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肾移植受者中白细胞介素1β基因多态性与同种异体移植功能的关联:来自克什米尔山谷的病例对照研究

Association of IL1 beta gene polymorphism and allograft functions in renal transplant recipients :a case control study from Kashmir Valley.

作者信息

Bhat Mohammad Ashraf, Parry Manzoor Ahmad, Nissar Saniya, Sameer Aga Syed, Bhat Imtiyaz A, Shah Zafar A, Rasool Roohi

机构信息

Department of Nephrology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.

Department of Immunology and Molecular Medicine, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, 190011, India.

出版信息

BMC Nephrol. 2017 Mar 30;18(1):111. doi: 10.1186/s12882-017-0526-5.

DOI:10.1186/s12882-017-0526-5
PMID:28359253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5372286/
Abstract

BACKGROUND

Cytokines have been found to be the important mediators during renal graft outcome. Therefore, we designed this study to investigate the role of recipients' IL-1 β promoter (-511) and IL-1 β exon-5 (+3954) polymorphisms with the risk of graft outcome.

METHODOLOGY

We enrolled one hundred recipients of living-related renal transplants together with the age and sex matched controls from the healthy population not having any renal abnormality for this study. Genotype frequencies of the IL-1 β promoter (-511) and IL-1 β exon-5 (+3954) were analyzed using PCR-RFLP technique.

RESULTS

Our results revealed significant differences in the healthy control group and patient group in IL 1β +3954 (p < 0.001). The frequency of variant type TT genotype was higher in RE group as compared to SGF and showed 4 fold risk of rejection (OR = 4.54, p < 0.069) although p value was not significant. The frequency of wild type CC genotype and CT was not significant (p value 0.89 and 0.74 respectively).

CONCLUSION

Our findings suggest that there is a prevalence of mutated allele of IL-1 gene cluster in our population, which may be responsible for renal dysfunction.

摘要

背景

细胞因子已被发现是肾移植结果的重要介质。因此,我们设计了本研究,以探讨受体白细胞介素-1β启动子(-511)和白细胞介素-1β外显子5(+3954)多态性与移植结果风险之间的关系。

方法

我们招募了100名亲属活体肾移植受体以及年龄和性别匹配的健康对照者,这些对照者没有任何肾脏异常。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术分析白细胞介素-1β启动子(-511)和白细胞介素-1β外显子5(+3954)的基因型频率。

结果

我们的结果显示,白细胞介素-1β+3954在健康对照组和患者组之间存在显著差异(p<0.001)。与移植成功组相比,移植排斥组中变异型TT基因型的频率更高,尽管p值不显著,但显示出4倍的排斥风险(OR=4.54,p<0.069)。野生型CC基因型和CT基因型的频率无显著差异(p值分别为0.89和0.74)。

结论

我们的研究结果表明,我们的人群中白细胞介素-1基因簇的突变等位基因普遍存在,这可能是肾功能障碍的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0d2/5372286/08c8d7084008/12882_2017_526_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0d2/5372286/08c8d7084008/12882_2017_526_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0d2/5372286/08c8d7084008/12882_2017_526_Fig1_HTML.jpg

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本文引用的文献

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Transplant Proc. 2012 Jul-Aug;44(6):1670-8. doi: 10.1016/j.transproceed.2012.05.046.
2
Analysis of cytokine gene polymorphisms in recipient's matched with living donors on acute rejection after renal transplantation.肾移植后与活体供者配型的受者中细胞因子基因多态性与急性排斥反应的分析。
Mol Cell Biochem. 2008 Apr;311(1-2):57-65. doi: 10.1007/s11010-007-9694-0. Epub 2007 Dec 29.
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Genetic association of interleukin-1beta and receptor antagonist (IL-1Ra) gene polymorphism with allograft function in renal transplant patients.
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Cytokine polymorphisms do not influence acute rejection in renal transplantation under tacrolimus-based immunosuppression.细胞因子多态性不影响以他克莫司为基础的免疫抑制下肾移植的急性排斥反应。
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Cytokines and chronic rejection: a study in kidney transplant long-term survivors.细胞因子与慢性排斥反应:肾移植长期存活者的一项研究
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