Research Center for TCM Complexity System, Shanghai University of TCM, Shanghai 201203, China.
Evid Based Complement Alternat Med. 2012;2012:298925. doi: 10.1155/2012/298925. Epub 2012 May 28.
Traditional Chinese medicine (TCM) syndrome is an important basis for TCM diagnosis and treatment. As Child-Pugh classification as well as compensation and decompensation phase in liver cirrhosis, it is also an underlying clinical classification. In this paper, we investigated the correlation between single nucleotide polymorphisms (SNPs) of Interleukin-10 (IL-10) and TCM syndromes in patients with hepatitis B cirrhosis (HBC). Samples were obtained from 343 HBC patients in China. Three SNPs of IL-10 (-592A/C, -819C/T, and -1082A/G) were detected with polymerase chain-reaction-ligase detection reaction (PCR-LDR). The result showed the SNP-819C/T was significantly correlated with Deficiency syndrome (P = 0.031), but none of the 3 loci showed correlation either with Child-Pugh classification and phase in HBC patients. The logistic regression analysis showed that the Excess syndrome was associated with dizzy and spider nevus, and the Deficiency syndrome was associated with dry eyes, aversion to cold, IL-10-819C/T loci, and IL-10-1082A/G loci. The odds ratio (OR) value at IL-10-819C/T was 4.022. The research results suggested that IL-10-819C/T locus (TC plus CC genotype) is probably a risk factor in the occurrence of Deficiency syndrome in HBC patients.
中医证候是中医诊断和治疗的重要依据。正如 Child-Pugh 分类以及肝硬化的代偿和失代偿期一样,它也是一种潜在的临床分类。在本文中,我们研究了乙型肝炎肝硬化(HBC)患者白细胞介素 10(IL-10)单核苷酸多态性(SNP)与中医证候之间的相关性。在中国,我们从 343 名 HBC 患者中获得了样本。使用聚合酶链反应-连接酶检测反应(PCR-LDR)检测了 IL-10 的三个 SNP(-592A/C、-819C/T 和-1082A/G)。结果表明,SNP-819C/T 与虚证显著相关(P=0.031),但这 3 个位点均与 HBC 患者的 Child-Pugh 分类和分期无相关性。逻辑回归分析显示,实证与头晕、蜘蛛痣有关,虚证与眼睛干涩、恶寒、IL-10-819C/T 位点、IL-10-1082A/G 位点有关。在 IL-10-819C/T 处的比值比(OR)值为 4.022。研究结果表明,IL-10-819C/T 位点(TC 加 CC 基因型)可能是 HBC 患者虚证发生的危险因素。