Yu Shasha, Huang Lujie, Ren Jianfei, Zhang Xiaoying
Ningbo Medical Center Lihuili Hospital, Zhejiang, China.
Ningbo Medical Center Lihuili Hospital, 57 Xingning Road, Zhejiang, China.
Open Med (Wars). 2024 Sep 13;19(1):20241025. doi: 10.1515/med-2024-1025. eCollection 2024.
Sporadic thoracic aortic aneurysm and dissection (sTAAD) is a complicated vascular disease with a high mortality rate. And its genetic basis has not been fully explored.
Here, 122 sTAAD patients and 98 healthy individuals were recruited, and 10 single nucleotide polymorphisms were selected and analyzed (FBN1 rs10519177, rs1036477, rs2118181, MYH11 rs115364997, rs117593370, TGFβ1 rs1800469, TGFβ2 rs900, TGFβR2 rs764522, rs1036095, and rs6785385). Moreover, multiple logistic regression analysis was used to evaluate gene-environment interactions.
We identified that TGFβR2 rs1036095 dominant model CC + CG genotype (GT) ( = 0.004) may be a factor of increased risk of sTAAD, especially for women. FBN1 rs1036477 recessive model AA GT ( = 0.009) and FBN1 rs2118181 dominant model CC + CT GT ( = 0.009) were correlated to an increased death rate in sTAAD men patients. Gene-environment interactions indicated TGFβR2 rs1036095 dominant model (CC + CG)/GG to be a higher-risk factor for sTAAD (odds ratio = 3.255; 95% confidence interval: 1.324-8.000, = 0.01).
TGFβR2 rs1036095, FBN1 rs1036477, and FBN1 rs2118181 were identified as factors of increased risk of sTAAD. Gene-environment interactions were associated with the risk of sTAAD.
散发性胸主动脉瘤和夹层(sTAAD)是一种复杂的血管疾病,死亡率很高。其遗传基础尚未得到充分探索。
本研究招募了122例sTAAD患者和98名健康个体,选择并分析了10个单核苷酸多态性(FBN1 rs10519177、rs1036477、rs2118181、MYH11 rs115364997、rs117593370、TGFβ1 rs1800469、TGFβ2 rs900、TGFβR2 rs764522、rs1036095和rs6785385)。此外,采用多因素logistic回归分析评估基因-环境相互作用。
我们发现,TGFβR2 rs1036095显性模型CC + CG基因型(GT)(P = 0.004)可能是sTAAD风险增加的一个因素,尤其是对女性而言。FBN1 rs1036477隐性模型AA GT(P = 0.009)和FBN1 rs2118181显性模型CC + CT GT(P = 0.009)与sTAAD男性患者死亡率增加相关。基因-环境相互作用表明,TGFβR2 rs1036095显性模型(CC + CG)/GG是sTAAD的一个高风险因素(比值比 = 3.255;95%置信区间:1.324 - 8.000,P = 0.01)。
TGFβR2 rs103609应5、FBN1 rs1036477和FBN1 rs2118181被确定为sTAAD风险增加的因素。基因-环境相互作用与sTAAD风险相关。