Clinical laboratory, The First Affiliated hospital of University of South China, 69 ChuanShan Road, HengYang, 421001, China.
College of Basic Medical Sciences, Changsha Medical University, 1501 LeiFeng Road, Changsha, 410219, China.
Immunol Lett. 2019 Sep;213:62-69. doi: 10.1016/j.imlet.2019.07.008. Epub 2019 Aug 7.
The disease progression and morbidity of tuberculosis (TB) infections are determined by virulence of the micro-organism, host genetic factors and environmental factors. The highly polymorphic MHC class I chain-related gene (MIC) could serve as a potential host genetic candidate. To investigate the association of MIC polymorphism with TB infection, 124 patients and 191 ethnically matched controls from Hunan province, Southern China, were genotyped for the MIC polymorphism using polymerase chain reaction-sequence specific priming and sequencing-based typing. The results showed that allele frequencies of MIC-sequence and MICA-STR were different in TB patients in comparison to normal controls (both P < 0.05). MICA-A4 and MICA012:01 alleles were positive associated (OR = 2.42, 95% CI: 1.69-3.87; OR = 3.41, 95% CI: 2.19-5.33, respectively, both P < 0.05) while MICA -A5 were inversely associated (OR = 0.59, 95%CI: 0.41-0.94, P < 0.05) with TB. Homozygote MICA012:01/012:01 was observed to have significant risk effects on TB (OR = 4.76, 95% CI: 1.94-11.69, P0000-0001-5151-1853 < 0.05). Additionally, MICB*008 allele conduct a significant risk effect for TB (OR = 3.17, 95%CI: 1.80-5.61, P < 0.05). All the data showed that MIC polymorphism was associated with the variable susceptibility to TB in Chinese population.
结核病(TB)感染的疾病进展和发病率取决于微生物的毒力、宿主遗传因素和环境因素。高度多态性的 MHC Ⅰ类链相关基因(MIC)可以作为宿主遗传候选基因。为了研究 MIC 多态性与 TB 感染的关联,我们使用聚合酶链反应-序列特异性引物和基于测序的分型方法,对来自中国南方湖南省的 124 名患者和 191 名种族匹配的对照进行了 MIC 多态性基因分型。结果显示,与正常对照组相比,TB 患者的 MIC 序列和 MICA-STR 等位基因频率存在差异(均 P<0.05)。MICA-A4 和 MICA012:01 等位基因与 TB 呈正相关(OR=2.42,95%CI:1.69-3.87;OR=3.41,95%CI:2.19-5.33,均 P<0.05),而 MICA-A5 则呈负相关(OR=0.59,95%CI:0.41-0.94,P<0.05)。MICA012:01/012:01 纯合子与 TB 具有显著的风险效应(OR=4.76,95%CI:1.94-11.69,P0000-0001-5151-1853<0.05)。此外,MICB*008 等位基因对 TB 具有显著的风险效应(OR=3.17,95%CI:1.80-5.61,P<0.05)。所有数据表明,MIC 多态性与中国人群对 TB 的易感性变化有关。