Zhang Xiao-Ning, Yang Juan, Luo Zheng-Xiu, Luo Jian, Ren Luo, Li Bo, Chen Kun-Hua, Fu Zhou, Lu Quan, Liu En-Mei
Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, Chongqing 400014, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2012 Jul;14(7):524-8.
To explore the causes of nonspecific chronic cough in children and relationship between transient receptor potential vanilloid 1 (TRPV1) gene polymorphisms and nonspecific chronic cough.
A total of 195 children with chronic cough were followed up half a month, one month and three months after their first visit to hospital. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to examine polymorphisms of the TRPV1 gene in the children. A total of 205 healthy or surgical children without chronic cough served as the control group.
The etiologic distribution of the 195 children with chronic cough was as follows: 96 (49.2%) cases of cough variant asthma (CVA), 48 (24.6%) cases of CVA complicated by upper airway cough syndrome (UACS), 34 (17.4%) cases of post-infectious cough, and 17 (8.7%) cases of UACS. Three genotypes were identified in both groups at positions rs222747 (CC, GC and GG), rs222748 (CC, TC and TT) and rs8065080 (CC, TC and TT). The frequencies of genotype and allele at position rs222747 did not accord with the law of Hardy-Weinberg. There was no significant difference in frequencies of genotype and allele at positions rs222748 and rs8065080 between the two groups.
CVA, UACS and post-infectious cough are common causes of nonspecific chronic cough in children. TRPV1 gene polymorphisms at positions rs222748 and rs8065080 may be unrelated to nonspecific chronic cough in children.
探讨儿童非特异性慢性咳嗽的病因以及瞬时受体电位香草酸亚型1(TRPV1)基因多态性与非特异性慢性咳嗽之间的关系。
对195例慢性咳嗽儿童在首次就诊后半月、1个月及3个月进行随访。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法检测患儿TRPV1基因多态性。选取205例无慢性咳嗽的健康儿童或外科手术患儿作为对照组。
195例慢性咳嗽儿童的病因分布如下:咳嗽变异性哮喘(CVA)96例(49.2%),CVA合并上气道咳嗽综合征(UACS)48例(24.6%),感染后咳嗽34例(17.4%),UACS 17例(8.7%)。两组在rs222747位点(CC、GC和GG)、rs222748位点(CC、TC和TT)和rs8065080位点(CC、TC和TT)均鉴定出三种基因型。rs222747位点的基因型和等位基因频率不符合Hardy-Weinberg定律。两组在rs222748和rs8065080位点的基因型和等位基因频率无显著差异。
CVA、UACS和感染后咳嗽是儿童非特异性慢性咳嗽的常见病因。rs222748和rs8065080位点的TRPV1基因多态性可能与儿童非特异性慢性咳嗽无关。