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[基因多态性、酒精饮料类型与乙醇代谢的相关性]

[Correlation of Genetic Polymorphism, Alcoholic Beverage Type and Ethanol Metabolism].

作者信息

Ye Y, Chen F, Lu X, Wu H, Lu Q, Shi Lei, Yan Y Y, Yang L, Liao L C

机构信息

West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu 610041, China.

出版信息

Fa Yi Xue Za Zhi. 2018 Apr;34(2):142-146. doi: 10.3969/j.issn.1004-5619.2018.02.007. Epub 2018 Apr 25.

Abstract

OBJECTIVES

To explore the effects of and gene polymorphism and type of alcoholic beverage on ethanol metabolism, to provide data support for cases involving the interpretation of ethanol metabolism or back calculation of blood ethanol concentration in forensic practice.

METHODS

A total of 81 volunteers were selected. The genotypes of , and were obtained by a multiplex SNaPshot genotyping method. Each subject was administered with 1.0 g/kg of alcohol. About 1 mL venous blood was collected before and after the alcohol consumption at 30 min, 45 min, 1 h, 1.5 h, 2 h, 3 h, 4 h, 5 h, 6 h, 7 h and 8 h, respectively. The concentrations of ethanol and acetaldehyde in blood were determined by headspace gas chromatography. The peak times of blood ethanol concentration (), the peak mass concentrations of ethanol (), the area under curve (AUC) of ethanol (AUC), AUC and ethanol elimination rates () were calculated. In order to eliminate the influence of , the carriers were grouped based on the genotype of and . The data of each group were evaluated by one-way analysis of variance and pairwise comparison tests were performed by least significant difference method. The gene interactions were evaluated by two-way analysis of variance. Each parameter of three kinds of alcoholic beverage (white wine, red wine and beer) among groups was analysed by variance analysis with randomized block design.

RESULTS

There were no differences in the value of and between the groups with different and genotype. The differences in the values of AUC, and AUC among some groups carrying different and genotype had statistical significance, while no significant difference was observed in these parameters when one individual taking same dose of different alcoholic beverage type.

CONCLUSIONS

The ethanol metabolism is associated with the related gene polymorphism, which is barely affected by alcoholic beverage type.

摘要

目的

探讨乙醇脱氢酶(ADH)和乙醛脱氢酶(ALDH)基因多态性及酒精饮料类型对乙醇代谢的影响,为法医实践中涉及乙醇代谢解读或血液乙醇浓度反推的案件提供数据支持。

方法

选取81名志愿者。采用多重SNaPshot基因分型方法获取ADH、ALDH的基因型。每位受试者按1.0 g/kg的剂量摄入酒精。分别于饮酒前及饮酒后30分钟、45分钟、1小时、1.5小时、2小时、3小时、4小时、5小时、6小时、7小时和8小时采集约1 mL静脉血。采用顶空气相色谱法测定血液中乙醇和乙醛的浓度。计算血液乙醇浓度峰值时间(Tmax)、乙醇峰值质量浓度(Cmax)、乙醇曲线下面积(AUCethanol)、AUC乙醛(AUCacetaldehyde)及乙醇消除率(Ke)。为消除乙醇脱氢酶(ADH)的影响,根据乙醛脱氢酶(ALDH)的基因型对ADH携带者进行分组。每组数据采用单因素方差分析进行评估,并采用最小显著差法进行两两比较检验。通过双因素方差分析评估基因相互作用。采用随机区组设计的方差分析对三组酒精饮料(白酒、红酒和啤酒)之间的各项参数进行分析。

结果

不同ADH和ALDH基因型组之间的Tmax和Ke值无差异。部分携带不同ADH和ALDH基因型组的AUCethanol、Cmax和AUCacetaldehyde值差异具有统计学意义,而同一剂量不同酒精饮料类型的个体在这些参数上未观察到显著差异。

结论

乙醇代谢与相关基因多态性有关,受酒精饮料类型影响较小。

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