Kotrych Daniel, Dziedziejko Violetta, Safranow Krzysztof, Drozdzik Marek, Pawlik Andrzej
Departament of Orthopaedics, Traumatology and Orthopaedic Oncology, Pomeranian Medical University, Szczecin, Poland.
Rheumatol Int. 2015 Aug;35(8):1319-23. doi: 10.1007/s00296-015-3234-0. Epub 2015 Feb 22.
Chemokines (CXCL) and their receptors play important roles in the pathogenesis of rheumatoid arthritis (RA). The aim of this study was to examine the associations between polymorphisms in the CXCL9 (rs3733236 G>A) and CXCL10 (rs8878 A>G) genes and RA. We examined 422 RA patients and 338 subjects as a control group. Single nucleotide polymorphisms (SNPs) in the CXCL9 (rs3733236 G>A) and CXCL10 (rs8878 A>G) genes were genotyped using TaqMan genotyping assays from Life Technologies Genomic. There were no significant differences in distribution of CXCL9 genotypes and alleles between RA patients and control group. Among RA patients, the increased frequency of CXCL10 (rs8878) G allele carriers was detected AG+GG vs AA (p = 0.034; OR 1.49, 95 % CI 1.03-2.13). There were no significant associations of CXCL9 genotypes with age of disease diagnosis rheumatoid factor, erosive disease, and extra-articular manifestations. In case of CXCL10 genotypes, there was the increased frequency of extra-articular manifestations in GG genotype carriers GG vs AA+AG (p = 0.027; OR 1.82, 95 % CI 1.09-3.03). In the multivariate regression analysis, the CXCL10 GG genotype was the independent factor associated with increased probability of extra-articular manifestations development (p = 0.034; OR 1.75, 95 % CI 1.04-3.03). The results of this study suggest the association between CXCL10 gene polymorphism and rheumatoid arthritis.
趋化因子(CXCL)及其受体在类风湿关节炎(RA)的发病机制中发挥着重要作用。本研究旨在探讨趋化因子CXCL9(rs3733236 G>A)和CXCL10(rs8878 A>G)基因多态性与RA之间的关联。我们对422例RA患者和338名受试者作为对照组进行了研究。采用Life Technologies Genomic公司的TaqMan基因分型检测法对CXCL9(rs3733236 G>A)和CXCL10(rs8878 A>G)基因的单核苷酸多态性(SNP)进行基因分型。RA患者与对照组之间CXCL9基因的基因型和等位基因分布没有显著差异。在RA患者中,检测到CXCL10(rs8878)G等位基因携带者AG+GG与AA相比频率增加(p = 0.034;比值比1.49,95%可信区间1.03 - 2.13)。CXCL9基因的基因型与疾病诊断年龄、类风湿因子、侵蚀性疾病和关节外表现之间没有显著关联。对于CXCL10基因的基因型,GG基因型携带者与AA+AG相比关节外表现的频率增加(p = 0.027;比值比1.82,95%可信区间1.09 - 3.03)。在多因素回归分析中,CXCL10的GG基因型是与关节外表现发生概率增加相关的独立因素(p = 0.034;比值比1.75,95%可信区间1.04 - 3.03)。本研究结果提示CXCL10基因多态性与类风湿关节炎之间存在关联。