成年双生子血尿酸遗传度研究  

Heritability of serum uric acid in adult twins

作　　者：段海平[1,2] 逄增昌[1] 张东峰[1] 汪韶洁[2] 翟耀明 张栋[1] 谭启华 

机构地区：[1]青岛大学医学院,266033 [2]青岛市疾病预防控制中心 [3]University of Southem Denmark

出　　处：《中华流行病学杂志》2010年第4期384-388,共5页Chinese Journal of Epidemiology

基　　金：国家自然科学基金（30872170）

摘　　要：目的用双生子研究方法对成年人血尿酸的遗传度进行估计。方法从青岛双生子库募集成年双生子。测量身高、体重和血尿酸。相同性别的双生子采用16个多态标记进行卵型鉴定。通过校正年龄、性别和BMI，来构建结构方程模型估计遗传度。结果共收集687对双生子数据，其中同卵双生子420对，异卵双生子267对。经平方根转换后，男性血尿酸水平（17．47±1．91）略高于女性（15．22±1．70）（P〈0．0001），通过校正年龄、性别和BMI后双生子血尿酸的组内相关系数分别为，同卵双生子0．70、异卵双生子0．40。运用性别限制模型进行拟合，最佳模型AE模型，加性别遗传因素和特殊环境因素共同作用血尿酸的水平。血尿酸的遗传度为70．5％（95％CI：65．9～74．6），特殊环境因素占29．5％（95％CI：25．4～34．2）。结论遗传因素是影响样本双生子血尿酸水平的主要因素。Objective To assess the heritability of serum uric acid in adult, using the classic twin design. Methods Adult Twins were recruited from the Qingdao Twin Registry. Uric acid, height, weight were measured. Zygosity in all the same-sex twin pairs was determined by 16 polymorphic markers. Heritability was assessed by structural equation models, with age, gender and body mass index（BMI） included as covariates. Results In total, 687 twin pairs were available for data analyses, including 420 pairs of monozygotic and 267 pairs of dizygotic twins. After logarithm transformed, uric acid in males （ 17.47 ± 1.91 ） was significantly higher than in females （ 15.22 ± 1.70, P〈0.0001 ）. After adjustment on age, sex and BMI, intraclass correlations for uric acid were 0.70 for monozygotic twins and 0.40 for dizygotic twins. The sex-limitation AE model, combining additive genetic and unique environmental factors, could produce the best fit for the data. Heritability estimate for uric acid was 70.5% （95% Ci： 65.9-74.6） , with the proportion of unique environmental effects as 29.5% （95%CI： 25.4-34.2）. Conclusion Additive genetic effects appeared to be the major contributor to the variation of uric acid in this twins sample being studied.

关 键 词：血尿酸 双生子 遗传度 

分 类 号：R394[医药卫生—医学遗传学]