Mirfeizi Seyedeh Zahra, Nabizadeh-Marvast Majid, Jokar Mohammad-Hassan, Rafatpanah Houshang, Hashemzadeh Kamila, Mehrad-Majd Hassan
Rheumatic Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Inflammation and Inflammatory Diseases Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
Curr Rheumatol Rev. 2023;19(1):49-57. doi: 10.2174/2772432817666220530110524.
Despite vigorous research efforts, the etiology of scleroderma (systemic sclerosis (SSc)) remains still unclear and both genetic and environmental factors clearly contribute to the pathogenesis of scleroderma. Reports of aberrant vitamin D status in scleroderma patients suggest a need for considering the genotype and allele frequencies of VDR gene polymorphisms. This case-control study aimed to investigate the possible association of two common polymorphisms of the VDR gene (ApaI, and TaqI) with susceptibility to scleroderma in an Iranian population.
Using polymerase chain reaction and restriction fragment length polymorphism (PCRRFLP), ApaI and TaqI polymorphisms in the VDR region were genotyped in 51 patients with scleroderma and 50 healthy controls. Logistic regression analysis was performed to calculate the genotypes odds ratios (ORs) as a measure of association with the presence of scleroderma. Haplotype and linkage disequilibrium analyses were also performed on the detected genotypes.
No significant differences were found for the allelic and genotype distributions of ApaI and TaqI polymorphisms between patients with scleroderma and healthy controls (p>0.05). In haplotype analysis, three haplotypes TA, CA, and TC, with a frequency greater than 1% were identified. However, none of them was associated with the risk of scleroderma.
Our preliminary study showed no evidence of an association between ApaI and TaqI polymorphisms and scleroderma. As the association between VDR polymorphisms and autoimmune diseases varies across the different ethnic populations, further large cohort studies are necessary to confirm the results.
尽管进行了大量研究,但硬皮病(系统性硬化症(SSc))的病因仍不清楚,遗传和环境因素均明显参与硬皮病的发病机制。硬皮病患者维生素D状态异常的报告表明,需要考虑维生素D受体(VDR)基因多态性的基因型和等位基因频率。本病例对照研究旨在调查VDR基因的两种常见多态性(ApaI和TaqI)与伊朗人群硬皮病易感性之间的可能关联。
采用聚合酶链反应和限制性片段长度多态性(PCRRFLP)技术,对51例硬皮病患者和50例健康对照者的VDR区域ApaI和TaqI多态性进行基因分型。进行逻辑回归分析以计算基因型比值比(OR),作为与硬皮病存在关联的指标。还对检测到的基因型进行了单倍型和连锁不平衡分析。
硬皮病患者与健康对照者之间,ApaI和TaqI多态性的等位基因和基因型分布无显著差异(p>0.05)。在单倍型分析中,鉴定出三种频率大于1%的单倍型TA、CA和TC。然而,它们均与硬皮病风险无关。
我们的初步研究未发现ApaI和TaqI多态性与硬皮病之间存在关联的证据。由于VDR多态性与自身免疫性疾病之间的关联在不同种族人群中有所不同,因此需要进一步开展大型队列研究以证实结果。