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梅毒患者中 IL-17A、IL-17F、IL-23R、VDR、CCL2、CCL5、CCR2 和 CCR5 基因多态性和表达的评估。

Evaluation of IL-17A, IL-17F, IL-23R, VDR, CCL2, CCL5, CCR2, and CCR5 gene polymorphisms and expression in Chinese individuals with syphilis.

机构信息

Department of STD Control, Institute of Dermatology, Chinese Academy of Medical Science & Peking Union Medical College, National Center for STD Control, Chi Centers for Disease Control and Prevention, Nanjing, China.

Department of Dermatology, Xuzhong Medical University Affiliated Hospital of Lianyungang, Lianyungang, China.

出版信息

J Cell Biochem. 2018 Dec;119(12):10151-10164. doi: 10.1002/jcb.27352. Epub 2018 Sep 1.

DOI:10.1002/jcb.27352
PMID:30171709
Abstract

Syphilis is a sexually transmitted disease caused by the infection of Treponema pallidum subspecies pallidum. T-helper type 17-related genes, vitamin D receptor (VDR) gene, and chemokine/chemokine receptor genes are crucial in microbial infection. A total of 16 single-nucleotide polymorphisms (SNPs) in eight genes (interleukin [IL]-17A, IL-17F, IL-23R, VDR, C-C motif chemokine ligand [CCL] 2, CCL5, C-C chemokine receptor [CCR] 2, and CCR5) were analyzed in 188 patients with syphilis and 216 healthy controls. The results showed a strong correlation of IL-17A rs2275913 (AA vs AG + GG: odds ratio [OR], 1.78; 95% confidence interval [CI], 1.09 to 2.92; P = 0.020; A vs G: OR, 1.33; 95% CI, 1.01 to 1.76; P = 0.043) and rs3819024 (GG vs AA + GA: OR, 1.76; 95% CI, 1.06 to 2.91; P = 0.028; G vs A: OR, 1.36; 95% CI, 1.03 to 1.80; P = 0.030) with syphilis. In haplotype analysis, IL-17A rs2275913A/rs3819024G showed a risk effect (OR, 1.38; 95% CI, 1.04 to 1.82; P = 0.026), whereas IL-17A rs2275913G/rs3819024A showed a protective effect (OR, 0.76; 95% CI, 0.57 to 0.998; P = 0.048). The expression levels of IL-17A messenger RNA (mRNA) in peripheral blood mononuclear cells and IL-17A secretion in plasma were further examined. No significant differences were found between patients with syphilis and healthy controls. The study also explored whether IL-17A rs2275913 and rs3819024 were associated with the expression of IL-17A mRNA and IL-17A secretion in patients with syphilis. Similar negative results were found. In conclusion, the polymorphisms of IL-17A rs2275913 and rs3819024 and the haplotype containing these two SNPs influenced the susceptibility to syphilis in a Han Chinese population.

摘要

梅毒是一种由苍白密螺旋体亚种感染引起的性传播疾病。T 辅助细胞 17 相关基因、维生素 D 受体(VDR)基因和趋化因子/趋化因子受体基因在微生物感染中至关重要。在 188 例梅毒患者和 216 例健康对照中,分析了 8 个基因(白细胞介素[IL]-17A、IL-17F、IL-23R、VDR、C-C 基序趋化因子配体[CCL]2、CCL5、C-C 趋化因子受体[CCR]2 和 CCR5)中的 16 个单核苷酸多态性(SNP)。结果表明,IL-17A rs2275913(AA 与 AG+GG:比值比[OR],1.78;95%置信区间[CI],1.09 至 2.92;P=0.020;A 与 G:OR,1.33;95%CI,1.01 至 1.76;P=0.043)和 rs3819024(GG 与 AA+GA:OR,1.76;95%CI,1.06 至 2.91;P=0.028;G 与 A:OR,1.36;95%CI,1.03 至 1.80;P=0.030)与梅毒密切相关。在单体型分析中,IL-17A rs2275913A/rs3819024G 显示出风险效应(OR,1.38;95%CI,1.04 至 1.82;P=0.026),而 IL-17A rs2275913G/rs3819024A 则表现出保护作用(OR,0.76;95%CI,0.57 至 0.998;P=0.048)。进一步检测了外周血单个核细胞中 IL-17A 信使 RNA(mRNA)的表达水平和血浆中 IL-17A 的分泌情况。梅毒患者和健康对照组之间无显著差异。该研究还探讨了 IL-17A rs2275913 和 rs3819024 是否与梅毒患者中 IL-17A mRNA 的表达和 IL-17A 分泌有关。同样得到了阴性结果。综上所述,IL-17A rs2275913 和 rs3819024 的多态性以及包含这两个 SNP 的单体型影响了汉族人群梅毒的易感性。

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