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日本南部白细胞介素2受体α链基因多态性与多发性硬化症和视神经脊髓炎的风险

Interleukin 2 receptor α chain gene polymorphisms and risks of multiple sclerosis and neuromyelitis optica in southern Japanese.

作者信息

Ainiding Gulibahaer, Kawano Yuji, Sato Shinya, Isobe Noriko, Matsushita Takuya, Yoshimura Satoshi, Yonekawa Tomomi, Yamasaki Ryo, Murai Hiroyuki, Kira Jun-ichi

机构信息

Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Department of Neurological Therapeutics, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

J Neurol Sci. 2014 Feb 15;337(1-2):147-50. doi: 10.1016/j.jns.2013.11.037. Epub 2013 Dec 4.

Abstract

BACKGROUND

Interleukin 2 receptor α subunit (IL2RA) is a genetic risk for multiple sclerosis (MS) in Caucasians. However, the association between MS and IL2RA in Japanese idiopathic demyelinating diseases of the central nervous system has not been examined.

OBJECTIVE

To determine whether IL2RA gene polymorphisms confer risks of developing MS or neuromyelitis optica (NMO) in a Japanese population.

METHODS

DNA samples were obtained from 115 MS patients, 75 NMO/NMO spectrum disorder (NMOSD) patients, and 238 healthy controls. The single nucleotide polymorphisms (SNPs) rs2104286, rs12722489, and rs7090512 were genotyped by real-time PCR using TaqMan SNP genotyping assays.

RESULTS

No significant associations of the three IL2RA SNPs with the development of the diseases were observed. In MS patients only, the annualized relapse rates were significantly higher for the rs2104286-TT genotype than for the non-TT (CT+CC) genotype and for the rs12722489-CC genotype than for the non-CC genotype in females (p = 0.0138 for both), but not in males.

CONCLUSIONS

Although the possibility that IL2RA is a risk factor for MS development was not confirmed in this Japanese population, IL2RA gene polymorphisms were able to modify the disease activity in female MS patients, but had no influence on either susceptibility or disease phenotype in NMO/NMOSD patients.

摘要

背景

白细胞介素2受体α亚基(IL2RA)是白种人患多发性硬化症(MS)的遗传风险因素。然而,在日本中枢神经系统特发性脱髓鞘疾病中,MS与IL2RA之间的关联尚未得到研究。

目的

确定IL2RA基因多态性是否会增加日本人群患MS或视神经脊髓炎(NMO)的风险。

方法

从115例MS患者、75例NMO/视神经脊髓炎谱系障碍(NMOSD)患者和238名健康对照者中获取DNA样本。使用TaqMan SNP基因分型检测通过实时PCR对单核苷酸多态性(SNP)rs2104286、rs12722489和rs7090512进行基因分型。

结果

未观察到这三个IL2RA SNP与疾病发生之间存在显著关联。仅在MS患者中,rs2104286 - TT基因型的年化复发率在女性中显著高于非TT(CT + CC)基因型,rs12722489 - CC基因型的年化复发率在女性中显著高于非CC基因型(两者p均 = 0.0138),但在男性中未观察到这种情况。

结论

虽然在该日本人群中未证实IL2RA是MS发病的风险因素,但IL2RA基因多态性能够改变女性MS患者的疾病活动度,但对NMO/NMOSD患者的易感性或疾病表型均无影响。

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