首页|SOCS-3蛋白及其基因多态性对肥胖胃食管反流病患者食管黏膜损伤的影响

SOCS-3蛋白及其基因多态性对肥胖胃食管反流病患者食管黏膜损伤的影响

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目的 探讨 SOCS-3 蛋白及其基因多态性对肥胖人群胃食管反流病(gastroesophageal reflux disease,GERD)食管黏膜损伤的影响.方法 选取 100 例 GerdQ 量表评分>8 分的 GERD 患者.采用 Western blotting 方法研究 SOCS-3 的蛋白表达情况.采用PCR-测序法对 SOCS-3 基因 rs4969168 位点进行基因分型,并分析肥胖相关指标(BMI、体质量、身高、腰围)、反流性食管炎(reflux esophagitis,RE)洛杉矶分级与 rs4969168 位点基因多态性的相关性.结果 肥胖组 GERD患者 SOCS-3 蛋白表达最高,超重组其次,正常组最低.不同基因型 GERD 患者 BMI 值:AA(26.21±3.41)kg/m2、AG(24.42±2.04)kg/m2、GG(23.90±2.68)kg/m2(P = 0.011),腰围值:AA(91.34±10.85)cm、AG(88.90±8.93)cm、GG(84.28±8.00)cm(P= 0.03),rs4969168 位点基因型中等位基因 A出现频率与 BMI、腰围的平均水平呈正相关.GERD患者食管黏膜损伤程度与 rs4969168 基因多态性显著相关(P= 0.037);随着 A等位基因出现频率减少,GERD患者出现严重食管黏膜损伤的比例增加.结论 rs4969168 的等位基因A在GERD人群食管黏膜炎症损伤中起保护作用;对于高 BMI的 GERD患者,食管黏膜 SOCS-3 蛋白表达增高可能是等位基因 A产生保护作用的重要因素.
Effect of SOCS-3 and its gene polymorphism on esophageal mucosal injury in obese patients with gastroesophageal reflux disease
Objective To investigate the effect of SOCS-3 gene polymorphism on esophageal mucosal injury in obese people gastroesophageal reflux disease(GERD).Methods A total of 100 patients with GERD with more than 8 scores of Gerd Q scale were randomly selected.Based on PCR-sequencing,the genotyping of SNP polymorphic rs4969168 in SOCS-3 gene was studied.The correlation between obesity-related indexes(BMI,weight,height,waist circumfer-ence),GERD Los Angeles grade and its gene polymorphism were studied,and the expression of SOCS-3 was studied by Western blotting.Results The expression of SOCS-3 protein in obese GERD patients was the highest,the overweight group was the second,and the normal group was the lowest.The value of BMI in patients with different genotypes of GERD,AA:(26.21±3.41)kg/m2,AG:(24.42±2.04)kg/m2,GG:(23.90±2.68)kg/m2(P=0.011),and the waist circumference of patients with different genotypes of GERD,AA:(91.34±10.85)cm,AG:(88.90±8.93)cm,GG:(84.28±8.00)cm(P=0.03).The frequency of allele A at rs4969168 locus was positively correlated with the average level of BMI and waist circumference.The degree of esophageal mucosal injury in GERD patients was signifi-cantly associated with rs4969168 gene polymorphism(P=0.037).With the decrease of the frequency of allele A,the proportion of severe esophageal mucosal injury in GERD patients increased.Conclusion Allele A of rs4969168 plays a protective role in esophageal mucosal inflammatory injury in patients with GERD,and the increased expression of SOCS-3 protein in esophageal mucosa may be an important factor in the protective effect of allele A in patients with high BMI.

ObesityGastroesophageal reflux diseaseSOCS-3Gene polymorphism

申海剑、年媛媛、孟宪梅

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内蒙古科技大学包头医学院,内蒙古 包头 014040

包头医学院第二附属医院消化内科

肥胖 胃食管反流病 SOCS-3 基因多态性

内蒙古自治区自然科学基金内蒙古自治区科技创新引导项目

2019LH08042

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(2)
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