Wu Lei, Liu Bo, Wei Yanbing, Lu Peng
Department of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China.
Department of Clinical Laboratory, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China.
Acta Neurol Belg. 2024 Feb;124(1):141-149. doi: 10.1007/s13760-023-02357-0. Epub 2023 Aug 12.
Multiple sclerosis (MS) is an autoimmune disease characterized by inflammatory demyelinating lesions in the white matter of the central nervous system. Myocyte enhancer factor 2 (MEF2) family genes play important roles in the immune response. This study focuses on the relationship between MEF2 family gene polymorphisms and MS.
A total of 174 MS patients and 120 healthy controls were recruited. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to analyze the gene polymorphisms of MEF2D and MEF2C. In addition, peripheral blood was collected and leukocytes were isolated. The transcription level of MEF2D in the two groups of samples was detected with quantitative real time polymerase chain reaction (qRT-PCR).
We found that the C allele frequency and CC genotype frequency of rs2274316 in MEF2D were significantly higher in MS patients. The C allele and CT genotype distribution for rs3790455 were significantly more frequent in MS patients. Female patients showed higher CC genotype frequency of rs2274316. The genotype frequency distribution of rs2274316 and rs3790455 were not related to onset age and phenotype of MS patients. In addition, this study also proved that MEF2D was significantly overexpressed in the peripheral blood leukocytes of MS patients. The transcription level of MEF2D was significantly higher in patients with CC genotype of rs2274316.
These findings suggest rs2274316 and rs3790455 of MEF2D gene are potential genetic risk factors for MS in Chinese population. The transcription level of MEF2D is also associated with susceptibility to MS and MEF2D gene polymorphisms.
多发性硬化症(MS)是一种自身免疫性疾病,其特征为中枢神经系统白质出现炎性脱髓鞘病变。肌细胞增强因子2(MEF2)家族基因在免疫反应中发挥重要作用。本研究聚焦于MEF2家族基因多态性与MS之间的关系。
共招募了174例MS患者和120名健康对照者。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析MEF2D和MEF2C的基因多态性。此外,采集外周血并分离白细胞。用定量实时聚合酶链反应(qRT-PCR)检测两组样本中MEF2D的转录水平。
我们发现,MS患者中MEF2D基因rs2274316位点的C等位基因频率和CC基因型频率显著更高。rs3790455位点的C等位基因和CT基因型分布在MS患者中显著更常见。女性患者rs2274316位点的CC基因型频率更高。rs2274316和rs3790455的基因型频率分布与MS患者的发病年龄和表型无关。此外,本研究还证明MEF2D在MS患者外周血白细胞中显著过表达。rs2274316位点CC基因型的患者中MEF2D的转录水平显著更高。
这些发现表明,MEF2D基因的rs2274316和rs3790455是中国人群MS的潜在遗传危险因素。MEF2D的转录水平也与MS易感性及MEF2D基因多态性相关。