Santos Luana Oliveira Dos, Bispo Adriana Valéria Sales, Barros Juliana Vieira de, Laranjeira Raysa Samanta Moraes, Pinto Rafaella do Nascimento, Silva Jaqueline de Azevêdo, Duarte Andréa de Rezende, Araújo Jacqueline, Sandrin-Garcia Paula, Crovella Sergio, Bezerra Marcos André Cavalcanti, Belmont Taciana Furtado de Mendonça, Cavalcanti Maria do Socorro, Santos Neide
Departmento de Genética, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Instituto Federal de Educação, Ciência e Tecnologia do Sertão Pernambucano, Campus Serra Talhada, Serra Talhada, PE, Brazil.
Genet Mol Biol. 2018 Oct-Dec;41(4):727-734. doi: 10.1590/1678-4685-GMB-2017-0312. Epub 2018 Nov 29.
Turner syndrome (TS) is characterized by a set of clinical conditions, including autoimmune/inflammatory diseases and infectious conditions, that can compromise a patient's quality of life. Here we assessed polymorphisms in CTLA-4 +49A/G (rs231775), PTPN22 +1858G/A (rs2476601), and MBL2 -550 (H/L) (rs11003125), -221(X/Y) (rs7096206) and exon 1 (A/O) in women from northeastern Brazil to determine whether polymorphisms within these key immune response genes confer differential susceptibility to clinical conditions in TS. A case-control genetic association study was performed, including 86 female TS patients and 179 healthy women. An association was observed for the A/G genotype of CTLA-4 +49A/G in TS patients (p=0.043, odds ratio [OR]=0.54). In addition, an association between the CTLA-4 G/G genotype and obesity was detected in TS patients (p=0.02, OR=6.04). Regarding, the -550(H/L) polymorphism in the MBL2 promoter, the frequency of the H/L genotype was significantly higher in the TS group than healthy controls (p=0.01, OR=1.96). The H/H genotype indicated a protective effect in TS patients (p=0.01, OR=0.23). No differences were observed in the distribution of -221(X/Y), MBL2 exon 1 variants, and PTPN22 +1858G/A in any assessed groups. CTLA-4 variants are potentially involved in obesity in this cohort of TS patients from northeastern Brazil.
特纳综合征(TS)的特征是一系列临床病症,包括自身免疫性/炎症性疾病和感染性病症,这些病症会损害患者的生活质量。在此,我们评估了巴西东北部女性中细胞毒性T淋巴细胞相关抗原4(CTLA-4)+49A/G(rs231775)、蛋白酪氨酸磷酸酶非受体型22(PTPN22)+1858G/A(rs2476601)以及甘露糖结合凝集素2(MBL2)-550(H/L)(rs11003125)、-221(X/Y)(rs7096206)和外显子1(A/O)的多态性,以确定这些关键免疫反应基因内的多态性是否赋予TS患者对临床病症的易感性差异。进行了一项病例对照基因关联研究,包括86名女性TS患者和179名健康女性。在TS患者中观察到CTLA-4 +49A/G的A/G基因型存在关联(p = 0.043,优势比[OR]=0.54)。此外,在TS患者中检测到CTLA-4 G/G基因型与肥胖之间存在关联(p = 0.02,OR = 6.04)。关于MBL2启动子中的-550(H/L)多态性,TS组中H/L基因型的频率显著高于健康对照(p = 0.01,OR = 1.96)。H/H基因型对TS患者显示出保护作用(p = 0.01,OR = 0.23)。在任何评估组中,未观察到-221(X/Y)、MBL2外显子1变体和PTPN22 +1858G/A的分布存在差异。CTLA-4变体可能与来自巴西东北部的这一队列TS患者的肥胖有关。