机构地区:[1]海南医学院生物化学教研室,海南省海口市571101 [2]海南医学院附属医院心内科,海南省海口市570102 [3]海口市人民医院心内科,海口市570208 [4]海南医学院附属医院检验科,海南省海口市570102 [5]广东医学院附属医院血液研究室,广东省湛江市524001
出 处:《中国动脉硬化杂志》2007年第9期699-702,共4页Chinese Journal of Arteriosclerosis
基 金:国家自然科学基金(30060037);教育部科学技术研究重点项目(03147);海南医学院重点学科项目(2005-1)
摘 要:目的研究α纤维蛋白原基因TaqI多态性和β纤维蛋白原基因-455G/A-、249C/T、-148C/T、+1689T/G、448G/A、BsmAI、BclIG/A、HinfIA/C单核苷酸多态性及其单体型与冠心病的关系。方法采用聚合酶链反应限制片长多态性法确定基因型,采用比浊法测定血浆纤维蛋白原水平,采用EH+程序分析核苷酸多态性的单体型,采用卡方检验分析病例组和对照组的等位基因频率、基因型频率及单体型频率的差异。结果β纤维蛋白原基因-455A、-148T和448A的等位基因频率在冠心病组分别为0.343、0.351和0.326,在对照组分别为0.254、0.254和0.242,冠心病组β纤维蛋白原基因-455A、-148T和448A的等位基因频率明显高于对照组(P<0.05),β纤维蛋白原基因-455A、-148T和448A携带者患冠心病的相对危险度比非携带者分别大1.53倍、1.59倍和1.51倍;其他位点的等位基因频率在两组间无统计学差异。β纤维蛋白原基因-455G、-249C、-148C、+1689T、448G、BclIG、HinfIA和a纤维蛋白基因TaqI T2位点构成的单体型H16在病例组中的频率比对照组低(P<0.05)。以启动子区3个位点构建的单体型中,由-455G、-249C和-148C构成的单体型h1在病例组中的频率低于对照组(P<0.01),由-455A、-249C、-148C构成的单体型h5和由-455A、-249C、-148T构成的单体型h6在病例组中的频率高于对照组(P<0.05和P<0.01)。结论β纤维蛋白原基因-455G/A、-148C/T和448G/A单核苷酸多态性与冠心病关联,β纤维蛋白原基因-455A、-148T和448A可能是与冠心病相关的遗传危险因素。Aim To investigate the polymorphisms and haplotypes in α-fibrinogen and β-brinogen gene and their relationship to coronary heart disease (CHD). Methods Plasma fibrinogen level was measured by turbidmetrie assay. The TaqI polymorphism in α-fibrinogen gene and the single nucleotide polymorplusms - 455G/A, - 249C/T, - 148C/T, + 1689T/G, BsmAIG/C, 448G/A, BcllG/A and HinflA/C in β-fibrinogen gene were characterized by PCR-RFLP in one hundred and twenty one cases of CHD and one hundred and thirty healtlry individuals from Hainan Han population. Haplotypes were estimated by the EH + program. The statistical differences of allelic, genotype and haplotype frequuencies between the case group and the control were estimated by Chi square test. Results The allelic frequencies of the polymorplfisms - 455A, - 148T, 448A wet'e 0.343, 0.351 and 0.326 in CHD group, whereas the allellc fi'equencies of the polymorphisms -455A, - 148T, 448A were 0.254, 0. 254 and 0.242 in the control. The allelic fi'ecptencles of - 455A, - 148T, 448A were higher in the CHD group than in the control ( P 〈 0.05 ). The allelie frequencies of the other six polymorphisms were not significantly different between theCHD group and tile control (P 〉 0.05). The odds ratios (OR) with the rare alleles of A^-455,T^-148 and A^448 were 1.53, 1.59 and 1.51 respectively. Haplotypes constructed from the nine polymorphisms showed that the frequency haplotype H16 with β- 455G, β- 249C, [3- 148C, β+ 1689T, βBsmAI G, 13448G, βBcll G, βHinfI A and αTaqI T2 were lower in the CHD group than in the control. Among the haplotypes constructed from polymorplisms including - 455G/A, - 249C/T, - 148C/T in the pro- moter region of β-fibrinogen gene, haplotype hl with - 455G, - 249C and - 148 C alleles appeared more frequently in control group ( P 〈 0.01 ), whereas haplotype 14 with - 455A, - 249C and - 148C and haplotype h6 with - 455A, - 249C and -148T occurred more frequently in the CHD group ( P 〈 0.01 ). Conclusins The res
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