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α-辅肌动蛋白-3基因多态性与绝经后女性肌肉力量的相关性

[Association of α-actinin-3 gene polymorphism and muscle strength of postmenopausal women].

作者信息

Xue Y, Nie M, Wang O, Wang C Y, Han G Y, Shen Q, Deng H Y, Jiang Y, Li M, Xia W B, Xing X P, Xu L

机构信息

Department of Endocrinology, Key Laboratory of Endocrinology, National Health and Family Planning Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2018 May 15;98(18):1408-1413. doi: 10.3760/cma.j.issn.0376-2491.2018.18.008.

Abstract

To explore the association between α-actinin-3 (3) polymorphism and muscle strength in postmenopausal women. Five hundred and ninety-eight postmenopausal women with an average of (62.9±7.0) years old in Dongcheng District of Beijing were included. The 3 polymorphism including rs540874, rs618838 and rs2229456 were genotyped by Sequenom Mass Array to explore their associations with muscle strength. One hundred and sixty-three of them were trained with regular Tai chi movement while 271 were administered with elemental calcium 600 mg/d combined with Vitamin D 800 U/d or calcitriol 0.25 μg/d for 2 years. Association between changes of muscle strength and 3 polymorphism were analyzed. The rs540874 genotypes were found to be significantly associated with chair stand test[GG (9.02±3.85) s vs GA (9.27±4.14) s vs AA (9.68±5.00) s, =0.015]. Right grip strength in women with G allele were likely to be higher compared with A allele, but it was not statistically significant (=0.056). Multiple linear regression showed that the chair stand test of AA genotype was statistically longer than that of GG and GA genotype (β=2.639, 95% : 1.632-4.646, =0.010). The associations between rs618838, rs2229456 genotypes and muscle strength of both lower and upper limbs were not significant (all >0.05). In addition, muscle strength of lower limbs of patients with rs540874 genotyped with G allele, rs618838 genotyped with C allele and rs2229456 genotyped with A allele increased significantly after enhanced exercise and vitamin D supplementation (all <0.05). The rs540874 polymorphism of 3 gene was associated with the muscle function of lower limb in postmenopausal women. The improvement of muscle strength after intervention were possibly correlated with rs540874, rs618838 and rs2229456 polymorphisms.

摘要

探讨α-辅肌动蛋白-3(ACTN3)基因多态性与绝经后女性肌肉力量之间的关联。纳入了北京市东城区598名平均年龄为(62.9±7.0)岁的绝经后女性。采用Sequenom Mass Array技术对包括rs540874、rs618838和rs2229456在内的ACTN3基因多态性进行基因分型,以探讨它们与肌肉力量的关联。其中163人进行规律太极拳运动训练,271人每日服用600mg元素钙联合800U维生素D或0.25μg骨化三醇,持续2年。分析肌肉力量变化与ACTN3基因多态性之间的关联。发现rs540874基因型与椅子站立试验显著相关[GG型(9.02±3.85)秒 vs GA型(9.27±4.14)秒 vs AA型(9.68±5.00)秒,P = 0.015]。携带G等位基因的女性右手握力可能高于携带A等位基因的女性,但差异无统计学意义(P = 0.056)。多元线性回归显示,AA基因型的椅子站立试验时间在统计学上长于GG和GA基因型(β = 2.639,95%置信区间:1.632 - 4.646,P = 0.010)。rs618838、rs2229456基因型与上下肢肌肉力量之间的关联均无统计学意义(均P > 0.05)。此外,rs540874基因分型为G等位基因、rs618838基因分型为C等位基因以及rs2229456基因分型为A等位基因的患者,在进行强化运动和补充维生素D后下肢肌肉力量显著增加(均P < 0.05)。ACTN3基因的rs540874多态性与绝经后女性下肢肌肉功能相关。干预后肌肉力量的改善可能与rs540874、rs618838和rs2229456基因多态性有关。

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