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尼日利亚卡杜纳州 INF-γ(rs.2430561,+874 A/T)和白细胞介素-10(rs.1800896,-1082 A/G)单核苷酸多态性对结核病风险和耐药性的影响

Influence of Single-nucleotide Polymorphism of INF-γ (rs.2430561, +874 A/T) and Interleukin-10 (rs.1800896, -1082 A/G) on the Risk of Tuberculosis and Drug Resistance in Kaduna State, Nigeria.

作者信息

Madaki Suzie, Mohammed Yusuf, Rogo Lawal Dahiru, Yusuf Mustapha, Bala Yazeed Garba, Ahmad Umar Aliyu

机构信息

Department of Medical Microbiology and Parasitology, Faculty of Clinical Sciences, College of Basic Health Sciences, Bayero University, Kano, Nigeria.

Department of Medical Laboratory Science, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria.

出版信息

Int J Mycobacteriol. 2025 Apr 1;14(2):170-181. doi: 10.4103/ijmy.ijmy_39_25. Epub 2025 Jun 20.

Abstract

BACKGROUND

Tuberculosis (TB) remains a global health challenge, necessitating comprehensive research to understand genetic factors influencing susceptibility and drug resistance. This study aimed to investigate the presence of drug resistance, analyze single nucleotide polymorphisms (SNPs) in IFN-γ (reference SNP. 2430561, +874 Adenine/Thymine) and IL-10 (reference SNP.1800896, -1082 Adenine/Guanine), and assess their associations with age and sex among a cross section of TB patients in Kaduna state.

METHODS

A total of 140 participants, comprising drug-resistant TB (DR-TB) patients, drug-susceptible TB (DS-TB) patients, and Apparently Healthy controls (AHCs), were enrolled. Genomic deoxyribonucleic acid was extracted, and SNPs were genotyped using polymerase chain reaction-based techniques. Associations between genotypes, alleles, age, and sex were analyzed. Odd ratios and Hardy-Weinberg equilibrium were employed for demographic and genetic analyses.

RESULTS

In DR-TB, significant associations were observed between IFN-γ genotypes/alleles and increased susceptibility, with thymine thymine (TT) genotype and T allele showing higher frequency. For IL-10, guanine guanine (GG) genotype and G allele were prevalent, indicating potential associations with DR-TB risk. In DS-TB, similar trends were observed, highlighting potential genetic influences on susceptibility. HWE analysis revealed significant deviations in some groups, suggesting genetic variations.

CONCLUSIONS

The prevalence of specific genotypes and alleles indicates potential genetic markers for risk assessment. Deviations from HWE suggest population-specific genetic variations. These findings underscore the importance of genetic factors in TB outcomes and advocate for tailored interventions for different populations.

摘要

背景

结核病仍然是一项全球性的健康挑战,需要进行全面研究以了解影响易感性和耐药性的遗传因素。本研究旨在调查耐药性的存在情况,分析干扰素-γ(参考单核苷酸多态性.2430561,+874腺嘌呤/胸腺嘧啶)和白细胞介素-10(参考单核苷酸多态性.1800896,-1082腺嘌呤/鸟嘌呤)中的单核苷酸多态性,并评估它们与卡杜纳州结核病患者横断面中的年龄和性别的关联。

方法

共招募了140名参与者,包括耐多药结核病(DR-TB)患者、药物敏感结核病(DS-TB)患者和明显健康对照者(AHCs)。提取基因组脱氧核糖核酸,并使用基于聚合酶链反应的技术对单核苷酸多态性进行基因分型。分析了基因型、等位基因、年龄和性别之间的关联。采用优势比和哈迪-温伯格平衡进行人口统计学和遗传学分析。

结果

在耐多药结核病中,观察到干扰素-γ基因型/等位基因与易感性增加之间存在显著关联,胸腺嘧啶胸腺嘧啶(TT)基因型和T等位基因的频率较高。对于白细胞介素-10,鸟嘌呤鸟嘌呤(GG)基因型和G等位基因普遍存在,表明与耐多药结核病风险可能存在关联。在药物敏感结核病中也观察到类似趋势,突出了对易感性的潜在遗传影响。哈迪-温伯格平衡分析显示某些组存在显著偏差,表明存在遗传变异。

结论

特定基因型和等位基因的流行表明存在用于风险评估的潜在遗传标记。与哈迪-温伯格平衡的偏差表明存在特定人群的遗传变异。这些发现强调了遗传因素在结核病结果中的重要性,并提倡针对不同人群采取量身定制的干预措施。

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