Association study

协会研究
  • 文章类型: Journal Article
    尽管以前的研究已经研究了肥胖与遗传之间的关系,以应对日益增长的肥胖流行,关于肥胖与体重指数(BMI)长期变化之间关系的研究有限。为了调查这种关系,Anseong和Ansan队列中1030例病例的数据来自韩国国立卫生研究院在2000年至2014年间进行的韩国基因组和流行病学研究.在整个研究中缺乏参与者BMI数据的病例被排除在外,最终样本量为3074。使用PLINK分析BMI的增加或减少,STRING,和大卫,在AEN中观察到显著差异,ANKS1B,CSF1,EEF2K,FRAS1,GRIK4,PDGFC,THTPA,和TREH基因.观察到这些基因与2型糖尿病相关的通路成簇,心血管疾病,代谢过程,和内吞相关基因。这些结果表明,一些基因参与BMI的变化,并且一些途径与肥胖风险有关。此外,一些遗传变异似乎会影响韩国成年人的BMI变化.
    Although previous studies have examined the relationship between obesity and genetics in response to the growing obesity epidemic, research on the relationship between obesity and long-term changes in body mass index (BMI) is limited. To investigate this relationship, data from 1030 cases in the Anseong and Ansan cohorts were collected from the Korean Genome and Epidemiology Study conducted by the Korea National Institute of Health between 2000 and 2014. Cases lacking participants\' BMI data throughout the study were excluded, resulting in a final sample size of 3074. An increase or decrease in BMI was analyzed using PLINK, STRING, and DAVID, with significant differences observed in the AEN, ANKS1B, CSF1, EEF2K, FRAS1, GRIK4, PDGFC, THTPA, and TREH genes. These genes were observed to cluster with pathways related to type 2 diabetes, cardiovascular disease, metabolic processes, and endocytosis-related genes. These results suggest that several genes are involved in BMI changes and that several pathways are associated with obesity risk. Moreover, some genetic variants appear to influence BMI changes in Korean adults.
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  • 文章类型: Journal Article
    粘附分子,sICAM-1和sE-选择素似乎在冠状动脉疾病(CAD)的发病机制中起主要作用。本研究的重点是研究巴基斯坦急性心肌梗死(AMI)住院患者中sICAM-1和sE-选择素与ABO血型的关系。
    在一项病例对照研究中,从阿加汗大学和美国国家心血管疾病研究所随机选择116例急性心肌梗死(AMI)患者和116例健康对照(年龄范围:30至70岁;男性和女性),卡拉奇知情同意。获得血液样品并使用试剂盒方法分析ABO血型和sICAM-1和sE-选择素的血清水平。使用包括独立样本t检验和双向ANOVA的统计检验来研究这些粘附分子与AMI患者和健康对照中的血型的关联。研究时间为2021年7月至2023年6月30日。
    与健康对照组相比,AMI患者sICAM-1的平均血清水平明显更高(342±159mg/dlvs.227±104mg/dl;p值<0.001)。同样,与健康对照组相比,AMI患者的sE-选择素血清水平也显着较高(53.6±26.9mg/dlvs.40.7±mg/dl;p值<0.001)。此外,对于受试者类型(病例和对照组)和血型之间的相互作用,sICAM-1和sE-选择素的平均浓度具有统计学显著性(分别为p值=0.007和p值=0.035).
    存在粘附分子的缔合,巴基斯坦AMI住院患者中sICAM-1和sE-选择素与ABO血型的关系。
    UNASSIGNED: Adhesion molecules, sICAM-1 and sE-selectin appear to have a major role in the pathogenesis of coronary artery disease (CAD). The focus of this study was to investigate the relationship of sICAM-1 and sE-selectin with ABO blood groups in Pakistani patients hospitalized with acute myocardial infarction (AMI).
