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外核苷酸焦磷酸酶/磷酸二酯酶1中K121Q多态性与代谢综合征临床特征的关联

Association of K121Q Polymorphism in Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 with Clinical Characteristics of Metabolic Syndrom.

作者信息

Li N, Pan H, Cui M, Li Q

机构信息

Department of Endocrinology, Harbin Medical University Cancer Hospital, Harbin City, Heilongjiang Province, China.

Department of Endocrine and Metabolic Diseases, The Second Affiliated Hospital of Harbin Medical University, Harbin City, Heilongjiang Province, China.

出版信息

Exp Clin Endocrinol Diabetes. 2016 May;124(5):313-7. doi: 10.1055/s-0042-104498. Epub 2016 May 24.

Abstract

PURPOSE

This study aimed to investigate the relationships between K121Q polymorphism of ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) and clinical characteristics of metabolic syndrome (MS) in northern Han Chinese.

MATERIALS AND METHODS

A total of 209 MS patients and 248 healthy controls of Han ethnic group in northern China were enrolled in this study. Various clinical parameters of these participants were firstly collected and compared, including age, sex, body mass index (BMI), waist circumference (WC), systolic and diastolic blood pressures (SBP/DBP), fasting plasma glucose (FPG), fasting insulin (FINS), homeostasis model assessment of insulin resistance index (HOMA-IR), total cholesterol (TC), triglycerides (TG), high-density and low-density lipoprotein cholesterol (LDL-C/HDL-C). Then K121Q polymorphism of ENPP1 was determined by PCR and restriction enzyme digestion, and its relations with related clinical parameters were finally analyzed.

RESULTS

When compared with healthy controls, the age, BMI, WC, SBP, DBP, FPG, FINS, HOMA-IR, TC, TG and LDL-C were all significantly increased in MS patients (P<0.001). The allele frequencies of K and Q alleles in ENPP1 were 90.19% and 9.81% in MS patients, and 91.73% and 8.27% in healthy controls, respectively. Besides, only BMI and WC were significantly increased in MS patients carrying Q alleles (P<0.001), while no significant relations were found between K121Q polymorphism and other clinical parameters in either MS patients or healthy controls.

CONCLUSION

The K121Q polymorphism of ENPP1 showed no direct correlation with MS, although it showed some correlation with BMI and WC in MS patients.

摘要

目的

本研究旨在探讨外核苷酸焦磷酸酶/磷酸二酯酶1(ENPP1)基因K121Q多态性与中国北方汉族人群代谢综合征(MS)临床特征之间的关系。

材料与方法

本研究纳入了209例中国北方汉族MS患者和248例健康对照者。首先收集并比较了这些参与者的各种临床参数,包括年龄、性别、体重指数(BMI)、腰围(WC)、收缩压和舒张压(SBP/DBP)、空腹血糖(FPG)、空腹胰岛素(FINS)、胰岛素抵抗指数稳态模型评估(HOMA-IR)、总胆固醇(TC)、甘油三酯(TG)、高密度和低密度脂蛋白胆固醇(LDL-C/HDL-C)。然后通过聚合酶链反应(PCR)和限制性酶切法测定ENPP1基因的K121Q多态性,最后分析其与相关临床参数的关系。

结果

与健康对照者相比,MS患者的年龄、BMI、WC、SBP、DBP、FPG、FINS、HOMA-IR、TC、TG和LDL-C均显著升高(P<0.001)。MS患者中ENPP1基因K和Q等位基因的频率分别为90.19%和9.81%,健康对照者中分别为91.73%和8.27%。此外,携带Q等位基因的MS患者仅BMI和WC显著升高(P<0.001),而在MS患者或健康对照者中,K121Q多态性与其他临床参数之间均未发现显著相关性。

结论

ENPP1基因的K121Q多态性与MS无直接相关性,尽管在MS患者中它与BMI和WC存在一定相关性。

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