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PD-1 和 PD-L1 基因多态性与 1 型糖尿病易感性的关联。

Association of PD-1 and PD-L1 Genetic Polymorphyisms with Type 1 Diabetes Susceptibility.

机构信息

Department of Pharmacy, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China.

Department of Endocrinology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China.

出版信息

J Diabetes Res. 2018 Nov 11;2018:1614683. doi: 10.1155/2018/1614683. eCollection 2018.

Abstract

AIMS

The programmed death- (PD-) 1/PD-1 ligand (PD-L) pathway plays an important role in regulating T cell activation and maintaining peripheral tolerance. Accumulated studies showed that PD-1/PD-L1 pathway was involved in the development of type 1 diabetes (T1DM). Since the genetic background of type 1 diabetes differs greatly among the different population, we aim to investigate the association of genetic polymorphisms in PD-1 and PD-L1 with T1DM susceptibility in Chinese population.

METHODS

In total, 166 T1DM patients and 100 healthy controls were enrolled into the study. Genomic DNA was extracted from 4 mL peripheral blood samples collected from each subject. Genotyping of 8 selected SNPs of PD-1 and PD-L1 was carried out by the pyrosequencing PSQ 24 System using PyroMark Gold reagents (QIAGEN).

RESULTS

SNP rs4143815 in PD-L1 was significantly associated with T1DM. People carrying the C allele of rs4143815 suffering less risk of T1DM and T1DM patients with G/G genotype showed higher levels of autoantibody (AAB) positive incidence compared with C allele carriers. No significant associations were found in other SNPs.

CONCLUSIONS

Our results indicate that rs4143815 of PD-L1 is significantly associated with T1DM and may serve as a new biomarker to predict the T1DM susceptibility.

摘要

目的

程序性死亡受体-1(PD-1)/程序性死亡配体-1(PD-L1)通路在调节 T 细胞激活和维持外周耐受方面发挥着重要作用。大量研究表明,PD-1/PD-L1 通路参与了 1 型糖尿病(T1DM)的发生。由于不同人群的 1 型糖尿病遗传背景差异很大,我们旨在探讨 PD-1 和 PD-L1 基因多态性与中国人群 T1DM 易感性的关系。

方法

共纳入 166 例 T1DM 患者和 100 例健康对照者。从每位受试者的 4mL 外周血样本中提取基因组 DNA。采用 PyroMark Gold 试剂(QIAGEN)的 Pyrosequencing PSQ 24 系统对 8 个选定的 PD-1 和 PD-L1 单核苷酸多态性(SNP)进行基因分型。

结果

PD-L1 中的 SNP rs4143815 与 T1DM 显著相关。携带 rs4143815 C 等位基因的人患 T1DM 的风险较低,而 G/G 基因型的 T1DM 患者的自身抗体(AAB)阳性率高于 C 等位基因携带者。其他 SNP 无显著相关性。

结论

我们的研究结果表明,PD-L1 的 rs4143815 与 T1DM 显著相关,可能作为预测 T1DM 易感性的新生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bf8/6252202/8ed791ec0924/JDR2018-1614683.001.jpg

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