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作 者:刘占利[1] 陈岳明[2] 盛文彬[1] 黄先玫[1] 杨一华[1] 冯亚男[1] 黄晖[1] 郑绪阳[1]
机构地区:[1]杭州市第一人民医院儿科,310006 [2]杭州市第一人民医院基因室,310006
出 处:《浙江医学》2014年第19期1593-1596,1604,共5页Zhejiang Medical Journal
基 金:杭州市科技发展计划项目(20110833B06)
摘 要:目的探讨ALOX5基因启动子SP-1结合位点多态性和汉族儿童支气管哮喘发生的关联。方法选取88例支气管哮喘儿童为病例组,124例健康儿童为对照组。用聚合酶链反应-单链构象多态性(PCR-SSCP)分析ALOX5基因启动子SP-1结合位点多态性,采用实时荧光逆转PCR检测病例组和对照组ALOX5各基因型儿童外周血ALOX5 mRNA表达量。结果临床资料显示有家族史、非母乳喂养、有过敏史和被动吸烟与儿童支气管哮喘发病相关(P<0.05),性别、年龄差异无统计学意义(P>0.05)。经PCR-SSCP鉴定ALOX5有6种基因型,包括4/4、4/5、4/6、5/5、5/6和6/6;ALOX5基因多态性在汉族儿童中分布符合Hardy-Weirberg平衡(X^2=0.361,P>0.05)。等位基因4及基因型(4/4+4/5)在病例组和对照组中分布差异均有统计学意义(均P<0.05)。健康儿童ALOX5 mRNA表达量(0.20±0.14)显著低于哮喘儿童(0.28±0.15)(P<0.05);基因型(4/4+4/5)个体ALOX5mRNA表达量高于基因型(5/5+5/6)个体(P<0.05),其余各基因型组间差异均无统计学意义(均P>0.05)。结论 ALOX5基因启动子SP-1结合位点多态性可能与汉族儿童支气管哮喘相关,该位点调控ALOX5 mRNA表达。Objective To investigate the association between polymorphism of SP- 1 binding motif in ALOX5 promoter and bronchial asthma susceptibility in Chinese Han children. Methods Eighty- nine children with bronchial asthma (case group) and 124 healthy children (control group) were enrol ed in the study. Polymerase chain reaction- single strand conforma-tion polymorphism (PCR- SSCP) were applied to detect the polymorphism of ALOX5. Expression ALOX5 mRNA in peripheral blood was analyzed by real- time PCR in different genotypes of case and control groups. Results Clinical data revealed that family history, non- breastfeeding, history of al ergies and passive smoking were the risk factors for bronchial asthma in Han chil-dren (P〈0.05). Six genotypes of ALOX5 were identified by PCR- SSCP, including 4/4, 4/5, 4/6, 5/5, 5/6 and 6/6 genotypes. ALOX5 polymorphism in Han children was fitted with Hardy- Weinberg balance (χ^2=0.361, P〉0.05).The distributions of Al ele 4 and genotypes (4/4+4/5) in the case and control groups showed significant differences (P〈0.05). Relative expression levels of ALOX5 mRNA in healthy children (0.20±0.14) was significantly lower than that in asthmatic children (0.28± 0.15) (P〈0.05). The expression level of ALOX5 mRNA in genotypes (4/4+4/5) individuals was higher than those in genotypes (5/5+5/6) (P〈0.05). Conclusion The polymorphism of SP- 1 binding motif in ALOX5 promoter may be associated with the occurrence of bronchial asthma in Chinese Han children, which modulates ALOX5 mRNA expression.
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