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矿工外周血相对端粒长度与高血压风险的病例对照研究。

Relative Telomere Length in Peripheral Blood Cells and Hypertension Risk among Mine Workers: A Case-Control Study in Chinese Coal Miners.

机构信息

Department of Toxicology, School of Public Health, Shanxi Medical University, Taiyuan, China.

Department of Immunology, School of Basic Medical, Shanxi Medical University, Taiyuan, China.

出版信息

Biomed Res Int. 2020 Dec 3;2020:5681096. doi: 10.1155/2020/5681096. eCollection 2020.

Abstract

Hypertension is a common chronic disease in middle-aged and elderly people and is an important risk factor for many cardiovascular diseases. Its pathogenesis remains unclear. Epidemiological studies have found that the loss of telomere length in peripheral blood cells can increase the risk of coronary heart disease, myocardial infarction, and other diseases. However, a correlation between loss of telomere length and hypertension has not been established. In this study, we aimed to explore the association between telomere length and the risk of essential hypertension (EH) in Chinese coal miners. A case-control study was performed with 215 EH patients and 222 healthy controls in a large coal mining group located in North China. Face-to-face interviews were conducted by trained staff with the necessary medical knowledge. Relative telomere length (RTL) was measured by a quantitative real-time PCR assay using DNA extracted from peripheral blood. In the control group, the age-adjusted RTL was statistically significantly lower in miners performing hard physical labour compared with nonphysical labour ( = 0.043). A significantly shorter age-adjusted RTL was found in the control group of participants who consumed alcohol regularly compared with those who do not consume alcohol ( = 0.024). Age-adjusted RTL was negatively correlated with body mass index (BMI) and alcohol consumption. Hypertension was also found to be significantly correlated with factors such as age, BMI, alcohol consumption, smoking, and tea consumption. Our results suggest that RTL is associated with hypertension in coal miners.

摘要

高血压是中老年人常见的慢性病,也是许多心血管疾病的重要危险因素。其发病机制尚不清楚。流行病学研究发现,外周血细胞核端粒长度的丢失会增加冠心病、心肌梗死等疾病的风险。然而,尚未确定端粒长度的丢失与高血压之间存在相关性。在这项研究中,我们旨在探讨端粒长度与中国煤矿工人原发性高血压(EH)风险之间的关系。在华北某大型煤矿集团,采用病例对照研究,纳入了 215 例 EH 患者和 222 例健康对照者。由经过必要医学知识培训的工作人员进行面对面访谈。采用定量实时 PCR 法检测外周血提取的 DNA 来测量相对端粒长度(RTL)。在对照组中,与非体力劳动者相比,从事重体力劳动的矿工的年龄校正 RTL 统计学上显著较低( = 0.043)。与不饮酒者相比,定期饮酒者的年龄校正 RTL 明显更短( = 0.024)。年龄校正 RTL 与体重指数(BMI)和饮酒呈负相关。高血压还与年龄、BMI、饮酒、吸烟和饮茶等因素显著相关。我们的结果表明,端粒长度与煤矿工人的高血压有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f58/7735841/880513ef7855/BMRI2020-5681096.001.jpg

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