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[脾虚证与脾胃湿热证慢性浅表性胃炎患者物质与能量代谢基因差异表达的研究]

[Study on gene differential expressions of substance and energy metabolism in chronic superficial gastritis patients of Pi deficiency syndrome and of pi-wei hygropyrexia syndrome].

作者信息

Yang Ze-Min, Chen Wei-Wen, Wang Ying-Fang

机构信息

Institute of Gastroenterology, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012 Sep;32(9):1180-7.

Abstract

OBJECTIVE

To analyze the metabolic levels of energy and substance in chronic superficial gastritis (CSG) patients of Pi deficiency syndrome (PDS) and of Pi-Wei hygropyrexia syndrome (PWHS), including lipid, protein, nucleic acid, carbohydrate, trace element, and energy metabolism, and to study the pathogenesis mechanism of PDS from substance and energy metabolisms.

METHODS

Recruited were 8 CSG patients who visited at First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Guangdong Provincial Hospital of Traditional Chinese Medicine from June 2004 to March 2005, including 4 patients of PDS and 4 of PWHS. Their gastric mucosae were used for experiments of DNA microarray. The dual-channel DNA microarray data were bioinformatically analyzed by BRB ArrayTools and IPA Software.

RESULTS

Obtained were fifty-six differentially expressed genes involved in substance and energy metabolisms with the expression fold more than 2, including 11 genes up-regulated and 45 genes down-regulated. Of them, genes correlated to lipid metabolism included CRLS1, LRP11, FUT9, GPCPD1, PIGL, SULT1A4, B3GNT1, ST8SIA4, and ACADVL, mainly involved in the metabolic processes of fatty acid, cholesterol, phospholipids, and glycolipid. Genes correlated to protein metabolism included ASRGL1, AARSD1, EBNA1BP2, PUM2, MRPL52, C120RF65, PSMB8, PSME2, UBA7, RNF11, FBXO44, ZFYVE26, CHMP2A, SSR4, SNX4, RAB3B, RABL2A, GOLGA2, KDELR1, PHPT1, ACPP, PTPRF, CRKL, HDAC7, ADPRHL2, B3GNT1, ST8SIA4, DDOST, and FUT9, mainly involved in the biosynthesis processes of protein, ubiquitination, targeted transport and post-translation modification. Genes correlated to nucleic acid metabolism included DFFB, FLJ35220, TOP2A, SF3A3, CREB3, CRTC2, NR1D2, MED6, GTF2IRD1, C1ORF83, ZNF773, and ZMYND11, mainly involved in DNA replication and repair, transcription regulation. Genes correlated to carbohydrate metabolism included AGL, B3GNT1, FUT9, ST8SIA4, SULT1A4, DDOST, and PIGL, mainly involved in glucogen degradation and glycoconjugate biosynthesis. Genes correlated to trace element metabolism included COMMD1, SLC39A6, FTL, CHRFAM7A, SCGN, and S100A6, mainly involved in ion metabolisms of copper, zinc, ferri, and calcium. Genes correlated to energy metabolism included AK3 and COX7B, mainly involved in mitochondria structure and oxidative phosphorylation processes.

CONCLUSION

The metabolic levels of energy and substance including lipid, protein, nucleic acid, carbohydrate, and trace element were obviously reduced in patients of PDS, which might be an important pathogenesis mechanism for its occurrence.

摘要

目的

分析脾胃虚弱证和脾胃湿热证慢性浅表性胃炎(CSG)患者的能量与物质代谢水平,包括脂质、蛋白质、核酸、碳水化合物、微量元素及能量代谢,从物质和能量代谢方面探讨脾胃虚弱证的发病机制。

方法

选取2004年6月至2005年3月在广州中医药大学第一附属医院和广东省中医院就诊的8例CSG患者,其中脾胃虚弱证4例,脾胃湿热证4例。取其胃黏膜进行基因芯片实验。采用BRB ArrayTools和IPA软件对双通道基因芯片数据进行生物信息学分析。

结果

获得56个参与物质和能量代谢的差异表达基因,表达倍数大于2,其中上调基因11个,下调基因45个。其中,与脂质代谢相关的基因有CRLS1、LRP11、FUT9、GPCPD1、PIGL、SULT1A4、B3GNT1、ST8SIA4、ACADVL,主要参与脂肪酸、胆固醇、磷脂和糖脂的代谢过程。与蛋白质代谢相关的基因有ASRGL1、AARSD1、EBNA1BP2、PUM2、MRPL52、C120RF65、PSMB8、PSME2、UBA7、RNF11、FBXO44、ZFYVE26、CHMP2A、SSR4、SNX4、RAB3B、RABL2A、GOLGA2、KDELR1、PHPT1、ACPP、PTPRF、CRKL、HDAC7、ADPRHL2、B3GNT1、ST8SIA4、DDOST、FUT9,主要参与蛋白质的生物合成、泛素化、靶向运输及翻译后修饰过程。与核酸代谢相关的基因有DFFB、FLJ35220、TOP2A、SF3A3、CREB3、CRTC2、NR1D2、MED6、GTF2IRD1、C1ORF83、ZNF773、ZMYND11,主要参与DNA复制与修复、转录调控。与碳水化合物代谢相关的基因有AGL、B3GNT1、FUT9、ST8SIA4、SULT1A4、DDOST、PIGL,主要参与糖原降解和糖缀合物生物合成。与微量元素代谢相关的基因有COMMD1、SLC39A6、FTL、CHRFAM7A、SCGN、S100A6,主要参与铜、锌、铁、钙的离子代谢。与能量代谢相关的基因有AK3和COX7B,主要参与线粒体结构和氧化磷酸化过程。

结论

脾胃虚弱证患者脂质、蛋白质、核酸、碳水化合物及微量元素等能量与物质代谢水平明显降低,这可能是其发病的重要机制。

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