Laochareonsuk Wison, Chiengkriwate Piyawan, Sangkhathat Surasak
Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.
Pediatr Surg Int. 2018 May;34(5):515-520. doi: 10.1007/s00383-018-4243-3. Epub 2018 Mar 5.
A genome-wide association study in East Asians suggested a genetic association between biliary atresia (BA) and a cluster of variants within the Adducin 3 (ADD3) and ADD3 antisense RNA1 (ADD3-AS1) genes. Another study in Thai neonates reported an association between BA and rs17095355. To validate those findings, this study aimed to analyze the BA association with single nucleotide polymorphisms (SNPs) and the additive influence of ADD3 and ADD3-AS1 in Thai neonates.
DNAs from 56 BA cases and 166 controls were genotyped for rs2501577, rs11194981, rs12268910 (ADD3) and rs17095355 (ADD3-AS1), using TaqMan PCR. Genotype distributions were compared between the groups, and SNP-SNP interactions were analyzed by combination of allelotypes.
The risk allele frequencies of rs2501577, rs11194981, and rs17095355 in the BA group were significantly higher than in the controls. Univariate analysis showed that recessive variants in the three SNPs were associated with BA risk at ORs of 1.81 (95% CI 1.32-2.50), 1.58 (95% CI 1.14-2.20) and 1.92 (95% CI 1.39-2.66), respectively. SNP-SNP interaction analysis showed that the SNP combination of the two genes rs17095355 and rs2501577 provided an additive increase in BA risk.
ADD3 and ADD3-AS1 variants increased susceptibility to BA, suggesting that these genes may play an additive role in the pathogenesis of the disease. In addition, these interactions may give a clue to the overexpression of the ADD3 protein in the liver of BA patients.
一项针对东亚人的全基因组关联研究表明,胆道闭锁(BA)与内收蛋白3(ADD3)和ADD3反义RNA1(ADD3-AS1)基因内的一组变异之间存在遗传关联。另一项针对泰国新生儿的研究报告称BA与rs17095355之间存在关联。为了验证这些发现,本研究旨在分析泰国新生儿中BA与单核苷酸多态性(SNP)的关联以及ADD3和ADD3-AS1的累加影响。
采用TaqMan PCR对56例BA病例和166例对照的DNA进行rs2501577、rs11194981、rs12268910(ADD3)和rs17095355(ADD3-AS1)基因分型。比较两组之间的基因型分布,并通过等位基因组合分析SNP-SNP相互作用。
BA组中rs2501577、rs11194981和rs17095355的风险等位基因频率显著高于对照组。单因素分析显示,三个SNP的隐性变异与BA风险相关,其比值比分别为1.81(95%可信区间1.32-2.50)、1.58(95%可信区间1.14-2.20)和1.92(95%可信区间1.39-2.66)。SNP-SNP相互作用分析显示,rs17095355和rs2501577这两个基因的SNP组合使BA风险累加增加。
ADD3和ADD3-AS1变异增加了患BA的易感性,表明这些基因可能在该疾病的发病机制中起累加作用。此外,这些相互作用可能为BA患者肝脏中ADD3蛋白的过表达提供线索。