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韩国女性子宫内膜异位症与白细胞介素-1 家族基因多态性的相关性。

The association between endometriosis and polymorphisms in the interleukin-1 family genes in Korean women.

机构信息

Department of Obstetrics and Gynecology, College of Medicine, Inje University, Haeundae Paik Hospital, Busan, Korea.

出版信息

Am J Reprod Immunol. 2012 Aug;68(2):154-63. doi: 10.1111/j.1600-0897.2012.01136.x. Epub 2012 Apr 17.

DOI:10.1111/j.1600-0897.2012.01136.x
PMID:22509941
Abstract

PROBLEM

To investigate the association between polymorphisms of the interleukin-1 (IL-1) family genes and endometriosis in Korean women.

METHOD OF STUDY

In this case-control study, the IL-1α -889C>T, IL-1 receptor antagonist (IL-1RA) 86-bp microsatellite, IL-1 receptor 1 (IL-1R1) 52C>A, 294C>T, 1498T>C, 1632A>G, IL-1R2 rs2072472 C>T and rs7561460 C>T polymorphisms were analyzed in women with (n = 138) and without (n = 214) endometriosis using restriction fragment length polymorphism (RFLP) analysis, TaqMan assay, or DNA sequencing. Serum IL-1α, soluble IL-1RA (sIL-1RA), and sIL-1R2 levels were measured by enzyme-linked immunosorbent assay (ELISA).

RESULTS

Among the polymorphisms measured, the 1498T>C polymorphisms in the IL-1R1 gene were found to be related with early-stage endometriosis but not with advanced-stage endometriosis. The genotypes with at least one T allele (CT + TT) were less frequently observed in early-stage endometriosis compared with normal controls (OR = 0.44, 95% CI = 0.22-0.87, P = 0.02). Serum sIL-1R2 levels were significantly lower (P < 0.01) in women with endometriosis than in normal controls, whereas no difference in serum sIL-1RA levels between these two groups was noted. The single and haplotype genotypes of the IL-1R2 and IL-1RA microsatellite polymorphisms were not related with these serum levels.

CONCLUSION

The IL-1R1 1498T>C polymorphism is associated with early-stage endometriosis in Korean women.

摘要

问题

探讨白细胞介素-1(IL-1)家族基因多态性与韩国女性子宫内膜异位症的关系。

方法

在这项病例对照研究中,通过限制性片段长度多态性(RFLP)分析、TaqMan 检测或 DNA 测序,分析了白细胞介素-1α-889C>T、白细胞介素-1 受体拮抗剂(IL-1RA)86-bp 微卫星、白细胞介素-1 受体 1(IL-1R1)52C>A、294C>T、1498T>C、1632A>G、IL-1R2 rs2072472 C>T 和 rs7561460 C>T 多态性与子宫内膜异位症患者(n=138)和非子宫内膜异位症患者(n=214)之间的关系。采用酶联免疫吸附试验(ELISA)检测血清白细胞介素-1α、可溶性白细胞介素-1 受体(sIL-1RA)和 sIL-1R2 水平。

结果

在所测量的多态性中,IL-1R1 基因中的 1498T>C 多态性与早期子宫内膜异位症有关,但与晚期子宫内膜异位症无关。与正常对照组相比,早期子宫内膜异位症患者中至少携带一个 T 等位基因(CT+TT)的基因型较少(OR=0.44,95%CI=0.22-0.87,P=0.02)。子宫内膜异位症患者的血清 sIL-1R2 水平显著低于正常对照组(P<0.01),而两组间血清 sIL-1RA 水平无差异。IL-1R2 和 IL-1RA 微卫星多态性的单倍型和单体型基因型与这些血清水平无关。

结论

在韩国女性中,IL-1R1 1498T>C 多态性与早期子宫内膜异位症有关。

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