Liu Shi-guo, Li Yuan-yuan, Sun Rui-xia, Wang Jing-li, Li Xin-de, Han Lin, Chu Nan, Li Chang-gui
Shandong Provincial Key Laboratory of Metabolic Disease and Institute of Clinical Research, The Affiliated Hospital of the Medical College, Qingdao University, Qingdao, People's Republic of China,
Rheumatol Int. 2015 Jun;35(6):963-71. doi: 10.1007/s00296-014-3167-z. Epub 2014 Nov 7.
Previous studies have showed that patients with gout showed lower serum 25(OH)D levels. As the specific receptor of vitamin D, VDR plays an important role in regulating immune system by combining with vitamin D. In this study, we investigated whether the functional VDR polymorphisms were associated with susceptibility to gout in Chinese Han male population. A total of 504 patients with gout and 523 gout-free controls were recruited from the Affiliated Hospital of the Medical College, Qingdao University. Genotyping of VDR rs11568820, rs2228570 and rs1544410 was performed by TaqMan allele discrimination assays. An association analysis was carried out using the χ(2) test. A genotype-phenotype analysis was also conducted. Our results showed that polymorphisms of rs11568820 and rs1544410 in VDR were associated with gout in Chinese Han male population. The A allele of both rs11568820 and rs1544410 was associated with the risk of gout [P = 0.012 OR 1.251, 95% CI (1.051-1.490); P = 0.006, OR 1.574, 95% CI (1.139-2.175)]. However, there was no statistic significance between rs2228570 and gout (P = 0.186). Our study suggested that the polymorphisms of VDR may be relevant host susceptibility factors for the development of gout in Chinese Han male population. However, further study should be done in a larger size sample and other ethic to test and verify our result.
以往研究表明,痛风患者血清25(OH)D水平较低。作为维生素D的特异性受体,维生素D受体(VDR)通过与维生素D结合在调节免疫系统中发挥重要作用。在本研究中,我们调查了功能性VDR基因多态性是否与中国汉族男性人群的痛风易感性相关。从青岛大学医学院附属医院招募了504例痛风患者和523例无痛风对照者。采用TaqMan等位基因鉴别分析方法对VDR的rs11568820、rs2228570和rs1544410进行基因分型。使用χ(2)检验进行关联分析。还进行了基因型-表型分析。我们的结果表明,VDR中rs11568820和rs1544410的多态性与中国汉族男性人群的痛风相关。rs11568820和rs1544410的A等位基因均与痛风风险相关[P = 0.012,OR 1.251,95% CI(1.051 - 1.490);P = 0.006,OR 1.574,95% CI(1.139 - 2.175)]。然而,rs2228570与痛风之间无统计学意义(P = 0.186)。我们的研究表明,VDR多态性可能是中国汉族男性人群痛风发生的相关宿主易感因素。然而,应在更大样本量和其他种族中进行进一步研究以检验和验证我们的结果。