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绝经后骨质疏松症女性的肿瘤坏死因子-α和白细胞介素10基因多态性

TNF-α and IL10 gene polymorphisms in women with postmenopausal osteoporosis.

作者信息

Kotrych Daniel, Dziedziejko Violetta, Safranow Krzysztof, Sroczynski Tomasz, Staniszewska Marzena, Juzyszyn Zygmunt, Pawlik Andrzej

机构信息

Department of Orthopaedics, Traumatology and Orthopaedic Oncology, Pomeranian Medical University, Szczecin, Poland.

Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Szczecin, Poland.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2016 Apr;199:92-5. doi: 10.1016/j.ejogrb.2016.01.037. Epub 2016 Feb 8.

Abstract

OBJECTIVE

Postmenopausal osteoporosis is a common disorder characterized by decreased bone mineral density (BMD). Proinflammatory cytokines are among the significant factors involved in bone turnover. They are the stimulants of bone resorption, acting directly on osteoclasts and osteoclast precursors. In this study, we examined the TNF-α (-308G>A) (rs1800629) and IL10 (-1082G>A) (rs1800896), (-592C>A) (rs1800872) polymorphisms in postmenopausal women with BMD T-scores less than and greater than or equal to -2.5 SD.

STUDY DESIGN

This study included 224 postmenopausal women with BMD T-scores lower than -2.5 SD (mean: -3.02±0.53) and 238 postmenopausal women with BMD T-scores -2.5 SD and greater (mean: -1.33±0.51).

RESULTS

There was a decrease in the frequency of IL10 1082 G allele carriers (GG and GA genotypes) in women with T-scores below -2.5 SD (GG+GA vs AA: OR=0.65, 95% CI=0.44-0.97, p=0.037). With regard to the TNF-α -308 G>A polymorphism, in the women with T-scores below -2.5 SD, the increased frequency of GG homozygotes and G allele carriers was detected (AA+GA vs GG: OR=0.54, 95% CI=0.35-0.82, p=0.004).

CONCLUSIONS

The results of our study suggest an association between TNF-α -308G>A and IL10 -1082G>A polymorphisms and postmenopausal osteoporosis.

摘要

目的

绝经后骨质疏松症是一种常见疾病,其特征为骨矿物质密度(BMD)降低。促炎细胞因子是参与骨转换的重要因素之一。它们是骨吸收的刺激物,直接作用于破骨细胞和破骨细胞前体。在本研究中,我们检测了骨密度T值小于和大于或等于 -2.5标准差的绝经后女性中肿瘤坏死因子-α(TNF-α)(-308G>A)(rs1800629)和白细胞介素10(IL10)(-1082G>A)(rs1800896)、(-592C>A)(rs1800872)的基因多态性。

研究设计

本研究纳入了224名骨密度T值低于 -2.5标准差的绝经后女性(平均:-3.02±0.53)和238名骨密度T值大于或等于 -2.5标准差的绝经后女性(平均:-1.33±0.51)。

结果

骨密度T值低于 -2.5标准差的女性中,IL10 1082G等位基因携带者(GG和GA基因型)的频率降低(GG + GA与AA相比:OR = 0.65,95%CI = 0.44 - 0.97,p = 0.037)。关于TNF-α -308G>A多态性,在骨密度T值低于 -2.5标准差的女性中,检测到GG纯合子和G等位基因携带者的频率增加(AA + GA与GG相比:OR = 0.54,95%CI = 0.35 - 0.82,p = 0.004)。

结论

我们的研究结果表明TNF-α -308G>A和IL10 -1082G>A多态性与绝经后骨质疏松症之间存在关联。

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