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白细胞介素-10基因分型及抗环瓜氨酸肽抗体与类风湿关节炎的关联

Association of Interleukin-10 Genotypes and Anticyclic Citrullinated Peptide Antibodies with Rheumatoid Arthritis.

作者信息

Moghimi Nasrin, Afkhamzadeh Abdorrahim, Rahmani Khaled, Shakiba Nasrollah

机构信息

Rheumatology Department, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

出版信息

Med J Islam Repub Iran. 2022 Aug 22;36:95. doi: 10.47176/mjiri.36.95. eCollection 2022.

Abstract

According to recent evidence, there is an association between some genetic factors and rheumatoid arthritis (RA). The aim of this study was to determine whether genetic variations in the interleukin 10 (IL10) and anti-cyclic citrullinated peptide (Anti-CCP) antibody loci were linked to RA. In this hospital-based case-control study with 224 cases and 194 healthy individuals, we investigated the association of IL-10 genotypes and anti-CCP antibodies with RA. Independent sample t, chi-square, and Fisher exact tests were used to assess the association between study variables. Frequency of IL-10 -1082 A/G genotype in RA patients is significantly higher than the control group (odds ratio [OR], 1.67 [95% CI, 1.11-2.51]) (=0.009), while the frequency of IL-10-1082 A/A and G/G polymorphisms in RA patients was lower than controls and this finding for G/G polymorphism was statistically significant (=0.01). No significant difference was observed between the 2 studied groups regarding IL-10-592 C/C, C/A, and A/A polymorphisms (>0.05). The chance of RA occurrence among persons with positive anti-CCP was significantly (63.3 times [22.7-176.5]) higher than individuals with negative anti-CCP (<0.001). According to our data, the chance of anti-CCP positivity in persons who have IL-10 genotype 1082 A/G is higher. Further studies are recommended to determine the relationship between IL-10 genotype 1082 G/A and RA. If such a relationship is proven, this finding as a diagnostic clue can help rheumatologists in the early detection of RA.

摘要

根据最近的证据,某些遗传因素与类风湿关节炎(RA)之间存在关联。本研究的目的是确定白细胞介素10(IL10)和抗环瓜氨酸肽(Anti-CCP)抗体基因座的遗传变异是否与RA相关。在这项基于医院的病例对照研究中,有224例病例和194名健康个体,我们调查了IL-10基因型和抗CCP抗体与RA的关联。采用独立样本t检验、卡方检验和Fisher精确检验来评估研究变量之间的关联。RA患者中IL-10 -1082 A/G基因型的频率显著高于对照组(优势比[OR],1.67[95%可信区间,1.11 - 2.51])(P = 0.009),而RA患者中IL-10 -1082 A/A和G/G多态性的频率低于对照组,且G/G多态性的这一发现具有统计学意义(P = 0.01)。在IL-10 -592 C/C、C/A和A/A多态性方面,两个研究组之间未观察到显著差异(P>0.05)。抗CCP阳性者发生RA的几率显著高于抗CCP阴性者(63.3倍[22.7 - 176.5])(P<0.001)。根据我们的数据,具有IL-10基因型1082 A/G的人抗CCP阳性的几率更高。建议进一步研究以确定IL-10基因型1082 G/A与RA之间的关系。如果这种关系得到证实,这一发现作为诊断线索可帮助风湿病学家早期发现RA。

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