Department of Otorhinolaryngology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan; Department of Otorhinolaryngology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Department of Otorhinolaryngology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Kaohsiung J Med Sci. 2017 Jul;33(7):359-364. doi: 10.1016/j.kjms.2017.04.003. Epub 2017 May 9.
The glutathione peroxidase 3 gene (GPX3) is reported to be a risk factor for arterial ischaemic stroke and cerebral venous thrombosis. GPX3 may be one of the aetiologies of sudden sensorineural hearing loss (SSNHL), which might be attributed to the genetic effect of GPX3 by influence reactive oxygen species (ROS). Unbalanced ROS have been associated with susceptibility to SSNHL. Therefore, we conducted a case-control study with 416 SSNHL cases and 255 controls. Five single nucleotide polymorphisms (SNPs) were selected. The genotypes were determined using TaqMan genotyping assays. Each SNP was tested using the Hardy-Weinberg equilibrium (HWE), and the genetic effects were evaluated using three inheritance models. All five SNPs were in HWE. As the result, the AG genotype of rs3805435 had an adjusted odds ratio (OR) of 0.54 (95% confidence interval = 0.37-0.79, p = 0.001) compared with the AA genotype in the SSNHL cases. The GG and AG genotypes of the SNP rs3805435 were associated with SSNHL under the dominant model (p = 0.002, OR = 0.58). In conclusion, these results suggest that GPX3 polymorphisms influence susceptibility to SSNHL in southern Taiwan.
谷胱甘肽过氧化物酶 3 基因 (GPX3) 被报道为动脉缺血性中风和脑静脉血栓形成的危险因素。GPX3 可能是突发性聋 (SSNHL) 的病因之一,这可能归因于 GPX3 的遗传效应通过影响活性氧 (ROS)。不平衡的 ROS 与 SSNHL 的易感性有关。因此,我们进行了一项病例对照研究,共纳入 416 例 SSNHL 病例和 255 例对照。选择了 5 个单核苷酸多态性 (SNP)。采用 TaqMan 基因分型检测法确定基因型。使用 Hardy-Weinberg 平衡 (HWE) 检验每个 SNP,并使用三种遗传模型评估遗传效应。所有 5 个 SNP 均符合 HWE。结果显示,与 AA 基因型相比,rs3805435 的 AG 基因型在 SSNHL 病例中调整后的比值比 (OR) 为 0.54(95%置信区间为 0.37-0.79,p=0.001)。SNP rs3805435 的 GG 和 AG 基因型在显性模型下与 SSNHL 相关 (p=0.002,OR=0.58)。总之,这些结果表明,GPX3 多态性影响了台湾南部 SSNHL 的易感性。