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ADRB3 和 PPARγ2 基因多态性及其与绝经后妇女心血管疾病风险的关联。

ADRB3 and PPARγ2 gene polymorphisms and their association with cardiovascular disease risk in postmenopausal women.

机构信息

Department of Health Promotion, Faculty of Physiotherapy, University School of Physical Education, Wroclaw, Poland.

出版信息

Climacteric. 2013 Aug;16(4):473-8. doi: 10.3109/13697137.2012.738721. Epub 2012 Nov 1.

Abstract

OBJECTIVES

The contribution of heritability to the development of cardiovascular disease (CVD) is of interest as the identification of genes enhancing the susceptibility of individuals to CVD may help the design of clinical interventions optimized for the individual's genome.

METHODS

We studied the associations of polymorphism of ADRB3 and PPARγ2 genes with obesity indices, unfavorable lipid profile parameters and insulin resistance index HOMA in 343 postmenopausal women.

RESULTS

No association was found between tested polymorphisms and CVD risk factors such as total cholesterol ≥ 5.0 mmol/l, high density lipoprotein cholesterol < 1.2 mmol/l, low density lipoprotein cholesterol > 3.0 mmol/l and triacylglycerols > 1.7 mmol/l. The presence of arterial hypertension and HOMA value ≥ 1.95 were also not related to these polymorphisms. A significant association between PPARγ2 gene polymorphism and total body fat mass (odds ratio = 1.90 at p = 0.037) as well as android fat deposit mass (odds ratio = 1.82 at p = 0.048) was found.

CONCLUSIONS

CVD risk factors in postmenopausal women are not directly associated with the polymorphisms of PPARγ2 and ADRB3 genes. We suggest that some indirect link between PPARγ2 gene polymorphism and susceptibility of postmenopausal women to CVD may exist. This suggestion is based on our finding that high total body fat mass and high android fat deposits are associated with the presence of the Pro12Ala allele of the PPARγ2 gene.

摘要

目的

遗传因素对心血管疾病(CVD)发展的影响引起了人们的关注,因为确定增强个体对 CVD 易感性的基因可能有助于设计针对个体基因组优化的临床干预措施。

方法

我们研究了 ADRB3 和 PPARγ2 基因多态性与 343 名绝经后女性肥胖指数、不良血脂谱参数和胰岛素抵抗指数 HOMA 之间的关系。

结果

未发现测试的多态性与总胆固醇≥5.0mmol/l、高密度脂蛋白胆固醇<1.2mmol/l、低密度脂蛋白胆固醇>3.0mmol/l 和三酰甘油>1.7mmol/l 等 CVD 危险因素之间存在关联。动脉高血压和 HOMA 值≥1.95也与这些多态性无关。PPARγ2 基因多态性与全身脂肪质量(比值比=1.90,p=0.037)和男性型脂肪沉积质量(比值比=1.82,p=0.048)显著相关。

结论

绝经后妇女的 CVD 危险因素与 PPARγ2 和 ADRB3 基因的多态性没有直接关系。我们认为,PPARγ2 基因多态性与绝经后妇女易患 CVD 之间可能存在某种间接联系。这一建议是基于我们的发现,即全身脂肪质量高和男性型脂肪沉积高与 PPARγ2 基因的 Pro12Ala 等位基因有关。

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