程序性细胞死亡 1(PDCD1)多态性对系统性红斑狼疮易感性的影响。

Effects of the programmed cell death 1 (PDCD1) polymorphisms in susceptibility to systemic lupus erythematosus.

机构信息

Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

Int J Immunogenet. 2020 Feb;47(1):57-64. doi: 10.1111/iji.12456. Epub 2019 Sep 29.

Abstract

The failure of immunological tolerance to self-antigens plays a fundamental role in the pathogenesis of systemic lupus erythematosus (SLE). PD-1 is an inhibitory receptor for regulating the immune system and preventing development of autoimmune disorders. This study aimed to determine the role of four single-nucleotide polymorphisms (SNPs) within programmed cell death 1 (PDCD1 or PD-1) gene and haplotypes defined by these SNPs in susceptibility to SLE in the Iranian population. Blood samples were obtained from 253 SLE and 564 healthy subjects. Red blood cells were lysed and genomic DNAs were extracted using salting-out method. Genotype determinations of PD1.1, PD1.3, PD1.5 and PD1.9 SNPs were performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), and 12 haplotypes were constructed by PDCD1 SNPs. Our results showed significant differences in PD1.5 genotype frequencies between patient and control groups (p < .001). The frequencies of PD1.5 C/C, C/T and T/T genotypes versus other genotypes in SLE patients significantly differed from healthy subjects (p < .001, p = .001 and p = .002, respectively). Allelic analysis indicated a significant association between the frequency of PD1.5C allele and development of SLE in our population (odds ratio [OR] = 1.91, 95% confidence interval [CI] = 1.51-2.42, p < .001). At the haplotype level, GGCC, GACT and GGCT haplotypes were significantly different between SLE and control groups (OR = 2.14, 95% CI = 1.73-2.66, p < .001; OR = 9.76, 95% CI = 4.47-21.3, p < .001; and OR = 0.32, 95% CI = 0.24-0.42, p < .001, respectively). Based on these findings, PD1.5 SNP and some haplotypes of PDCD1 contribute to SLE risk in the Iranian population.

摘要

自身抗原免疫耐受失败在系统性红斑狼疮 (SLE) 的发病机制中起着根本性作用。PD-1 是一种抑制性受体,用于调节免疫系统并防止自身免疫性疾病的发展。本研究旨在确定程序性细胞死亡 1 (PDCD1 或 PD-1) 基因内的四个单核苷酸多态性 (SNP) 以及由这些 SNP 定义的单倍型在伊朗人群中对 SLE 易感性的作用。从 253 例 SLE 患者和 564 例健康对照中采集血样。采用盐析法裂解红细胞并提取基因组 DNA。采用聚合酶链反应-限制性片段长度多态性 (PCR-RFLP) 法对 PD1.1、PD1.3、PD1.5 和 PD1.9 SNP 进行基因型测定,并构建 12 个由 PDCD1 SNP 组成的单倍型。我们的结果显示,患者组和对照组之间 PD1.5 基因型频率存在显著差异 (p <.001)。SLE 患者中 PD1.5 C/C、C/T 和 T/T 基因型与其他基因型的频率明显不同于健康受试者 (p <.001、p =.001 和 p =.002,分别)。等位基因分析表明,在我们的人群中,PD1.5C 等位基因的频率与 SLE 的发生之间存在显著关联 (比值比 [OR] = 1.91,95%置信区间 [CI] = 1.51-2.42,p <.001)。在单倍型水平上,SLE 组和对照组之间 GGCC、GACT 和 GGCT 单倍型存在显著差异 (OR = 2.14,95%CI = 1.73-2.66,p <.001;OR = 9.76,95%CI = 4.47-21.3,p <.001;OR = 0.32,95%CI = 0.24-0.42,p <.001,分别)。基于这些发现,PD1.5 SNP 和 PDCD1 的一些单倍型导致伊朗人群 SLE 发病风险增加。

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