Su Na, Zhao Nairui, Wang Guangya, Wang Linxia, Zhang Yunna, Li Ruijie, Liu Ying, Yang Xinxin, Li Cuiliu, Hou Mingming
Department of Second Endocrinology Department of Second Ultrasound Department of Medical Records, Cangzhou Central Hospital, Cangzhou, China.
Medicine (Baltimore). 2018 Jul;97(28):e11232. doi: 10.1097/MD.0000000000011232.
Monocyte chemotactant protein-1 (MCP-1), a pro-inflammatory cytokine, plays an important role in inflammatory process. In present study, we evaluated the association of MCP-1 gene rs1024611 polymorphism with risk and clinical characteristics of diabetic foot ulcers (DFUs).This study recruited 116 patients with DFUs, 135 patients with diabetes mellitus (DM) without complications (non-DFU), and 149 healthy controls (HCs). MCP-1 gene rs1024611 polymorphism was genotyped by direct sequencing. The expression of MCP-1 was analyzed using quantitative real-time polymerase chain reaction. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to assume the association strength.Individuals with rs1024611 AG and GG genotypes exhibited significantly higher susceptibility to DFUs, in the comparison with HCs (AG vs AA, OR = 2.364, 95% CI = 1.021-5.470; GG vs AA, OR = 2.686, 95% CI = 1.154-6.255). Meanwhile, G allele was associated with increased DFUs susceptibility (OR = 1.457, 95% CI = 1.014-2.093). Besides, rs1024611 SNP was slightly correlated with increased DFUs susceptibility in patients with DM. GG genotype of rs1024611 was significantly correlated with higher epidermal thickness and lower dermis thickness in patients with DFUs (P < .01). Patients with DFU exhibited upregulation of MCP-1 mRNA, and GG genotype was correlated with enhanced MCP-1 expression in DFU and non-DFU groups.Rs1024611 polymorphism was significantly associated with MCP-1 expression and individual susceptibility to DFUs.
单核细胞趋化蛋白-1(MCP-1)是一种促炎细胞因子,在炎症过程中起重要作用。在本研究中,我们评估了MCP-1基因rs1024611多态性与糖尿病足溃疡(DFU)风险及临床特征的相关性。本研究招募了116例DFU患者、135例无并发症的糖尿病(DM)患者(非DFU)和149例健康对照者(HC)。通过直接测序对MCP-1基因rs1024611多态性进行基因分型。使用定量实时聚合酶链反应分析MCP-1的表达。比值比(OR)和95%置信区间(CI)用于评估关联强度。与HC相比,rs1024611 AG和GG基因型个体对DFU的易感性显著更高(AG vs AA,OR = 2.364,95% CI = 1.021 - 5.470;GG vs AA,OR = 2.686,95% CI = 1.154 - 6.255)。同时,G等位基因与DFU易感性增加相关(OR = 1.457,95% CI = 1.014 - 2.093)。此外,rs1024611单核苷酸多态性与DM患者DFU易感性增加略有相关。rs1024611的GG基因型与DFU患者较高的表皮厚度和较低的真皮厚度显著相关(P <.01)。DFU患者表现出MCP-1 mRNA上调,并且GG基因型与DFU组和非DFU组中MCP-1表达增强相关。rs1024611多态性与MCP-1表达及个体对DFU的易感性显著相关。