Gu Lian, Wu Guangliang, Su Li, Yan Yan, Liang Baoyun, Tan Jinjing, Cai Haiyan, Jiang Haiyun, Wei Qiugui, Shen Tingting, Wei Ailing
a First Affiliated Hospital , Guangxi University of Chinese Medicine , Nanning , Guangxi , China.
b School of Public Health of Guangxi Medical University , Nanning , Guangxi , China.
Int J Neurosci. 2016;126(3):219-26. doi: 10.3109/00207454.2015.1010200. Epub 2015 May 22.
The common and major pathological change in ischemic stroke is atherosclerosis in the artery. Tumor necrosis factor-a (TNF-a) is closely related to the pathogenesis of atherosclerosis. The aim of our study was to investigate whether TNF-a gene variants (-238G/A and -308G/A) are associated with ischemic stroke.
A total of 619 ischemic stroke patients and 612 controls were recruited to estimate the frequencies of two TNF-a (-238G/A and -308G/A) single nucleotide polymorphisms using a Sequenom MassARRAY time-of-flight mass spectrometer. The association between TNF-a gene polymorphisms and ischemic stroke risk was evaluated by computing the odds ratio (OR) and 95% Confidence Interval with multivariate unconditional logistic regression analyses.
The OR results indicated that no significant associations were found between TNF-a gene (-238G/A and -308G/A) polymorphisms and the risk of ischemic stroke using five genetic models, including the allele model (A vs. G), co-dominant model 1 (GA vs. GG), co-dominant model 2 (AA vs. GG), the dominant model (AA+GA vs. GG), and the recessive model (GG+GA vs. AA).
The TNF-a (-238G/A and -308G/A) gene polymorphisms may not be a susceptible predictor of ischemic stroke in Chinese populations.
缺血性卒中常见且主要的病理变化是动脉粥样硬化。肿瘤坏死因子-α(TNF-α)与动脉粥样硬化的发病机制密切相关。我们研究的目的是调查TNF-α基因变异(-238G/A和-308G/A)是否与缺血性卒中相关。
共招募了619例缺血性卒中患者和612例对照,使用Sequenom MassARRAY飞行时间质谱仪估计两种TNF-α(-238G/A和-308G/A)单核苷酸多态性的频率。通过多变量无条件逻辑回归分析计算比值比(OR)和95%置信区间,评估TNF-α基因多态性与缺血性卒中风险之间的关联。
OR结果表明,使用五种遗传模型,包括等位基因模型(A对G)、共显性模型1(GA对GG)、共显性模型2(AA对GG)、显性模型(AA + GA对GG)和隐性模型(GG + GA对AA),未发现TNF-α基因(-238G/A和-308G/A)多态性与缺血性卒中风险之间存在显著关联。
TNF-α(-238G/A和-308G/A)基因多态性可能不是中国人群缺血性卒中的易感预测指标。