Department of Transfusion Medicine, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Mol Genet Genomic Med. 2020 Aug;8(8):e1322. doi: 10.1002/mgg3.1322. Epub 2020 Jun 1.
Acute mountain sickness (AMS) usually occurs among non-acclimated individuals after rapid ascending to high-altitude environments (generally ≥2,500 m). However, the precise molecular mechanism of AMS remains unclear. Our study aimed to investigate the relationship between several single nucleotide polymorphisms (SNPs) and AMS susceptibility.
In this work, sequencing data were obtained from 69 AMS patients and 95 matched acclimated Han Chinese individuals from southwest China. Five SNPs (rs1008438, rs150877473, rs1799983, rs2153364, and rs3025039) were systematically investigated in all the participants.
In our study, we found that allele frequencies of "A" (AMS 69.57% vs. non-AMS 54.74%) and "C" (AMS 30.43% vs. non-AMS 45.26%) in the HSPA1A gene rs1008438 were significantly different between the AMS and non-AMS groups (p = .01). Genotypes "CC" and "CA" of the HSPA1A gene (rs1008438) were associated with lower risk of developing AMS than the genotype "AA." Comparing the genotypes "CC + CA" and "AA," we also observed that the "CC + CA" genotype of rs1008438 was associated with lower AMS risk.
In our case-control study, there was a significant association between the rs1008348 polymorphism and AMS susceptibility, suggesting that this particular SNP might be a Han-specific risk factor for AMS. We believe that this study establishes a foundation for further elucidation of the genetic mechanisms underlying AMS.
急性高原病(AMS)通常发生在未经适应的个体快速上升到高海拔环境(通常≥2500m)后。然而,AMS的确切分子机制尚不清楚。我们的研究旨在探讨几个单核苷酸多态性(SNP)与 AMS 易感性之间的关系。
在这项工作中,我们从中国西南部的 69 名 AMS 患者和 95 名匹配的适应汉族个体中获得了测序数据。系统地研究了所有参与者中的 5 个 SNP(rs1008438、rs150877473、rs1799983、rs2153364 和 rs3025039)。
在我们的研究中,我们发现 HSPA1A 基因 rs1008438 中的等位基因频率“A”(AMS 69.57%vs.非-AMS 54.74%)和“C”(AMS 30.43%vs.非-AMS 45.26%)在 AMS 和非-AMS 组之间有显著差异(p=0.01)。HSPA1A 基因(rs1008438)的基因型“CC”和“CA”与 AMS 发病风险较低相关,而基因型“AA”则相反。比较基因型“CC+CA”和“AA”,我们还观察到 rs1008438 的“CC+CA”基因型与较低的 AMS 风险相关。
在我们的病例对照研究中,rs1008348 多态性与 AMS 易感性之间存在显著关联,表明该特定 SNP 可能是汉族 AMS 的特定风险因素。我们相信,这项研究为进一步阐明 AMS 的遗传机制奠定了基础。