Zahedi N, Abedian Kenari S, Mohseni S, Aslani N, Ansari S, Badali H
Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Curr Med Mycol. 2016 Sep;2(3):15-19. doi: 10.18869/acadpub.cmm.2.3.15.
Vulvovaginal candidiasis is a frequent disease affecting approximately more than %75 of all childbearing women at least once in their lifetime by overgrowth of opportunistic Candida species. Recurrent vulvovaginal candidiasis (RVVC) is common in otherwise healthy individuals. Several risk factors were reported to contribute to RVVC susceptibility. A polymorphism in Dectin-1 (Y238X, rs16910526 ) was identified in patients with RVVC and hypothesized that genetic factors play an important role in susceptibility to RVVC. Herein, we aimed to survey the polymorphisms in the Dectin-1 gene, linked to susceptibility to RVVC.
In the current study, blood samples were obtained from 25 patients who had frequent vulvovaginal candidiasis relapses and were diagnosed as RVVC. In addition, blood cultures were obtained from control group comprising of healthy individuals (n=25) with no history of RVVC, vaginal discharge, or itching on the day of examination. Dectin-1 Y238X gene polymorphism was investigated using Bi-PASA and DNA sequencing.
The analysis revealed that all of the patients were wild-type homozygous for Dectin-1 Y238X polymorphisms. None of the individuals showed heterozygous or mutant homozygous Dectin-1 polymorphism.
No significant correlations were observed between the susceptibility to RVVC and Dectin-1 Y238X polymorphism in the Iranian population, which was not previously studied.
外阴阴道念珠菌病是一种常见疾病,机会性念珠菌属过度生长会影响约75%以上的育龄妇女,使其一生中至少患一次该病。复发性外阴阴道念珠菌病(RVVC)在其他方面健康的个体中也很常见。据报道,有几个风险因素会导致RVVC易感性增加。在RVVC患者中发现了一种名为Dectin-1(Y238X,rs16910526)的基因多态性,并推测遗传因素在RVVC易感性中起重要作用。在此,我们旨在调查与RVVC易感性相关的Dectin-1基因多态性。
在本研究中,从25例经常复发外阴阴道念珠菌病且被诊断为RVVC的患者中采集血样。此外,从对照组(n=25)采集血培养样本,对照组为在检查当天无RVVC病史、无阴道分泌物或瘙痒症状的健康个体。采用双引物等位基因特异性聚合酶链反应(Bi-PASA)和DNA测序技术研究Dectin-1 Y238X基因多态性。
分析显示,所有患者在Dectin-1 Y238X多态性方面均为野生型纯合子。没有个体表现出杂合子或突变型纯合子Dectin-1多态性。
在伊朗人群中,未观察到RVVC易感性与Dectin-1 Y238X多态性之间存在显著相关性,此前尚未对此进行过研究。