylobacter jejuni/coli is related to the INFG (+ 874A>T) of intron 1. Polymorphisms in IL-18 and INFG are linked to the risk of post-infectious reactive arthritis, but not to irritable bowel syndrome.

摘要

空肠弯曲菌/大肠弯曲菌感染的风险以及相关并发症可能与宿主遗传有关。我们在 105 例空肠弯曲菌/大肠弯曲菌肠炎患者中评估了 6 个炎症细胞因子基因的单核苷酸多态性。在健康受试者中确定了这些基因的人群分布。在 6 个月的随访中,患者通过邮寄问卷的方式对反应性关节炎(RA)和肠易激综合征(IBS)做出回应。与对照组相比,患者的 INFG(+874A/A)基因型频率较低(20%对 33%;P=0.015),而其他 5 个 SNP 的分布与对照组无差异。6 个月后,15 例患者发生 RA,20 例患者发生 IBS。与 IL-18(-137G/G)相比,IL-18(-137C/C)的 RA 发生率显著更高(22%对 0%;P=0.03),INFG(+874T/T(32%)比 INFG(+874A/A)(0%)更常见,P=0.007,与 INFG(+2197A/A)(22%)比 INFG(+2197G/G)(0%)更常见,P=0.02。IBS 的发生与基因多态性无关。结论:空肠弯曲菌/大肠弯曲菌临床肠炎的发病风险与 INFG(+874A>T)的内含子 1 有关。IL-18 和 INFG 的多态性与感染后反应性关节炎的风险有关,但与肠易激综合征无关。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索