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细胞因子信号转导抑制因子3基因多态性与青少年特发性脊柱侧凸易感性及侧弯严重程度之间无关联。

Lack of association between suppressor of cytokine signaling-3 gene polymorphism and susceptibility and curve severity of adolescent idiopathic scoliosis.

作者信息

Zhu Feng, Qiao Jun, Qiu Xusheng, Xu Leilei, Liu Zhen, Zhu Zezhang, Qian Bangping, Sun Xu, Qiu Yong

机构信息

Department of Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.

出版信息

Eur Spine J. 2014 Nov;23(11):2432-6. doi: 10.1007/s00586-014-3452-2. Epub 2014 Jul 18.

Abstract

PURPOSE

To explore whether the suppressor of cytokine signaling-3 (SOCS3) gene polymorphisms are associated with the susceptibility and abnormal growth pattern of adolescent idiopathic scoliosis (AIS).

METHODS

Three hundred and ninety eight AIS girls aged 10-18 years old were enrolled, and 367 age-matched healthy girls were recruited as controls. Only patients who had Cobb angles larger than 20º were included in this study. Anthropometric parameters including body weight, height, and body mass index (BMI) were measured for AIS girls. Rs4969198 was selected as tagSNP to cover all of the related polymorphisms on SOCS3. Genotyping was performed using PCR-based Invader assay with the probe sets designed and synthesized by third wave. The genotyping results were read with an ABI PRISM7900HT sequence detection system (Applied Biosystems, Foster City, CA). A subgroup of 322 skeletally mature AIS patients who did not received bracing or any other conservative treatment previously were analyzed to define the contribution of rs4969168 on curve severity, body height, body weight, and BMI.

RESULTS

Rs4969198 was successfully genotyped. No significant difference of genotype frequencies from the Hardy-Weinberg equilibrium (HWE) test was noted for the AIS patients or the normal controls. Neither the genotype nor the allele frequencies of rs49691968 were significantly different between the AIS patients and the normal controls. Rs4969168 was not found to be associated with age, curve severity of scoliosis, and body height. AIS patients with AA genotype had significantly higher body weight and BMI than the patients with AG and GG genotype (P = 0.014).

CONCLUSIONS

The SOCS3 gene polymorphisms are not associated with the occurrence of AIS, but the gene polymorphism (rs4969168) is associated with abnormal growth pattern of AIS, indicating that SOCS3 gene might be a disease-modifying gene of AIS.

摘要

目的

探讨细胞因子信号转导抑制因子3(SOCS3)基因多态性与青少年特发性脊柱侧凸(AIS)易感性及异常生长模式是否相关。

方法

纳入398例年龄在10 - 18岁的AIS女孩,并招募367例年龄匹配的健康女孩作为对照。本研究仅纳入Cobb角大于20°的患者。对AIS女孩测量包括体重、身高和体重指数(BMI)在内的人体测量参数。选择rs4969198作为标签单核苷酸多态性(tagSNP)以涵盖SOCS3上所有相关多态性。采用基于聚合酶链反应(PCR)的侵入检测法进行基因分型,使用由第三波公司设计和合成的探针组。基因分型结果用ABI PRISM7900HT序列检测系统(应用生物系统公司,美国加利福尼亚州福斯特城)读取。对322例之前未接受支具或任何其他保守治疗的骨骼成熟的AIS患者亚组进行分析,以确定rs4969168对曲线严重程度、身高、体重和BMI的影响。

结果

成功对rs4969198进行基因分型。AIS患者或正常对照的基因型频率经哈迪 - 温伯格平衡(HWE)检验无显著差异。rs49691968的基因型和等位基因频率在AIS患者和正常对照之间均无显著差异。未发现rs4969168与年龄、脊柱侧凸曲线严重程度及身高相关。AA基因型的AIS患者体重和BMI显著高于AG和GG基因型患者(P = 0.014)。

结论

SOCS3基因多态性与AIS的发生无关,但基因多态性(rs4969168)与AIS的异常生长模式相关,表明SOCS3基因可能是AIS的疾病修饰基因。

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