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人类BAFF基因多态性与自身免疫性甲状腺疾病的关联分析

Analysis of Associations of Human BAFF Gene Polymorphisms with Autoimmune Thyroid Diseases.

作者信息

Lin Jiunn-Diann, Yang Shun-Fa, Wang Yuan-Hung, Fang Wen-Fang, Lin Ying-Chin, Lin Yuh-Feng, Tang Kam-Tsun, Wu Mei-Yi, Cheng Chao-Wen

机构信息

Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Division of Endocrinology, Department of Internal Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

出版信息

PLoS One. 2016 May 2;11(5):e0154436. doi: 10.1371/journal.pone.0154436. eCollection 2016.

Abstract

BACKGROUND

The B-lymphocyte-activating factor (BAFF) is associated with B-cell functions, and gene polymorphisms of the BAFF have been linked to autoimmune diseases (AIDs). In this study, we explored possible associations of two BAFF single-nucleotide polymorphisms (SNPs), rs1041569 and rs2893321, with autoimmune thyroid diseases (AITDs) in an ethnic Chinese population.

MATERIAL AND METHODS

In total, 319 Graves' disease (GD), 83 Hashimoto's thyroiditis (HT) patients, and 369 healthy controls were enrolled. Polymerase chain reaction-restriction fragment length polymorphism and direct sequencing were used to genotype rs2893321 and rs1041569.

RESULTS

There was a significant difference in frequencies of the G allele and AG+GG genotype of rs2893321 between the GD and control groups (p = 0.013, odds ratio (OR) = 0.76, and p = 0.017, OR = 0.68, respectively) and between the AITD and control groups (p = 0.009, OR = 0.76, and, p = 0.014, OR = 0.69, respectively). The AA genotype of rs2893321 was associated with low titers of the thyroid-stimulating hormone receptor antibody (TSHRAb) (p = 0.015) in males but not in females. The AA genotype of rs2893321 was associated with the presence of two different types of thyroid autoantibody (TAb) (TSHRAb and Hashimoto's autoantibody (anti-thyroglobulin or anti-microsomal antibody)) in females and with that of one type in males.

CONCLUSIONS

rs2893321 may be a susceptible genetic variant for the development of GD and AITDs. Associations of rs2893321 with susceptibility to GD and AITDs and the correlation between rs2893321 and TAb exhibit a dimorphic pattern. Additional studies with larger sample sizes are required to confirm our findings.

摘要

背景

B淋巴细胞激活因子(BAFF)与B细胞功能相关,且BAFF基因多态性与自身免疫性疾病(AIDs)有关。在本研究中,我们探讨了两个BAFF单核苷酸多态性(SNP),即rs1041569和rs2893321,与中国汉族人群自身免疫性甲状腺疾病(AITDs)之间可能存在的关联。

材料与方法

共纳入319例格雷夫斯病(GD)患者、83例桥本甲状腺炎(HT)患者及369例健康对照。采用聚合酶链反应-限制性片段长度多态性及直接测序法对rs2893321和rs1041569进行基因分型。

结果

rs2893321的G等位基因频率及AG + GG基因型在GD组与对照组之间(分别为p = 0.013,优势比(OR)= 0.76;p = 0.017,OR = 0.68)以及AITD组与对照组之间(分别为p = 0.009,OR = 0.76;p = 0.014,OR = 0.69)存在显著差异。rs2893321的AA基因型在男性中与促甲状腺激素受体抗体(TSHRAb)低滴度相关(p = 0.015),而在女性中无此关联。rs2893321的AA基因型在女性中与两种不同类型的甲状腺自身抗体(TAb)(TSHRAb和桥本自身抗体(抗甲状腺球蛋白或抗微粒体抗体))的存在相关,在男性中与一种类型的甲状腺自身抗体相关。

结论

rs2893321可能是GD和AITDs发生的一个易感基因变异。rs2893321与GD和AITDs易感性的关联以及rs2893321与TAb之间的相关性呈现出一种双态模式。需要更多大样本量的研究来证实我们的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6f3/4852922/2cdcaaf3335d/pone.0154436.g001.jpg

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