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中国汉族人群中载脂蛋白C3基因多态性与非酒精性脂肪性肝病风险之间无关联。

Lack of association between apolipoprotein C3 gene polymorphisms and risk of nonalcoholic fatty liver disease in a Chinese Han population.

作者信息

Niu Tong-Hong, Jiang Man, Xin Yong-Ning, Jiang Xiang-Jun, Lin Zhong-Hua, Xuan Shi-Ying

机构信息

Tong-Hong Niu, Man Jiang, Medical College of Qingdao University, Qingdao 266021, Shandong Province, China.

出版信息

World J Gastroenterol. 2014 Apr 7;20(13):3655-62. doi: 10.3748/wjg.v20.i13.3655.

Abstract

AIM

To investigate the association between two polymorphisms of apolipoprotein C3 (APOC3) and risk of nonalcoholic fatty liver disease (NAFLD) in a Chinese Han population.

METHODS

Genotypes for rs2854116 and rs2854117 in APOC3 and the known rs738409 in patatin-like phospholipase domain-containing protein 3 (PNPLA3) in 390 patients with NAFLD and 409 control subjects were determined by sequencing and polymerase chain reaction analysis. Serum lipid profiles were determined using biochemical methods, and an index of insulin resistance (IR, HOMA-IR), serum APOC3 concentrations and total antioxidant status (TAS) were also assessed.

RESULTS

No significant differences in genotype and allele frequencies of rs2854116 and rs2854117 were found between the NAFLD population and the controls (P > 0.05). The OR for the association between -455C and -482T allele carriers and the risk of NAFLD were 1.06 (95%CI: 0.72-1.57, P > 0.05) and 1.00 (95%CI: 0.68-1.48, P > 0.05), respectively. The variant carriers did not have a significantly increased risk of NAFLD or elevated clinical and biochemical parameters such as APOC3 concentrations, IR (1.42 ± 0.43 vs 1.48 ± 0.52, P > 0.05), liver enzymes and TAS (13.94 ± 2.01 vs 14.38 ± 1.92, P > 0.05) compared with the controls. Moreover, the results were similar when testing was carried out independent of the genetic variation in PNPLA3.

CONCLUSION

The two polymorphisms of the APOC3 gene are not associated with a risk of NAFLD, or with lipid profiles, IR and oxidative stress in the Chinese Han population.

摘要

目的

研究载脂蛋白C3(APOC3)的两个多态性与中国汉族人群非酒精性脂肪性肝病(NAFLD)风险之间的关联。

方法

采用测序和聚合酶链反应分析,测定390例NAFLD患者和409例对照者中APOC3基因rs2854116和rs2854117以及含patatin样磷脂酶结构域蛋白3(PNPLA3)中已知的rs738409的基因型。采用生化方法测定血脂谱,并评估胰岛素抵抗指数(IR,HOMA-IR)、血清APOC3浓度和总抗氧化状态(TAS)。

结果

NAFLD人群与对照组之间rs2854116和rs2854117的基因型和等位基因频率无显著差异(P>0.05)。-455C和-482T等位基因携带者与NAFLD风险的关联OR分别为1.06(95%CI:0.72-1.57,P>0.05)和1.00(95%CI:0.68-1.48,P>0.05)。与对照组相比,变异携带者患NAFLD的风险没有显著增加,临床和生化参数如APOC3浓度、IR(1.42±0.43对1.48±0.52,P>0.05)、肝酶和TAS(13.94±2.01对14.38±1.92,P>0.05)也没有升高。此外,独立于PNPLA3的基因变异进行检测时,结果相似。

结论

APOC3基因的两个多态性与中国汉族人群NAFLD风险、血脂谱、IR和氧化应激无关。

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