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成釉蛋白的基因变异与哮喘儿童的龋齿有关。

Genetic variation in Ameloblastin is associated with caries in asthmatic children.

作者信息

Ergöz N, Seymen F, Gencay K, Tamay Z, Deeley K, Vinski S, Vieira A R

机构信息

Department of Pedodontics, Istanbul University, Istanbul, Turkey.

出版信息

Eur Arch Paediatr Dent. 2014 Jun;15(3):211-6. doi: 10.1007/s40368-013-0096-6. Epub 2013 Nov 8.

Abstract

AIM

Evidence suggests caries experience is higher in children with asthma. This study compared caries experience in asthmatic and non-asthmatic children and defined whether variation in the distribution of caries experience differed between the two groups and was dependent on the presence of genetic variation in enamel formation genes.

METHODS

Children with asthma were recruited at the Istanbul University, Faculty of Medicine, Department of Paediatrics, Division of Paediatric Allergy and Pulmonary Diseases, and non-affected children were recruited at the Istanbul University, Faculty of Dentistry, Department of Paedodontics. Cases (N = 100) were defined as children between the ages of 6 and 12 years with asthma and controls (N = 100) as children without asthma. Cases and controls were matched by sex and age. All study subjects received a complete dental exam, provided demographic and other caries and asthma risk factors data, and a saliva sample for DNA extraction. Caries experience was defined based on DMFT/dmft and DMFS/dmfs scores. Genotypes of 11 SNPs were selected in intronic regions of enamel development genes. PCR with TaqMan chemistry was used for genotyping all selected markers. Association between caries experience (caries-free versus caries affected) depending on asthma status and SNPs was tested with PLINK by logistic regression, adjusting by risk, and other preventive measures. p values below 0.0045 (0.05/11) were considered statistically significant.

RESULTS

Logistic regression analysis showed an association between AMBN rs4694075 and caries experience (p = 2.525e-007).

CONCLUSIONS

This study provides, for the first time, evidence that ameloblastin is associated with caries in asthmatic children.

摘要

目的

有证据表明哮喘患儿的龋齿发病率更高。本研究比较了哮喘患儿和非哮喘患儿的龋齿发病率,并确定两组间龋齿发病率分布的差异是否不同,以及是否取决于釉质形成基因的遗传变异。

方法

在伊斯坦布尔大学医学院儿科学系小儿过敏与肺病科招募哮喘患儿,在伊斯坦布尔大学牙科学院儿童牙科招募未患病儿童。病例组(N = 100)定义为年龄在6至12岁的哮喘患儿,对照组(N = 100)为无哮喘患儿。病例组和对照组按性别和年龄匹配。所有研究对象均接受了全面的牙科检查,提供了人口统计学及其他龋齿和哮喘危险因素数据,并采集了唾液样本用于DNA提取。根据DMFT/dmft和DMFS/dmfs评分定义龋齿发病率。在釉质发育基因的内含子区域选择了11个单核苷酸多态性(SNP)的基因型。采用TaqMan化学法进行聚合酶链反应(PCR)对所有选定标记进行基因分型。通过逻辑回归分析,利用PLINK软件检验哮喘状态和SNP与龋齿发病率(无龋齿与患龋齿)之间的关联,并对风险和其他预防措施进行调整。p值低于0.0045(0.05/11)被认为具有统计学意义。

结果

逻辑回归分析显示,AMBN rs4694075与龋齿发病率之间存在关联(p = 2.525e-007)。

结论

本研究首次提供了成釉蛋白与哮喘患儿龋齿有关的证据。

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