首页|IL-6-634C/G和-597G/A基因多态性与宿迁地区冠心病的相关性

IL-6-634C/G和-597G/A基因多态性与宿迁地区冠心病的相关性

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目的 探讨宿迁地区白细胞介素 6(IL-6)基因启动子区域-634C/G、-597G/A多态性与冠心病(coronary heart disease,CHD)的关系.方法 选择宿迁市第一人民医院2022 年1 月至9 月就诊的248 例CHD患者(CHD组)以及126 例体检健康人群(健康人对照组),应用聚合酶链-限制性片段长度多态性法(PCR-RFLP)检测各组IL-6 基因多态性位点和基因型,并进行Hardy-Weinberg平衡检验,采用Logistic回归方法分析基因多态性与CHD之间的关系.进一步检测各组三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白A1(apoA1)、载脂蛋白B(apoB)、总胆固醇(TC)、葡萄糖(Glu)、C反应蛋白(CRP)、糖化血红蛋白(HbA1c)、IL-6等生化指标的表达水平.结果 生化指标检测结果表明,与健康人对照组比较,CHD组TG、TC、LDL-C、apoB、Glu、CRP、HbA1c和IL-6水平显著升高(P<0.05),而HDL-C、apoA1 水平明显降低(P<0.05).Logistic回归结果显示,与CC基因型相比,IL-6-634C/G中的CG和GG基因型与CHD的发病风险相关,其校正OR(95%CI)分别为 2.068(1.410~3.032)和 6.674(2.034~21.900).CHD组和健康人对照组CC、CG和GG基因型频率分别为47.9%、39.9%、12.2%和 76.2%、21.5%、2.3%,C、G等位基因频率分别为 74.7%、25.3%和 82.9%、17.1%;与C等位基因相比,携带G等位基因患者发生 CHD 的风险更高,且基因型和等位基因频率在两组间的差异均有统计学意义(P 均<0.05).IL-6-597G/A基因多态性与 CHD易感性无关.结论 宿迁地区人群 CHD患者风险与 IL-6-634C/G基因多态性相关,而与IL-6-597G/A基因多态性无关.
Association between gene polymorphism of interleukin-6-634C/G and-597G/A and coronary heart disease in Suqian area
Objective To study the correlation between the polymorphisms of the promoter regions of interleukin-6(IL-6)gene-634C/G and-597G/A and coronary heart disease(CHD)in Suqian area.Methods A total of 248 patients with coronary heart dis-ease in Suqian First Hospital from 2022 January to September were enrolled into CHD group and 126 healthy individuals were selected as control group.PCR-RFLP method was used to analyze IL-6 gene polymorphism loci and genotypes in each group,and Hardy Wein-berg balance test was performed.The logistic regression method was used to analyze the relationship between gene polymorphism and coronary heart disease.Further detections were conducted for the levels of biochemical indicators,i.e.,triglycerides(TG),high-densi-ty lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),apolipoprotein A1(apoA1),apolipoprotein B(apoB),total cholesterol(TC),glucose(Glu),as well as C-reactive protein(CRP),glycated hemoglobin(HbA1c)and IL-6 in each group.Results The test results showed that compared with the healthy control group,the CHD group had significantly increased levels of TG,TC,LDL-C,apoB,Glu,CRP,HbA1c and IL-6(P<0.05),but decreased levels of HDL-C and apoA1(P<0.05).The logistic regression results showed the CG and GG genotypes in IL-6-634C/G gene were associated with the risk of coronary heart dis-ease,adjusting OR(95%CI)were 2.068(1.410-3.032)and 6.674(2.034-21.900),except for CC genotype,The genotype frequen-cies of CC,CG and GG in the CHD group were 47.9%,39.9%,12.2%,and were 76.2%,21.5%and 2.3%in healthy control group.The frequencies of C and G alleles were 74.7%,25.3%and 82.9%,and 17.1%in the two groups.The patients carrying G alleles had a higher risk of developing CHD than those carrying C alleles,and there were statistically significant differences in genotype and allele frequency between the two groups(both P<0.05).The IL-6-597G/A gene polymorphism was not associated with susceptibility to CHD.Conclusion The risk of CHD patients in the Suqian region associated with IL-6-634C/G gene polymorphism,but not remarkably asso-ciated with IL-6-597G/A polymorphism.

interleukin-6gene polymorphismcoronary heart disease

王跃帮、张士兵、常珊碧、王梦林、裴兵、周成林

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宿迁市第一人民医院医学检验科,江苏宿迁 223800

南京医科大学附属泰州人民医院医学检验科,江苏泰州 225300

白细胞介素6 基因多态性 冠心病

江苏省"333高层次人才工程"科研项目宿迁市科技计划项目宿迁市科技计划项目

BRA2017128SY202306KY202310

2024

临床检验杂志
江苏省医学会

临床检验杂志

CSTPCD
影响因子:0.746
ISSN:1001-764X
年,卷(期):2024.42(3)
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