Gürbüz Şükrü, Yıldız Mustafa, Kara Murat, Kargün Kürşat, Gürger Mehtap, Ateşçelik Metin, Alataş Ömer Doğan
Department of Emergency Medicine, İnönü University, Malatya, Turkey.
Department of Emergency Medicine, Fırat University, Elazığ, Turkey.
World J Emerg Med. 2015;6(3):201-6. doi: 10.5847/wjem.j.1920-8642.2015.03.007.
The effect of increased oxidative stress on the development of chronic obstructive pulmonary disease (COPD) is well known. One of the antioxidative systems against oxidative stress in human body is paraoxonase (PON) enzyme that protects low density lipoproteins (LDL) against oxidation. This study aimed to explore the polymorphisms on PON1, Q192R, L55M genes of patients with COPD.
DNAs extraction was obtained from blood samples of 50 patients diagnosed with COPD and 50 patients as a control group who were presented to emergency clinic. Genotypes were obtained with polymerase chain reaction (PCR) and AIw I and Hsp92II restriction enzymes were used for Q192R and L55M polymorphisms, respectively. Analysis of data was done with the Chi-square test and Fisher's exact test.
A statistically significant difference in Q192R polymorphism was found between the COPD patients and the control group (P=0.05). There was no statistically significant difference in L55M polymorphisms between the patient and control groups (P>0.05). Q192R polymorphism was significantly correlated with the PON1 gene and cigarette smoking; however other risk factors did not show any significant correlation with this polymorphism. Though L55M polymorphism was significantly correlated with family history and tuberculosis, there was no significant correlation with other risk factors.
We believe that more studies are needed to study the correlation of L55M polymorphism with other factors.
氧化应激增加对慢性阻塞性肺疾病(COPD)发展的影响是众所周知的。人体对抗氧化应激的抗氧化系统之一是对氧磷酶(PON),它可保护低密度脂蛋白(LDL)不被氧化。本研究旨在探讨COPD患者对氧磷酶1(PON1)、Q192R、L55M基因的多态性。
从50例确诊为COPD的患者和50例到急诊就诊的作为对照组的患者的血样中提取DNA。通过聚合酶链反应(PCR)获得基因型,分别使用AIw I和Hsp92II限制性内切酶检测Q192R和L55M多态性。采用卡方检验和Fisher精确检验进行数据分析。
COPD患者与对照组之间在Q192R多态性上存在统计学显著差异(P = 0.05)。患者组与对照组在L55M多态性上无统计学显著差异(P>0.05)。Q192R多态性与PON1基因及吸烟显著相关;然而,其他危险因素与该多态性无任何显著相关性。尽管L55M多态性与家族史和结核病显著相关,但与其他危险因素无显著相关性。
我们认为需要更多研究来探讨L55M多态性与其他因素的相关性。