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TICAM1 基因多态性与儿童社区获得性肺炎的相关性。

Correlation between TICAM1 gene polymorphisms and community-acquired pneumonia in children.

机构信息

Department of Neonatology, First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, China.

Department of Pediatrics, The First Hospital of Yulin, Yulin, Shaanxi, China.

出版信息

J Biochem Mol Toxicol. 2020 Aug;34(8):e22503. doi: 10.1002/jbt.22503. Epub 2020 Apr 3.

Abstract

This study aims to explore the relationship between single nucleotide polymorphisms (SNPs) of the TICAM1 gene and community-acquired pneumonia (CAP) in Chinese children. The polymorphisms of eight tag SNP (TagSNP) locus of TICAM1 were detected using the improved multiplex ligation detection reaction (iMLDR) assay in 375 children with CAP (average age, 37.8 ± 21.6 months) and 306 healthy children (average age, 38.5 ± 23.8 months). The correlation between polymorphisms of these TagSNPs and the risk, severity, sepsis, and CRP level of childhood CAP were evaluated using logistic regression analysis. The CC genotype of rs11466711T/C locus of TICAM1 is correlated with childhood CAP susceptibility, which significantly reduced the risk of childhood CAP (P < .05), The AA genotype of the rs6510826G/A locus and haplotype CCCA were associated with CRP level in childhood CAP, which significantly increased the risk of CRP increase (P < .05 and P < .01, respectively), The AA genotype of rs35747610G/A site is associated with sepsis in childhood CAP, significantly reduced risk of sepsis (P < .05). While the haplotype CCCG of this locus led to a significant reduction in the risks of childhood CAP, severe pneumonia and pneumonia sepsis (all P < .05). TICAM1 has multiple functional variants closely related to the development and progression of childhood CAP, and these variations may have a synergistic effect on the development of childhood CAP.

摘要

本研究旨在探讨 TICAM1 基因单核苷酸多态性(SNP)与中国儿童社区获得性肺炎(CAP)的关系。采用改良多重连接酶检测反应(iMLDR)检测 TICAM1 的 8 个标签 SNP(TagSNP)位点的多态性,纳入 375 例 CAP 患儿(平均年龄 37.8±21.6 个月)和 306 例健康儿童(平均年龄 38.5±23.8 个月)。采用 logistic 回归分析评估这些 TagSNP 多态性与儿童 CAP 的风险、严重程度、脓毒症和 CRP 水平的相关性。TICAM1 的 rs11466711T/C 位点的 CC 基因型与儿童 CAP 易感性相关,显著降低了儿童 CAP 的风险(P<.05)。rs6510826G/A 位点的 AA 基因型和 CCCA 单倍型与儿童 CAP 的 CRP 水平相关,显著增加了 CRP 升高的风险(P<.05 和 P<.01)。rs35747610G/A 位点的 AA 基因型与儿童 CAP 中的脓毒症相关,显著降低了脓毒症的风险(P<.05)。而该位点的 CCCG 单倍型导致儿童 CAP、严重肺炎和肺炎性脓毒症的风险显著降低(均 P<.05)。TICAM1 具有多个与儿童 CAP 发生和进展密切相关的功能变异,这些变异可能对儿童 CAP 的发生具有协同作用。

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