首页|TLR7基因多态性与儿童手足口病易感性及严重程度的关系

TLR7基因多态性与儿童手足口病易感性及严重程度的关系

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目的 探讨Toll样受体7(TLR7)基因多态性与儿童手足口病(HFMD)易感性及严重程度的关系.方法 选取304例肠道病毒71型(EV71)感染HFMD患儿纳入HFMD组,根据病情严重程度分为轻症组和重症组;另同期选择300例正常健康儿童纳入对照组.比较各组TLR7基因rs3853839、rs179016、rs179009位点基因型和基因频率.Logistic回归分析基因多态性是否HFMD发生的危险因素,比较与否携带C基因患儿的外周血单个核细胞TLR7 mRNA表达水平.结果 HFMD组、重症组女童、男童TLR7基因rs3853839位点、rs179016位点C基因型及基因频率分别高于对照组、轻症组(P<0.05).TLR7基因rs3853839位点、rs179016位点携带C基因是儿童HFMD发生和重症的危险因素(P<0.05).HFMD轻症和重症患儿rs3853839位点、rs179016位点携带C基因者外周血单个核细胞TLR7 mRNA表达水平均低于未携带C基因者(P<0.05).结论 TLR7基因rs3853839位点、rs179016位点携带C基因是儿童HFMD发生的独立危险因素,且与其严重性相关.
Relationship between polymorphisms of TLR7 gene and susceptibility and severity of hand-foot-mouth disease in children
Aim To explore the relationship between polymorphisms of Toll-like receptor 7(TLR7)gene and susceptibility and severity of hand-foot-mouth disease(HFMD)in children.Methods A total of 304 children with enterovirus 71(EV71)in-fection and HFMD were enrolled as HFMD group.According to disease severity,they were divided into mild group and severe group.A total of 300 healthy children during the same period were enrolled as control group.The genotypes and gene frequencies of TLR7 gene at rs3853839,rs179016 and rs179009 loci in different groups were compared.Whether gene polymorphisms could be risk fac-tors of HFMD was determined by Logistic regression analysis.The mRNA level of TLR7 in peripheral blood mononuclear cells in chil-dren with or without C gene was compared.Results The frequencies of girls'and boys'C genotype in TLR7 gene at rs3853839 and rs179016 loci in HFMD group and severe group were higher than those in control group and mild group(P<0.05).C genotype of TLR7 gene at rs3853839 and rs179016 loci was a risk genotype of HFMD and serious illness(P<0.05).The expression level of TLR7 mRNA in mild and severe HFMD children with C genotype at rs3853839 and rs179016 loci was lower than that in children with-out C genotype(P<0.05).Conclusion C genotype of TLR7 gene at rs3853839 and rs179016 loci is an independent risk factor for HFMD in children,which is correlated with the disease severity.

hand-foot-mouth diseasesusceptibilityseverityToll-like receptor 7gene polymorphism

高婷婷、梁超、任涛涛

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青岛大学附属青岛市海慈医院青岛市中医医院口腔科,山东青岛 266033

青岛大学附属青岛市海慈医院青岛市中医医院中医皮肤科,山东青岛 266033

手足口病 易感性 严重程度 TLR7 基因多态性

青岛市中医药科研计划

2019-zyy020

2024

中南医学科学杂志
南华大学

中南医学科学杂志

CSTPCD
影响因子:0.757
ISSN:2095-1116
年,卷(期):2024.52(3)