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绝经后盆腔器官脱垂女性基因 rs2165241 多态性。

The rs2165241 polymorphism of the gene in postmenopausal women with pelvic organ prolapse.

机构信息

Department of Urogynecology and Reconstructive Pelvic Surgery, Universidade Federal de São Paulo, São Paulo, Brazil.

Department of Urogynecology and Vaginal Surgery, Centro Universitário FMABC, Santo André, Brazil.

出版信息

Climacteric. 2022 Aug;25(4):407-412. doi: 10.1080/13697137.2022.2058392. Epub 2022 Apr 20.

Abstract

OBJECTIVE

This study aimed to verify the presence of polymorphism rs2165241 of the lysyl oxidase-like 1 () gene and its association with pelvic organ prolapse (POP) in Brazilian women and determine risk factors for POP development.

METHODS

The study was previously approved by the local research and ethics board. Postmenopausal women were included and divided into POP (stages III and IV) and control (stages 0 and I) groups. Peripheral blood samples were collected, and the DNA sequence of interest was analyzed by real-time reverse-transcriptase polymerase chain reaction. We used logistic regression and considered a recessive model of inheritance for the analysis, with  < 0.05 for significance.

RESULTS

A total of 836 women were assessed: 426 POP cases and 410 controls. The frequencies of CC, CT and TT genotypes were similar in both groups. Age (odds ratio [OR] = 1.1, 95% confidence interval [CI] = 1.07; 1.14), number of vaginal births (OR = 17.06, 95% CI = 5.94; 48.97), family history (OR = 2.87, 95% CI = 1.57; 5.22) and weight of largest newborn (OR = 1.001, 95% CI = 1.0003; 1.001) were independent risk factors for POP, while multiple cesarean sections (two or more) was protective (OR = 0.17, 95% CI = 0.07; 0.42).

CONCLUSION

No association was detected between rs2165241 of the gene and POP.

摘要

目的

本研究旨在验证赖氨酸氧化酶样 1()基因 rs2165241 多态性在巴西女性中的存在及其与盆腔器官脱垂(POP)的关联,并确定 POP 发展的危险因素。

方法

该研究先前已获得当地研究和伦理委员会的批准。纳入绝经后女性,分为 POP(III 期和 IV 期)和对照组(0 期和 I 期)。采集外周血样,采用实时逆转录聚合酶链反应分析目标 DNA 序列。我们使用逻辑回归,并考虑遗传的隐性模型进行分析,显著性水平为  < 0.05。

结果

共评估了 836 名女性:426 例 POP 病例和 410 例对照组。两组 CC、CT 和 TT 基因型的频率相似。年龄(比值比 [OR] = 1.1,95%置信区间 [CI] = 1.07;1.14)、阴道分娩次数(OR = 17.06,95% CI = 5.94;48.97)、家族史(OR = 2.87,95% CI = 1.57;5.22)和最大新生儿体重(OR = 1.001,95% CI = 1.0003;1.001)是 POP 的独立危险因素,而多次剖宫产(两次或更多次)是保护性因素(OR = 0.17,95% CI = 0.07;0.42)。

结论

基因 rs2165241 与 POP 之间未检测到关联。

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