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CYP3A5(c.6986A>G)基因多态性与胱抑素 C 正常的高血压成人肾脏损害的相关性。

Associations Between CYP3A5 (c.6986A>G) Gene Polymorphism and Kidney Impairment in Hypertensive Adults Without Cystatin C Elevation.

机构信息

Department of Endocrinology, The First Affiliated Hospital of Soochow University, Suzhou City, 215000, Jiangsu Province, People's Republic of China.

Department of Cardiology, The Fourth Affiliated Hospital of Soochow University, Suzhou City, 215125, Jiangsu Province, People's Republic of China.

出版信息

Cardiovasc Toxicol. 2024 Oct;24(10):1047-1052. doi: 10.1007/s12012-024-09902-0. Epub 2024 Aug 2.

Abstract

OBJECTIVE

This study aimed to explore the potential role of CYP3A5 (c. 6986A>G) gene polymorphism in predicting kidney function impairment in patients with hypertension who did not have elevated serum cystatin C.

METHODS

We recruited a group of patients with hypertension who did not have elevated cystatin C and analyzed the CYP3A5 (c. 6986A>G) gene polymorphism. Chi-square tests were used to compare the clinical characteristics and genotypic distribution between the two groups. Logistic regression analysis was used to explore the association between CYP3A5 (c.6986A>G) gene polymorphism and renal function impairment in hypertension with non-elevated cystatin.

RESULTS

In patients with hypertension who participated in the study, there was a significant association between CYP3A5 (c. 6986A>G) gene polymorphism and kidney function impairment (p < 0.05). Patients with the CYP3A5 (c. 6986A>G) mutation display a greater risk of kidney function impairment.

CONCLUSION

CYP3A5 (c. 6986A>G) gene AA homozygote polymorphism significantly increases risk of kidney function impairment in patients with hypertension with normal cystatin C. However, further studies are needed to validate this association and to further understand the mechanism of CYP3A5 (c. 6986A>G) gene polymorphism in kidney function impairment in patients with hypertension.

摘要

目的

本研究旨在探讨 CYP3A5(c.6986A>G) 基因多态性在预测未升高血清胱抑素 C 的高血压患者肾功能损害中的潜在作用。

方法

我们招募了一组未升高胱抑素 C 的高血压患者,并分析了 CYP3A5(c.6986A>G) 基因多态性。卡方检验用于比较两组间的临床特征和基因型分布。Logistic 回归分析用于探讨 CYP3A5(c.6986A>G) 基因多态性与非升高胱抑素的高血压患者肾功能损害之间的关系。

结果

在参加研究的高血压患者中,CYP3A5(c.6986A>G) 基因多态性与肾功能损害之间存在显著关联(p<0.05)。携带 CYP3A5(c.6986A>G) 突变的患者发生肾功能损害的风险更大。

结论

CYP3A5(c.6986A>G) 基因 AA 纯合子多态性显著增加了正常胱抑素 C 的高血压患者肾功能损害的风险。然而,需要进一步的研究来验证这种关联,并进一步了解 CYP3A5(c.6986A>G) 基因多态性在高血压患者肾功能损害中的机制。

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