Oana Mărginean Cristina, Claudia Bănescu, Carmen Duicu, Maria Pitea Ana, Septimiu Voidăzan, Claudiu Mărginean
Pediatrics Clinic I, University of Medicine and Pharmacy , Tirgu Mureş, Romania,
Eur J Pediatr. 2014 Oct;173(10):1285-96. doi: 10.1007/s00431-014-2315-5. Epub 2014 Apr 17.
The aim of this study was to establish the correlations between the polymorphisms of the genes interleukin (IL)-6 572, 190, and 174 in obese children. We assessed 222 hospitalized children divided into two groups: group I (control) included 110 patients with normal nutritional status, and group II consisted of 102 obesity patients. The two groups underwent IL-6 572 C/G, 190 C/T, and 174 G/C polymorphism testing, measurement of anthropometric parameters (mid-upper arm circumference and tricipital skinfold thickness), and paraclinical evaluation (protein, albumin, leptin, adiponectin, and vascular endothelial growth factor (VEGF)). We observed that phenotype CC was more frequent in obese children for IL-6 572 (p = 0.0001), whereas CG heterozygotes were more frequent in the obese group for the IL-6 190 gene (62.7 %; p = 0.0001). Leptin was dependent on IL-6 572 and IL-6 174 gene polymorphisms and albumin, whereas adiponectin was dependent on the IL-6 174 gene polymorphism. Body mass index (BMI), mid-upper arm circumference (MUAC), and tricipital skinfold thickness (TST) serum albumin levels correlated with C allele carriers of the IL-6 572 and IL-6 190 genes in children with obesity, whereas the CC genotype of IL-6 174 was a protective factor for obesity.
Obesity is most frequently associated in children with IL-6 174 C allele carriers and with IL-6 190 C allele carriers.
本研究的目的是建立肥胖儿童白细胞介素(IL)-6基因572、190和174位点多态性之间的相关性。我们评估了222名住院儿童,将其分为两组:第一组(对照组)包括110名营养状况正常的患者,第二组由102名肥胖患者组成。两组均接受了IL-6 572 C/G、190 C/T和174 G/C多态性检测、人体测量参数(上臂中部周长和三头肌皮褶厚度)测量以及辅助临床评估(蛋白质、白蛋白、瘦素、脂联素和血管内皮生长因子(VEGF))。我们观察到,肥胖儿童中IL-6 572位点CC基因型更为常见(p = 0.0001),而在肥胖组中,IL-6 190基因的CG杂合子更为常见(62.7%;p = 0.0001)。瘦素依赖于IL-6 572和IL-6 174基因多态性以及白蛋白,而脂联素依赖于IL-6 174基因多态性。肥胖儿童的体重指数(BMI)、上臂中部周长(MUAC)和三头肌皮褶厚度(TST)血清白蛋白水平与IL-6 572和IL-6 190基因的C等位基因携带者相关,而IL-6 174的CC基因型是肥胖的保护因素。
在儿童中,肥胖最常与IL-6 174 C等位基因携带者和IL-6 190 C等位基因携带者相关。