Department of Gastroenterology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
Department of Gastroenterology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Dig Dis. 2019 May;20(5):243-247. doi: 10.1111/1751-2980.12717. Epub 2019 Apr 23.
Recent genome-wide association studies have demonstrated that rs2236379 in PRKCQ is a novel significant locus for Crohn's disease (CD). However, the association has not been replicated in any populations. We therefore aimed to investigate the prevalence of the PRKCQ rs2236379 variant in the Chinese Han population and evaluate whether the genetic variant of PRKCQ confers susceptibility to CD and is associated with its clinical characteristics.
A total of 283 patients with CD and 381 healthy controls were enrolled. Genomic DNA was extracted from their whole blood samples and polymerase chain reaction-restriction fragment length polymorphism was used for genotyping. The association between PRKCQ polymorphisms and susceptibility to CD, and between genotypes and clinical phenotypes was analyzed.
A higher frequency of the T allele was discovered in CD patients than in healthy controls (P = 0.027). A significant difference in the distribution of the TT and CT/CC genotypes was observed between CD patients and controls (P = 0.024). The TT genotype showed a significant association with susceptibility to CD (odds ratio 1.647, 95% confidence interval: 1.088-2.574, P = 0.019). Patients with CD with the rs2236379 TT mutant risk genotype were most likely to exhibit perianal disease (P = 0.044).
Our research revealed an association between the PRKCQ rs2236379 (C>T) and CD. The TT homozygous mutation increased the risk of developing CD and may contribute to perianal disease.
最近的全基因组关联研究表明,PRKCQ 中的 rs2236379 是克罗恩病(CD)的一个新的重要位点。然而,这种关联尚未在任何人群中得到复制。因此,我们旨在调查 PRKCQ rs2236379 变异在中国汉族人群中的流行率,并评估 PRKCQ 基因变异是否易患 CD,并与 CD 的临床特征相关。
共纳入 283 例 CD 患者和 381 例健康对照者。从他们的全血样本中提取基因组 DNA,并采用聚合酶链反应-限制性片段长度多态性进行基因分型。分析 PRKCQ 多态性与 CD 易感性之间的关系,以及基因型与临床表型之间的关系。
CD 患者中 T 等位基因的频率高于健康对照组(P=0.027)。CD 患者和对照组之间 TT 和 CT/CC 基因型的分布存在显著差异(P=0.024)。TT 基因型与 CD 的易感性显著相关(比值比 1.647,95%置信区间:1.088-2.574,P=0.019)。携带 rs2236379 TT 突变风险基因型的 CD 患者更易发生肛周疾病(P=0.044)。
本研究揭示了 PRKCQ rs2236379(C>T)与 CD 之间的关联。TT 纯合突变增加了 CD 的发病风险,并可能导致肛周疾病。