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[PLIN基因多态性与开放生活方式干预的相互作用对中国汉族成年人减肥的影响]

[Effect of Interaction between PLIN Gene Polymorphisms and Open Lifestyle Intervention on Weight-loss in Chinese Han Adults].

作者信息

Lü Yi-Ran, Liu Yang, Jin Sha-sha, Huang Xian-ren, Wang Hai-jun, Wang Yan-fang, Lin Bao-hua, Chang Cui-qing

机构信息

Institute of Sports Medicine,Peking University Third Hospital,Beijing 100191,China.

Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing 100191,China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2015 Dec;37(6):681-92. doi: 10.3881/j.issn.1000-503X.2015.06.008.

Abstract

OBJECTIVE

To explore the effect of the interaction between PLIN gene polymorphisms and open lifestyle intervention on weight-loss in Chinese Han adults.

METHODS

Totally 109 overweight or obese subjects were assigned by random number table to the intervention group (n=56) or control group (n=53),and subjects in the intervention group received 22-week open lifestyle intervention. Anthropometric and metabolic indicators were measured for all subjects before and after intervention,and the PLIN1,PLIN4,and PLIN6 genotypes were amplified by polymerase chain reaction and sequenced through the first-generation sequencing technologies.

RESULTS

Among all these subjects,the rare allele C was dominant at PLIN1 (0.619),the common allele G was dominant at PLIN4 (0.606),and the common allele A was dominant at PLIN6 (0.564),in which PLIN1 and PLIN4 as well as PLIN4 and PLIN6 were in strong linkage disequilibrium (D'>0.9). After intervention,the body mass index,waist circumference,and body fat percent of female subjects were significantly decreased in intervention group and were lower than in control group;in male subjects,however,only the waist circumference showed significant difference with the control group (P<0.05). Subjects carrying rare allele homozygote of PLIN6 got less weight/fat loss than those carrying common alleles in intervention group,while subjects carrying rare allele of PLIN1 had more weight/fat increase than those with common allele homozygote in control group (P<0.05). Females in intervention group carrying any one of rare allele homozygotes of PLIN1,PLIN4 and PLIN6 got less weight/fat loss than those with common alleles,and female subjects carrying the rare allele homozygote haplotype of PLIN1/PLIN4 or PLIN4/PLIN6 got less weight/fat loss than those with other haplotypes (P<0.05).

CONCLUSION

The interaction between open lifestyle intervention and PLIN gene polymorphisms can directly influence weight-loss in Chinese Han overweight and obese adults.

摘要

目的

探讨PLIN基因多态性与开放式生活方式干预的交互作用对中国汉族成年人体重减轻的影响。

方法

采用随机数字表法将109名超重或肥胖受试者分为干预组(n = 56)和对照组(n = 53),干预组受试者接受为期22周的开放式生活方式干预。测量所有受试者干预前后的人体测量学和代谢指标,采用聚合酶链反应扩增PLIN1、PLIN4和PLIN6基因的基因型,并通过一代测序技术进行测序。

结果

在所有这些受试者中,PLIN1基因的罕见等位基因C占主导地位(0.619),PLIN4基因的常见等位基因G占主导地位(0.606),PLIN6基因的常见等位基因A占主导地位(0.564),其中PLIN1与PLIN4以及PLIN4与PLIN6处于强连锁不平衡状态(D'>0.9)。干预后,干预组女性受试者的体重指数、腰围和体脂百分比显著降低,且低于对照组;然而,男性受试者中,只有腰围与对照组有显著差异(P<0.05)。干预组中携带PLIN6罕见等位基因纯合子的受试者体重/脂肪减轻比携带常见等位基因的受试者少,而对照组中携带PLIN1罕见等位基因的受试者体重/脂肪增加比携带常见等位基因纯合子的受试者多(P<0.05)。干预组中携带PLIN1、PLIN4和PLIN6罕见等位基因纯合子中任何一种的女性体重/脂肪减轻比携带常见等位基因的女性少,携带PLIN1/PLIN4或PLIN4/PLIN6罕见等位基因纯合子单倍型的女性受试者体重/脂肪减轻比携带其他单倍型的女性少(P<0.05)。

结论

开放式生活方式干预与PLIN基因多态性之间的相互作用可直接影响中国汉族超重和肥胖成年人的体重减轻。

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