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多发性硬化症的遗传易感性:FOXP3基因多态性的作用。

Genetic Susceptibility to Multiple Sclerosis: The Role of FOXP3 Gene Polymorphism.

作者信息

Işik Nihal, Yildiz Manukyan Nüket, Aydin Cantürk İlknur, Candan Fatma, Ünsal Çakmak Ayşen, Saru Han Direskeneli Güher

机构信息

Clinic of Neurology, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey.

Clinic of Neurology, Ministry Health Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2014 Mar;51(1):69-73. doi: 10.4274/npa.y7098. Epub 2014 Mar 1.

Abstract

INTRODUCTION

It is well recognized that both genetic and environmental factors play an important role in the pathogenesis of multiple sclerosis (MS). Immune pathogenesis of MS focuses on pathogenic CD4+ T lymphocytes. CD4+CD25+ regulatory T cells have suppressive function in this cell group. FOXP3 (forkhead boxP3) transcription factor is a key structure in the development and function of regulatory cells. Functional alterations in FOXP3 gene expression have been observed in various autoimmune diseases.

METHODS

We screened a non-synonymous coding single nucleotide polymorphism (exon +2710 C/T) (rs2232369) of human FOXP3 gene in 148 MS patients (118 with Relapsing Remitting MS, 30 with Secondary Progressive MS) and 102 age- and sex-matched healthy controls. The association of polymorphisms with susceptibility, and course of the disease was evaluated.

RESULTS

We could not detect any single nucleotide polymorphism in MS patients, however, polymorphic allele was detected in 3% of the control group. Consequently, a genetic association between the FOXP3 gene polymorphism and MS was not revealed.

CONCLUSION

The distribution of this polymorphism has not been screened in any other MS populations before. Although we could not succeed to find any association between susceptibility to MS and screened FOXP3 gene polymorphisms, we suggest that this particular polymorphism is not appropriate for these kind of studies in the future.

摘要

引言

众所周知,遗传因素和环境因素在多发性硬化症(MS)的发病机制中均起着重要作用。MS的免疫发病机制主要集中在致病性CD4 + T淋巴细胞上。CD4 + CD25 +调节性T细胞在该细胞群体中具有抑制功能。FOXP3(叉头框P3)转录因子是调节性细胞发育和功能的关键结构。在各种自身免疫性疾病中均观察到FOXP3基因表达的功能改变。

方法

我们在148例MS患者(118例复发缓解型MS,30例继发进展型MS)和102例年龄和性别匹配的健康对照中筛选了人类FOXP3基因的一个非同义编码单核苷酸多态性(外显子+2710 C/T)(rs2232369)。评估了多态性与易感性及疾病进程的相关性。

结果

我们在MS患者中未检测到任何单核苷酸多态性,然而,在3%的对照组中检测到了多态性等位基因。因此,未发现FOXP3基因多态性与MS之间存在遗传关联。

结论

此前尚未在任何其他MS人群中筛选过这种多态性的分布情况。尽管我们未能成功发现MS易感性与所筛选的FOXP3基因多态性之间存在任何关联,但我们认为这种特定的多态性在未来并不适合此类研究。

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