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MIR137HG 基因多态性对中国男性人群酒精性股骨头坏死易感性的影响。

The effects of MIR137HG genetic polymorphisms on the susceptibility of alcohol-induced osteonecrosis of the femoral head in a Chinese male population.

机构信息

Department of Orthopedics, Zhengzhou Traditional Chinese Hospital of Orthopaedics, Zhengzhou, Henan 450000, China.

Department of Orthopedics, Zhengzhou Traditional Chinese Hospital of Orthopaedics, Zhengzhou, Henan 450000, China.

出版信息

Gene. 2021 Dec 15;804:145902. doi: 10.1016/j.gene.2021.145902. Epub 2021 Aug 14.

Abstract

BACKGROUNDS

Osteonecrosis of the femoral head (ONFH) is one of the common and complicated diseases in the orthopedic clinic. Previous studies indicate that genetic factors play a crucial role in the occurrence of ONFH. This case-control study aimed to investigate the associations of MIR137HG genetic polymorphisms with the alcohol-induced ONFH risk.

METHODS

A total of 731 participants were recruited to detect the effect of MIR137HG SNPs on the alcohol-induced ONFH risk in a Chinese male population. Odds ratios (OR) and 95% confidence intervals (CI) were calculated to evaluate the associations. Multifactor dimensionality reduction (MDR) was used to analyze the SNP-SNP interaction with the alcohol-induced ONFH risk.

RESULTS

Our study showed that rs7549905 played a protective role in alcohol-induced ONFH risk (OR 0.57, p = 0.045). Stratified analysis indicated that rs9440302 was associated with an increased risk of patients aged >45 years (OR 2.00, p = 0.038), and rs7549905 showed a reduced risk in patients aged ≤ 45 years (OR 0.43, p = 0.023). In addition, we found that rs9440302 and rs7554283 exhibited a significantly increased susceptibility of III-IV grade alcohol-induced ONFH patients (OR 2.34, p = 0.003; OR 2.13, p = 0.011, respectively). We also observed that rs12138817 was related to an increased risk in patients with >21 months of course (OR 1.77, p = 0.043). Interestingly, rs17371457 showed a significant correlation with low-density lipoprotein-cholesterol (p = 0.040).

CONCLUSION

Our study suggests that MIR137HG genetic variants are associated with the alcohol-induced ONFH susceptibility in a Chinese male population, which may give scientific evidence for exploring molecular mechanisms of the alcohol-induced ONFH.

摘要

背景

股骨头坏死(ONFH)是骨科临床常见且复杂的疾病之一。既往研究表明,遗传因素在 ONFH 的发生中起关键作用。本病例对照研究旨在探讨 MIR137HG 基因多态性与酒精性 ONFH 风险的关系。

方法

本研究共纳入 731 名参与者,旨在检测中国男性人群中 MIR137HG SNP 对酒精性 ONFH 风险的影响。采用比值比(OR)和 95%置信区间(CI)评估关联。多因子降维(MDR)分析用于分析 SNP-SNP 与酒精性 ONFH 风险的相互作用。

结果

我们的研究表明,rs7549905 对酒精性 ONFH 风险具有保护作用(OR 0.57,p=0.045)。分层分析表明,rs9440302 与年龄>45 岁的患者发病风险增加相关(OR 2.00,p=0.038),rs7549905 则与年龄≤45 岁的患者发病风险降低相关(OR 0.43,p=0.023)。此外,我们发现 rs9440302 和 rs7554283 显著增加 III-IV 级酒精性 ONFH 患者的易感性(OR 2.34,p=0.003;OR 2.13,p=0.011)。我们还观察到 rs12138817 与病程>21 个月的患者发病风险增加相关(OR 1.77,p=0.043)。有趣的是,rs17371457 与低密度脂蛋白胆固醇(LDL-C)显著相关(p=0.040)。

结论

本研究提示 MIR137HG 基因变异与中国男性人群酒精性 ONFH 易感性相关,为探索酒精性 ONFH 的分子机制提供了科学依据。

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