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基因遗传多态性与中国汉族男性激素性股骨头坏死风险的相关性研究。

Association Between Genetic Polymorphisms of Gene and the Risk of Steroid-Induced Osteonecrosis of the Femoral Head in the Chinese Han Male Population.

机构信息

Department of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, China.

出版信息

Genet Test Mol Biomarkers. 2020 Aug;24(8):460-466. doi: 10.1089/gtmb.2020.0048. Epub 2020 Jun 18.

Abstract

Multiple lines of evidence have suggested that genetic factors may contribute to steroid-induced osteonecrosis of the femoral head (SONFH). Complement receptor 2 (CR2), constituting a family of regulators of complement activation, has been recently reported to be associated with osteonecrosis of the femoral head (ONFH) in Koreans. The aim of this study was to evaluate the relationships between polymorphisms of the gene and susceptibility to SONFH in the male Han Chinese population. A total of 468 SONFH patients and 1224 healthy controls were recruited for this study. Ten tag single nucleotide polymorphisms (SNPs) located within the gene were genotyped. Genetic association analyses, including SNP and haplotypic analyses, were performed for the 10 SNPs. Furthermore, bioinformatic analyses were conducted to examine the functional consequences of SNPs shown to be significantly associated with SONFH. An intronic SNP, rs311306, was identified to be significantly associated with the risk of SONFH ( = 0.0008, odds ratio = 1.44). Allelic analyses showed that the C allele of this SNP significantly elevated the risk of SONFH, which was replicated in genotypic association analyses. Moreover, a 3-SNP haplotype was significantly associated with SONFH (rs311306-rs17044576-rs3767933,  = 7.49 × 10). Furthermore, bioinformatic analyses indicated limited functional consequences of SNP rs311306, but a complex interaction network was constructed for the protein encoded by the gene and proteins encoded by the , , and genes. Our findings shed new light on the link between the gene and SONFH in Han Chinese males, providing clues as to the nature of the mechanisms involved in the etiology of ONFH.

摘要

大量证据表明,遗传因素可能导致激素诱导的股骨头坏死(SONFH)。补体受体 2(CR2)是补体激活调节因子家族的一员,最近有报道称其与韩国人股骨头坏死(ONFH)有关。本研究旨在评估基因多态性与汉族男性 SONFH 易感性的关系。 本研究共纳入 468 例 SONFH 患者和 1224 例健康对照者。对基因内的 10 个标签单核苷酸多态性(SNP)进行基因分型。对 10 个 SNP 进行了遗传关联分析,包括 SNP 和单倍型分析。此外,还进行了生物信息学分析,以研究与 SONFH 显著相关的 SNP 的功能后果。 一个内含子 SNP,rs311306,被确定与 SONFH 的风险显著相关(=0.0008,优势比=1.44)。等位基因分析表明,该 SNP 的 C 等位基因显著增加了 SONFH 的风险,在基因型关联分析中得到了复制。此外,3-SNP 单倍型与 SONFH 显著相关(rs311306-rs17044576-rs3767933,=7.49×10)。此外,生物信息学分析表明 SNP rs311306 的功能后果有限,但构建了一个由该基因编码的蛋白与 、 、 和 基因编码的蛋白之间的复杂相互作用网络。 我们的研究结果为汉族男性中基因与 SONFH 之间的联系提供了新的线索,为探讨 ONFH 发病机制中涉及的机制性质提供了线索。

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