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中国汉族人群中人类白细胞抗原-B/MICA基因变异与大动脉炎的关联

Association between genetic variants in the human leukocyte antigen-B/MICA and Takayasu arteritis in Chinese Han population.

作者信息

Wen Xiaoting, Chen Si, Li Jing, Li Yuan, Li Liubing, Wu Ziyan, Yuan Hui, Tian Xinping, Zhang Fengchun, Li Yongzhe

机构信息

Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.

Department of Clinical Laboratory, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

出版信息

Int J Rheum Dis. 2018 Jan;21(1):271-277. doi: 10.1111/1756-185X.13012. Epub 2017 Mar 5.

Abstract

AIM

Takayasu arteritis (TA) is a rare autoimmune disease with ethnic differences. Genome-wide association studies (GWAS) showed novel genetic variants in the human leukocyte antigen (HLA) region were associated with TA. The present study aimed to investigate the linkage between these single nucleotide polymorphisms (SNP) and TA in a Chinese Han population.

METHODS

Four hundred and twelve patients from multiple centers and 597 healthy controls were genotyped using the Sequenom MassArray iPLEX platform. The association between these SNPs and various clinical symptom of TA was also investigated.

RESULTS

Our study showed a higher risk allele frequency of rs12524487 in TA patients compared to healthy controls (26.6% vs. 21.7%, odds ratio [OR] 1.31, 95% CI 1.06-1.61). The other SNP rs9366782 in HLA-B/MICA (major histocompatibility complex class I polypeptide-related sequence A) showed association with TA ischemic brain disease (OR: 1.78, 95% CI: 1.16-2.73, P = 0.03). However, rs3763288 and rs114202986 in MICA were negatively related to TA either as a whole or in any clinical features. Meanwhile, ATGT(rs9366782, rs12524487, rs3763288 and rs114202986) were the risk haplotypes (P = 2.48 × 10 ).

CONCLUSIONS

Our findings indicated that rs12524487 in HLA-B/MICA was a genetic risk factor for TA in a Chinese Han population and rs9366782 in this region was associated with ischemic brain disease in TA but not TA susceptibility.

摘要

目的

大动脉炎(TA)是一种具有种族差异的罕见自身免疫性疾病。全基因组关联研究(GWAS)表明,人类白细胞抗原(HLA)区域的新型基因变异与TA相关。本研究旨在探讨中国汉族人群中这些单核苷酸多态性(SNP)与TA之间的联系。

方法

使用Sequenom MassArray iPLEX平台对来自多个中心的412例患者和597例健康对照进行基因分型。还研究了这些SNP与TA各种临床症状之间的关联。

结果

我们的研究表明,与健康对照相比,TA患者中rs12524487的风险等位基因频率更高(26.6%对21.7%,优势比[OR]1.31,95%可信区间1.06-1.61)。HLA-B/MICA(主要组织相容性复合体I类多肽相关序列A)中的另一个SNP rs9366782与TA缺血性脑病相关(OR:1.78,95%可信区间:1.16-2.73,P = 0.03)。然而,MICA中的rs3763288和rs114202986与TA整体或任何临床特征均呈负相关。同时,ATGT(rs9366782、rs125

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