Zhu Haogang, Zhang Hongjin, Bao Ligang, Dai Meifen
Department of Emergency Medicine, People's Hospital of Dongyang City, Dongyang, Zhejiang 322103,
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Apr 10;34(2):261-265. doi: 10.3760/cma.j.issn.1003-9406.2017.02.025.
To assess the association of single nucleotide polymorphisms of hsa-miR-196a2, hsa-miR-149, hsa-miR-146a, hsa-miR-499 with susceptibility to ischemic stroke.
Taqman-PCR and DNA sequencing assays were employed to determine the genotypes of the 4 loci among 510 patients and 523 controls. And their association with the disease was assessed.
Analysis showed that smoking, diabetes, hypertension, BMI index and abnormal serum lipid metabolism were significantly associated with ischemic stroke, and that rs2910164 was significantly associated with the disease in codominant (CG vs. CC: P=0.002, OR=1.878, 95%CI=1.269-2.789), dominant (P=0.012, OR=1.325, 95%CI=1.110-1.580), recessive (P=0.008, OR=1.630, 95%CI=1.130-2.342) and allele (P=0.002, OR=1.449, 95%CI=1.210-1.731) genetic models. Stratified analysis further showed that the significant association only existed in population with smoking and hypertension. By contrast, no association was found between hsa-miR-196a2 rs11614913, hsa-miR-149 rs2292832 and hsa-miR-499 rs3746444 with the disease.
Our study indicated that smoking, diabetes, hypertension, fat and hyperlipidemia are risk factors for ischemic stroke. Hsa-miR-146a rs2910164 is significantly associated with the disease in those with smoking and hypertension in Dongyang region and may be involved in the process of the disease. The G allele G, GG and CG+GG genotypes of the locus may underlie the susceptibility to the disease in Dongyang region.
评估人微小RNA-196a2(hsa-miR-196a2)、人微小RNA-149(hsa-miR-149)、人微小RNA-146a(hsa-miR-146a)、人微小RNA-499(hsa-miR-499)的单核苷酸多态性与缺血性脑卒中易感性的相关性。
采用Taqman-PCR和DNA测序法检测510例患者和523例对照者中4个位点的基因型,并评估其与疾病的相关性。
分析显示,吸烟、糖尿病、高血压、体重指数(BMI)和血清脂质代谢异常与缺血性脑卒中显著相关,rs2910164在共显性(CG与CC比较:P = 0.002,比值比[OR]=1.878,95%可信区间[CI]=1.269 - 2.789)、显性(P = 0.012,OR = 1.325,95%CI = 1.110 - 1.580)、隐性(P = 0.008,OR = 1.630,95%CI = 1.130 - 2.342)和等位基因(P = 0.002,OR = 1.449,95%CI = 1.210 - 1.731)遗传模型中与疾病显著相关。分层分析进一步显示,这种显著相关性仅存在于吸烟和高血压人群中。相比之下,未发现hsa-miR-196a2 rs11614913、hsa-miR-149 rs2292832和hsa-miR-499 rs3746444与疾病有关。
我们的研究表明,吸烟、糖尿病、高血压、肥胖和高脂血症是缺血性脑卒中的危险因素。在东阳地区,hsa-miR-146a rs2910164在吸烟和高血压患者中与疾病显著相关,可能参与了疾病进程。该位点的G等位基因、GG以及CG + GG基因型可能是东阳地区人群对该疾病易感性的基础。