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评价肾酶 rs10887800 多态性与巴西女性子痫前期风险的关联。

Evaluation of the association of the Renalase rs10887800 polymorphism with the risk of preeclampsia in Brazilian women.

机构信息

Graduate School of Health Sciences at the Federal University of Ceará - Sobral, CE, Brazil.

Graduate School of Health Sciences at the Federal University of Ceará - Sobral, CE, Brazil; Department of Obstetrics and Gynecology at the Federal University of Ceará - Sobral, CE, Brazil; Gynecology and Obstetrics Service at the Santa Casa of Misericordia Hospital of Sobral- Sobral, CE, Brazil.

出版信息

Pregnancy Hypertens. 2022 Mar;27:176-180. doi: 10.1016/j.preghy.2022.01.005. Epub 2022 Jan 24.

Abstract

Despite advances in obstetric medicine, the pathogenesis of preeclampsia (PE) remains poorly understood. It has been suggested that PE results from a state of sympathetic hyperactivity with circulating catecholamines increased in this condition. A new enzyme, called Renalase, has recently been identified exhibiting activity on the metabolism of catecholamine and blood pressure reduction when administered in vivo. Thus, this study was conducted to evaluate the possible association between the presence of the Renalase gene (RNLS) (rs10887800) polymorphism and mechanisms that control the pathogenesis of PE. This was a cross-sectional, quantitative, case-control study with 94 pregnant women with PE (cases) and 97 normotensive pregnant women (controls). A standardized form was used to collect demographic and clinical data; oral scraping samples were collected, and DNA extraction and subsequent real-time polymerase chain reaction (PCR) were conducted to evaluate the presence of rs10887800. In terms of genotypic distribution and frequency of alleles, no significant association was observed between the rs10887800 polymorphism and development of PE, or with its severe form. However, the GG genotype was associated with a trend of higher risk of PE (GG vs. AG + AA: OR = 2.16, 0.97-4.86, p = 0.05). Hence, the rs10887800 polymorphism could not be determined as a predisposing factor for PE susceptibility or severity in the studied population.

摘要

尽管产科医学取得了进步,但子痫前期(PE)的发病机制仍知之甚少。有人认为,PE 是由于交感神经活性亢进引起的,这种情况下循环儿茶酚胺增加。最近发现了一种名为肾酶的新酶,在体内给药时,它对儿茶酚胺代谢和血压降低具有活性。因此,本研究旨在评估肾酶基因(RNLS)(rs10887800)多态性与控制 PE 发病机制的机制之间可能存在的关联。这是一项横断面、定量、病例对照研究,共纳入 94 例 PE 孕妇(病例组)和 97 例正常血压孕妇(对照组)。使用标准化表格收集人口统计学和临床数据;采集口腔刮取样本,进行 DNA 提取和随后的实时聚合酶链反应(PCR),以评估 rs10887800 的存在情况。就基因型分布和等位基因频率而言,rs10887800 多态性与 PE 的发生或其严重程度之间没有显著相关性。然而,GG 基因型与 PE 风险增加呈趋势相关(GG 与 AG+AA:OR=2.16,0.97-4.86,p=0.05)。因此,rs10887800 多态性不能确定为研究人群中 PE 易感性或严重程度的易感因素。

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