Zhai Jiajia, Jiang Lei, Wen Aiping, Jia Jingde, Zhu Lili, Fan Bo
Department of Reproductive Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei.
Department of Obstetrics and Gynecology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan.
Medicine (Baltimore). 2019 Jan;98(1):e13933. doi: 10.1097/MD.0000000000013933.
This study was aimed to explore the correlation between catechol-O-methyltransferase (COMT) gene polymorphisms and endometriosis susceptibility in Chinese Han population.This case-control study recruited 134 endometriosis patients and 139 healthy individuals. COMT gene rs4680, rs2020917, and rs4646312 polymorphisms in the subjects were genotyped by the polymerase chain reaction-restriction fragment length polymorphism method. Association between COMT polymorphisms and endometriosis susceptibility was evaluated by χ test and adjusted by Logistic regression. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to present the relative risk of endometriosis.A allele of rs4680 was distinctly correlated with increased susceptibility of endometriosis (OR = 1.450, 95% CI = 1.012-2.076). However, when adjusted by the confounding factors, these associations become not significant. We failed to find any significant association between rs2020917 and endometriosis risk in the crude results. The adjusted results suggested that rs2020917 TT genotype and T allele were distinctly correlated with enhanced endometriosis risk (TT vs CC: P = .038, OR = 2.894, 95% CI = 1.060-7.903; T vs C: P = .039, OR = 1.481, 95% CI = 1.021-2.149). Besides, rs4646312 C allele was significantly correlated with endometriosis risk both in the crude (P = .027, OR = 1.502, 95% CI = 1.047-2.154) and adjusted (P = .019, OR = 1.564, 95% CI = 1.078-2.269) results.COMT polymorphisms might predict the occurrence of endometriosis.
本研究旨在探讨中国汉族人群中儿茶酚-O-甲基转移酶(COMT)基因多态性与子宫内膜异位症易感性之间的相关性。这项病例对照研究招募了134例子宫内膜异位症患者和139名健康个体。采用聚合酶链反应-限制性片段长度多态性方法对受试者的COMT基因rs4680、rs2020917和rs4646312多态性进行基因分型。通过χ²检验评估COMT多态性与子宫内膜异位症易感性之间的关联,并采用Logistic回归进行校正。使用比值比(OR)及95%置信区间(CI)来表示子宫内膜异位症的相对风险。rs4680的A等位基因与子宫内膜异位症易感性增加显著相关(OR = 1.450,95%CI = 1.012 - 2.076)。然而,在对混杂因素进行校正后,这些关联变得不显著。在粗数据结果中,我们未发现rs2020917与子宫内膜异位症风险之间存在任何显著关联。校正后的结果表明,rs2020917的TT基因型和T等位基因与子宫内膜异位症风险增加显著相关(TT与CC比较:P = 0.038,OR = 2.894,95%CI = 1.060 - 7.903;T与C比较:P = 0.039,OR = 1.481,95%CI = 1.021 - 2.149)。此外,rs4646312的C等位基因在粗数据(P = 0.027,OR = 1.502,95%CI = 1.047 - 2.154)和校正后(P = 0.019,OR = 1.564,95%CI = 1.078 - 2.269)的结果中均与子宫内膜异位症风险显著相关。COMT基因多态性可能预测子宫内膜异位症的发生。