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白细胞介素-17 和白细胞介素-38 基因多态性与甲状腺相关眼病的关系。

IL-17 and IL-38 gene polymorphisms in thyroid-associated ophthalmopathy.

机构信息

Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.

Al-Farabi Kazakh National University, Almaty, Kazakhstan.

出版信息

Int Ophthalmol. 2024 Sep 18;44(1):379. doi: 10.1007/s10792-024-03317-0.

Abstract

BACKGROUND

Thyroid-associated ophthalmopathy (TAO) is an autoimmune condition commonly linked with Graves' disease (GD), characterized by orbital tissue inflammation and fibrosis. It is hypothesized that gene polymorphisms may influence production of the IL-17 and IL-38 cytokines, thereby impacting TAO development and progression. This study focused on investigating the gene polymorphisms of IL-17 (rs9463772 C/T in IL17F) and IL-38 (rs3811058 C/T, rs7570267 A/G in IL1F10) in patients with GD.

METHODS

A case-control study was conducted on 132 patients with TAO and 153 patients without TAO according to eligibility criteria. After clinical examination blood samples were collected for further investigations. Genotyping was performed with the TaqMan™ Master Mix kit. Allele and genotype frequencies were compared between studied groups and subgroups.

RESULTS

No significant differences were found in age, duration of GD, or thyroid hormone between patients with and without TAO. However, a higher predisposition to develop TAO was observed among smokers (OR = 1.682, p = 0.03). Overall, no significant associations between gene polymorphisms and TAO development were identified in GD patients. Further analysis revealed that the CC genotype in IL1F10 rs3811058 polymorphism among Caucasians was associated with an increased risk of TAO (OR = 2.7, p = 0.02), as well as allele differences were also significant (OR = 2.8, p = 0.001).

CONCLUSIONS

These findings shed light on TAO genetic predispositions in Kazakhstani GD patients, notably among Caucasians, underscoring the need for further research. These results may offer valuable targets for the development of novel treatments for TAO.

摘要

背景

甲状腺相关眼病(TAO)是一种与格雷夫斯病(GD)相关的自身免疫性疾病,其特征是眼眶组织炎症和纤维化。据推测,基因多态性可能会影响 IL-17 和 IL-38 细胞因子的产生,从而影响 TAO 的发展和进展。本研究主要关注调查 GD 患者中 IL-17(rs9463772 中 C/T 在 IL17F)和 IL-38(rs3811058 中 C/T,IL1F10 中的 rs7570267A/G)的基因多态性。

方法

根据入选标准,对 132 例 TAO 患者和 153 例无 TAO 患者进行病例对照研究。临床检查后采集血样进行进一步研究。采用 TaqMan™ Master Mix 试剂盒进行基因分型。比较研究组和亚组之间的等位基因和基因型频率。

结果

TAO 患者和无 TAO 患者之间的年龄、GD 持续时间或甲状腺激素无显著差异。然而,吸烟者发生 TAO 的倾向更高(OR=1.682,p=0.03)。总体而言,在 GD 患者中,基因多态性与 TAO 的发生无显著相关性。进一步分析显示,白种人群中 IL1F10 rs3811058 多态性的 CC 基因型与 TAO 的风险增加有关(OR=2.7,p=0.02),等位基因差异也具有统计学意义(OR=2.8,p=0.001)。

结论

这些发现揭示了哈萨克斯坦 GD 患者 TAO 的遗传易感性,尤其是在白种人群中,这突显了进一步研究的必要性。这些结果可能为 TAO 的新型治疗方法的开发提供有价值的靶点。

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