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中国人群中淋巴毒素-α基因多态性与强直性脊柱炎易感性的遗传关联:一项病例对照研究。

The genetic association between polymorphisms in lymphotoxin-α gene and ankylosing spondylitis susceptibility in Chinese group: A case-control study.

作者信息

Jia Bei, Qi Xiangbei

机构信息

Center of Hepatopathy, the First Hospital of Hebei Medical University Department of Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Medicine (Baltimore). 2017 May;96(19):e6796. doi: 10.1097/MD.0000000000006796.

Abstract

The study was designed to reveal the genetic relationship of lymphotoxin-α (LTA) polymorphisms with risk of ankylosing spondylitis (AS) in Chinese Han population.LTA polymorphisms were genotyped by polymerase chain reaction-direct sequencing (PCR-DS) in 138 AS patients and 141 healthy controls. The genotype distribution in control group was checked the status of Hardy-Weinberg equilibrium (HWE). Odds ratio (OR) with 95% confidence interval (95%CI) calculated by χ test was used to show effects of LTA polymorphisms on AS risk. Logistic regressive analysis was used to calculate the adjusted OR values. Additionally, the linkage disequilibrium of LTA polymorphisms was examined by Haploview.G allele of rs909253 was significantly higher frequency in AS patients (P = .02), which was associated with the increased risk of AS (OR = 1.53, 95%CI = 1.07-2.18). The carriages of GG genotype in rs909253 showed a high risk of AS occurrence, compared with AA genotype carriers (OR = 2.46, 95%CI = 1.13-5.35). Multivariate analysis demonstrated that the G allele (OR = 1.52, 95%CI = 1.05-2.15) and GG genotype (OR = 2.36, 95%CI = 1.06-5.24) of rs909253 were still positively associated with AS susceptibility. However, there was no significant association between AS risk and rs2239704 or rs2229094.LTA rs909253 polymorphism contributes to the occurrence of AS.

摘要

本研究旨在揭示中国汉族人群中淋巴毒素-α(LTA)基因多态性与强直性脊柱炎(AS)发病风险的遗传关系。采用聚合酶链反应-直接测序法(PCR-DS)对138例AS患者和141例健康对照者进行LTA基因多态性基因分型。检验对照组的基因型分布是否符合Hardy-Weinberg平衡(HWE)状态。采用χ²检验计算比值比(OR)及95%置信区间(95%CI),以显示LTA基因多态性对AS发病风险的影响。采用逻辑回归分析计算校正后的OR值。此外,利用Haploview软件检测LTA基因多态性的连锁不平衡情况。rs909253位点的G等位基因在AS患者中的频率显著更高(P = 0.02),与AS发病风险增加相关(OR = 1.53,95%CI = 1.07 - 2.18)。与AA基因型携带者相比,rs909253位点GG基因型携带者发生AS的风险较高(OR = 2.46,95%CI = 1.13 - 5.35)。多因素分析表明,rs909253位点的G等位基因(OR = 1.52,95%CI = 1.05 - 2.15)和GG基因型(OR = 2.36,95%CI = 1.06 - 5.24)仍与AS易感性呈正相关。然而,AS发病风险与rs2239704或rs2229094之间无显著关联。LTA rs909253基因多态性与AS的发生有关。

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