Meng Jianfen, Tan Wenfeng, Zhu Yujing, Wang Fang, Li Xinli, Zhang Miaojia
Department of Rheumatology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Current affiliation: Department of Rheumatology, the Fourth Affiliated Hospital of Nantong Medical College, Yancheng, Jiangsu, China.
Lipids Health Dis. 2015 Apr 19;14:33. doi: 10.1186/s12944-015-0026-1.
To investigate the association of a coronary artery disease (CAD) risk SNP rs6903956 with asymptomatic hyperuricemia (aHU) susceptibility in Han Chinese.
Two hundred and twenty one patients with aHU and 447 healthy controls were recruited for this study. SNP rs6903956 were genotyped using TaqMan probe.
The overall genotype and allele frequency distribution of the rs6903956 showed significant difference between aHU cases and controls (p<0.001 for genotype and allele, respectively). AA genotype of rs6903956 was significantly associated with aHU (OR=8.672, 95% CI 2.811-26.753, p<0.001) in our Han Chinese aHU cohort. Multivariate logistic regression analysis indicated that rs6903956 might be an independent risk factor for aHU susceptibility (OR=10.642 [2.671-42.400], p=0.001 for codominant model and OR=9.205 [2.336-36.280], p=0.002 for recessive model) after adjustment for some well- known CAD risk factors including age, gender, body mass index, smoking, hypertension, diabetes mellitus, abnormal glycometabolism, lipid abnormality and alcohol intake. No significant genotype-specific difference in uric acid levels was observed in aHU patients and controls.
Our findings are the first to establish a genetic link of a CAD-associated rs6903956 with aHU in a Han Chinese population, providing the genetic evidence to support the close relationship between hyperuricemia and CAD.
研究冠心病(CAD)风险单核苷酸多态性(SNP)rs6903956与汉族人群无症状高尿酸血症(aHU)易感性之间的关联。
本研究招募了221例aHU患者和447例健康对照。采用TaqMan探针法对SNP rs6903956进行基因分型。
rs6903956的总体基因型和等位基因频率分布在aHU病例组和对照组之间存在显著差异(基因型和等位基因的p值分别<0.001)。在我们的汉族aHU队列中,rs6903956的AA基因型与aHU显著相关(OR=8.672,95%CI 2.811-26.753,p<0.001)。多因素logistic回归分析表明,在调整了包括年龄、性别、体重指数、吸烟、高血压、糖尿病、糖代谢异常、血脂异常和饮酒等一些已知的CAD风险因素后,rs6903956可能是aHU易感性的独立危险因素(共显性模型的OR=10.642[2.671-42.400],p=0.001;隐性模型的OR=9.205[2.336-36.280],p=0.002)。在aHU患者和对照组中未观察到尿酸水平存在显著的基因型特异性差异。
我们的研究结果首次在汉族人群中建立了与CAD相关的rs6903956与aHU之间的遗传联系,为支持高尿酸血症与CAD之间的密切关系提供了遗传学证据。