首页|维生素D受体单核苷酸多态性与妊娠期高血压疾病易感性的相关性分析

维生素D受体单核苷酸多态性与妊娠期高血压疾病易感性的相关性分析

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目的 探究维生素D受体(VDR)单核苷酸多态性(SNP)与妊娠期高血压疾病(HDCP)易感性的相关性。方法 选择2019年9月至2022年10月于昆明市延安医院就诊的122例HDP孕妇为HDP组,另选同期正常妊娠的122例孕妇为对照组。采用TaqMan探针及PCR仪进行rs11568820、rs2228570、rs1544410的SNP测定。分析SNP的连锁不平衡(LD)及 Hardy-Weinberg 平衡(HWE)。对比分析两组孕妇的临床资料、基因型和等位基因分布情况。结果 VDR基因分型结果与测序结果一致;三个位点间不存在强连锁现象且遵循HWE(P>0。05);与对照组相比,HDP组rs2228570基因GG型及G等位基因的比例均更高,差异有统计学意义(x2值分别为6。799、4。066,P<0。05);而rs11568820及rs1544410基因均与HDP风险无关(P>0。05);进一步分层分析rs2228570位点与HDP发病之间的关系,结果显示与AG/AA基因型相比,GG基因型组甘油三酯(TG)≥3。82mmol/L、1,25-(OH)2D3<20。18nmol/L 及肌酐(Cr)≥68。78μmol/L 的孕妇比例均更高,其OR值及 95%CI 分别为 1。555(1。320~1。927)、2。402(1。215~2。734)、1。902(1。267~2。303)。结论 VDR 基因 rs2228570 位点携带 G 等位基因会增加 HDP 患病风险,且与高TG、Cr水平及低1,25-(OH)2D3水平密切相关。暂未发现rs11568820、rs1544410与HDP易感性的关联。
Correlation analysis of vitamin D receptor single nucleotide polymorphisms and susceptibility to hypertensive disorders of pregnancy
Objective To explore the correlation between vitmin D receptor(VDR)single nucleotide polymorphism(SNP)and susceptibility to hypertensive disorders of pregnancy(HDP).Methods A total of 122 pregnant women with HDP attending Yan'an Hospital of Kunming City from September 2019 to October 2022 were selected as the HDP group,and another 122 pregnant women with normal pregnancies during the same period were selected as the control group.The SNPs of rs11568820,rs2228570 and rs1544410 were determined by TaqMan probe and PCR instrument.The chain disequilibrium(LD)and Hardy-Weinberg equilibrium(HWE)of SNPs were analyzed.Clinical data,genotypes and allele distribution of pregnant women in the two groups were compared and analyzed.Results The results of VDR genotyping were consistent with the sequencing results.There was no strong chaining phenomenon among the three loci and followed HWE(P>0.05).Compared with the control group,the rs2228570 gene had a higher proportion of both GG type and G allele in the HDP group,and the difference was statistically significant(x2=6.799 and 4.066,respectively,P<0.05).Both rs11568820 and rs1544410 genes were not associated with the risk of HDP(P>0.05).Further stratified analysis of the association between the rs2228570 locus and the development of HDP showed that a higher proportion of pregnant women with triglyceride(TG)≥3.82 mmol/L,1,25-(OH)2D3<20.18 nmol/L,and creatinine(Cr)≥68.78μmol/L were found in the GG genotype group compared to AG/AA genotypes,with OR values and 95%CI were 1.555(1.320-1.927),2.402(1.215-2.734),and 1.902(1.267-2.303),respectively.Conclusion Carrying the G allele at the rs2228570 locus of the VDR gene increases the risk of HDP and is closely associated with high TG,Cr levels,and low 1,25-(OH)2D3 levels.No association is found between rs11568820,rs1544410 and HDP susceptibility.

vitamin D receptorgene polymorphismhypertensive disorders of pregnancysusceptibilitycorrelation

鹿莎、李瑞华、陈雪蓉、初正敏、孟海云

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昆明市延安医院产科,云南昆明 650000

维生素D受体 基因多态性 妊娠期高血压疾病 易感性 相关性

2024

中国妇幼健康研究
西安交通大学,中国疾病控制中心妇幼保健中心

中国妇幼健康研究

CSTPCD
影响因子:0.942
ISSN:1673-5293
年,卷(期):2024.35(3)
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