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白细胞介素-6 基因多态性及其与环境因素相互作用与中国汉族人群冠心病的关系。

Association of Interleukin-6 Genetic Polymorphisms and Environment Factors Interactions with Coronary Artery Disease in a Chinese Han Population.

机构信息

a Inner Mongolia People's Hospital, Inner Mongolia , China.

b Wuhan General Hospital of Guangzhou Commend , Wuhan , China.

出版信息

Clin Exp Hypertens. 2018;40(6):514-517. doi: 10.1080/10641963.2017.1403618. Epub 2018 Jun 11.

DOI:10.1080/10641963.2017.1403618
PMID:29889576
Abstract

OBJECTIVES

To investigate the influence of IL-6 single nucleotide polymorphisms (SNPs), additional gene-gene and gene-environment interactions on coronary artery disease (CAD) risk.

METHODS

A total of 751 participants (429 CAD patients and 322 controls) were recruited in this study. Logistic regression analysis was conducted to evaluate the association of IL-6 SNPs with CAD risk and generalized multifactor dimensionality reduction (GMDR) was performed to investigate the best interaction combinations for gene-gene and gene-environment interactions.

RESULTS

CAD risk is significantly higher in carriers of C allele of the rs1800795 polymorphism than those with GG genotype (CC + CG versus GG, adjusted OR (95%CI) = 2.07 (1.56-2.86), p < 0.001). GMDR analysis revealed rs1800795 was significantly interacted with tobacco smoking and alcohol drinking in two-locus model (p < 0.0010). Current smokers with CC or CG of rs1800795 genotype have the highest CAD risk, OR (95%CI) = 3.22 (2.45-3.94) and current drinkers with CC or CG of rs1800795 genotype have the highest CAD risk, OR (95%CI) = 3.17 (2.20-4.24).

CONCLUSION

The C allele of rs1800795 within IL-6 gene promoter, rs1800795-tobacco smoking and rs1800795-alcohol drinking interaction were all associated with increased CAD risk.

摘要

目的

研究白细胞介素 6(IL-6)单核苷酸多态性(SNP)、附加基因-基因和基因-环境相互作用对冠心病(CAD)风险的影响。

方法

本研究共纳入 751 名参与者(429 名 CAD 患者和 322 名对照)。采用 logistic 回归分析评估 IL-6 SNP 与 CAD 风险的关系,并采用广义多因素维度缩减(GMDR)分析基因-基因和基因-环境相互作用的最佳交互组合。

结果

与 GG 基因型相比,rs1800795 等位基因 C 的携带者 CAD 风险显著升高(CC+CG 与 GG,调整 OR(95%CI)=2.07(1.56-2.86),p<0.001)。GMDR 分析显示 rs1800795 与吸烟和饮酒在双位点模型中存在显著交互作用(p<0.0010)。携带 rs1800795 CC 或 CG 基因型的当前吸烟者 CAD 风险最高,OR(95%CI)=3.22(2.45-3.94),携带 rs1800795 CC 或 CG 基因型的当前饮酒者 CAD 风险最高,OR(95%CI)=3.17(2.20-4.24)。

结论

IL-6 基因启动子内 rs1800795 的 C 等位基因、rs1800795-吸烟和 rs1800795-饮酒相互作用均与 CAD 风险增加相关。

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