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血管性血友病因子基因三个常见变异位点与肺血栓栓塞症的相关性

[Correlation of three common variation loci in von Willebrand factor gene and pulmonary thromboembolism disease].

作者信息

Sun Yuejie, Xu Xiaomao, Sun Liang, Zhang Enyi, Zhai Zhenguo, Fang Baomin, Xiao Fei

机构信息

Peking University Fifth School of Clinical Medicine, Cell Laboratory, Beijing Institute of Geriatric Medicine, Beijing Hospital, Beijing 100730, China.

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出版信息

Zhonghua Yi Xue Za Zhi. 2015 Aug 11;95(30):2428-32.

Abstract

OBJECTIVE

To elucidate the relationship between three common variation loci of von Willebrand factor (VWF) gene (rs216321, rs216325 and rs1800378) and pulmonary thromboembolism.

METHODS

A total of 95 patients with definite pulmonary thromboembolism (PTE) at Beijing Chaoyang Hospital and Beijing Hospital during November 2008 to March 2012 served as PTE group while 90 healthy subjects at Beijing Hospital during the same period as control group. Fasting venous blood samples were collected for extracting genomic DNA. Three common variation loci with single nucleotide polymorphism were rs216321 (T/C), rs216325 (G/A) and rs1800378 (T/C) and their minor allele frequency was over 0.05 in VWF gene. The method of polymerase chain reaction (PCR)-Sanger was employed for sequencing. The differences of alleleic and genotypic frequencies between PTE and control groups were compared for each locus. And the correlations of their haplotypes with PTE were analyzed.

RESULTS

The distributions of rs216325 (G/A) and rs1800378 (T/C) in VWF gene had significant difference between PTE and control groups (P=0.039, 0.006). And rs216325 with genotype AA was positively correlated with PTE occurrence (r=1.914, P=0.047). And rs1800378 with genotype TT was also positively correlated with PTE occurrence (r=0.282, P=0.008). The distributions of haplotype TGT had significant differences between PTE and control groups. This haplotype was positively correlated with PTE occurrence (r=0.239, P<0.001).

CONCLUSIONS

The rs216325 and rs1800378 loci variations in VWF gene are associated with PTE, rs216325 with genotype AA and rs1800378 with genotype TT. And haplotype TGT indicates a high risk of PTE onset.

摘要

目的

阐明血管性血友病因子(VWF)基因的三个常见变异位点(rs216321、rs216325和rs1800378)与肺血栓栓塞症之间的关系。

方法

选取2008年11月至2012年3月在北京朝阳医院和北京医院确诊为肺血栓栓塞症(PTE)的95例患者作为PTE组,同期在北京医院选取90例健康受试者作为对照组。采集空腹静脉血样本提取基因组DNA。VWF基因中三个具有单核苷酸多态性的常见变异位点为rs216321(T/C)、rs216325(G/A)和rs1800378(T/C),其在VWF基因中的次要等位基因频率均超过0.05。采用聚合酶链反应(PCR)-桑格测序法进行测序。比较PTE组和对照组每个位点的等位基因频率和基因型频率差异。并分析其单倍型与PTE的相关性。

结果

VWF基因中rs216325(G/A)和rs1800378(T/C)的分布在PTE组和对照组之间存在显著差异(P = 0.039,0.006)。rs216325基因型为AA与PTE发生呈正相关(r = 1.914,P = 0.047)。rs1800378基因型为TT也与PTE发生呈正相关(r = 0.282,P = 0.008)。单倍型TGT在PTE组和对照组之间的分布存在显著差异。该单倍型与PTE发生呈正相关(r = 0.239,P < 0.001)。

结论

VWF基因中rs216325和rs1800378位点变异与PTE相关,rs216325基因型为AA,rs1800378基因型为TT。单倍型TGT提示PTE发病风险较高。

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