    UNASSIGNED: In a case-control study, 116 patients of acute myocardial infarction (AMI) and 116 healthy controls (age range for both: 30 years to 70 years; both males and females) were randomly selected from the Aga Khan University and National Institute of Cardiovascular Diseases, Karachi with informed consent. The blood samples were obtained and analyzed for ABO blood groups and serum levels of sICAM-1 and sE-selectin using kit methods. Statistical tests including independent sample t-test and Two-way ANOVA were used to study the association of these adhesion molecules with blood groups in AMI patients and healthy controls. Duration of the study was from July 2021 to June 30, 2023.
    UNASSIGNED: Mean serum levels of sICAM-1 were significantly higher in AMI patients compared to healthy controls (342±159 mg/dl vs. 227±104 mg/dl; p-value<0.001). Similarly, serum levels of sE-selectin were also significantly higher in AMI patients compared to healthy controls (53.6±26.9 mg/dl vs. 40.7± mg/dl; p-value<0.001). Moreover, mean concentrations of sICAM-1 and sE-selectin for the interaction between subject type (cases and control) and blood groups were statistically significant (p-value = 0.007 and p-value = 0.035, respectively).
    UNASSIGNED: There is an association of adhesion molecules, sICAM-1 and sE-selectin with ABO blood groups in Pakistani patients hospitalized with AMI.
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  • 文章类型: Journal Article
    耳硬化症(OTSC)是白种人人群中进行性成人发作性听力损失的最常见原因之一,具有女性优势。OTSC的病因是复杂的,据报道有许多遗传变异与OTSC易感性有关,但目前尚无来自欧洲中东部地区患者的OTSC遗传背景数据.我们研究的目的是调查波兰患者先前报道的与OTSC最密切相关的遗传变异的频率。
    从血液样品或口腔拭子中分离基因组DNA。TGFB1(rs1800472)和RELN(rs39335,rs39350,rs39374)的变异体在手术证实的OTSC患者(n=94)和对照组(n=198)中使用定制TaqManSNP基因分型测定和实时PCR进行基因分型。在统计分析中比较各组之间的等位基因和基因型频率,并计算具有95%置信区间的比值比以估计风险。
    对于所有测试的变体,OTCS患者和对照组之间的等位基因和基因型分布在统计学上没有显着差异。在测试对象的性别方面也没有统计学上的显著差异。
    尽管在某些人群中对TGFB1和RELN与OTSC发展的关联进行了多次验证性研究,在波兰患者中,未发现所研究的变异与OTSC之间存在显著关联.我们的结果表明OTSC易感因素存在种群间差异,并证实了这种疾病的遗传异质性。
    UNASSIGNED: Otosclerosis (OTSC) is one of the most common causes of progressive adult-onset hearing loss in the Caucasian population, with a female preponderance. The etiology of OTSC is complex and there are a number of genetic variants reported to be associated with OTSC susceptibility, but no data on the genetic background of OTSC in patients originating from the central-eastern part of Europe have been available. The purpose of our study was to investigate in Polish patients the frequency of genetic variants previously reported to be most strongly associated with OTSC.
    UNASSIGNED: Genomic DNA was isolated from blood samples or buccal swabs. Variants in TGFB1 (rs1800472) and RELN (rs39335, rs39350, rs39374) were genotyped in surgically confirmed OTSC patients (n = 94) and a control group (n = 198) using custom TaqMan SNP genotyping assays and real-time PCR. Allele and genotype frequencies were compared between the groups in statistical analysis and the odds ratios with 95% confidence intervals were calculated to estimate the risk.
    UNASSIGNED: For all of the tested variants the distributions of alleles and genotypes were not statistically significantly different between OTCS patients and the control group. There were also no statistically significant differences in relation to gender of the tested subjects.
    UNASSIGNED: Despite multiple confirmatory studies on TGFB1 and RELN association with OTSC development in some populations, no significant association between the studied variants and OTSC was found in Polish patients. Our results indicate the presence of inter-population differences in OTSC susceptibility factors and confirm the large genetic heterogeneity of this disorder.
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  • 文章类型: Journal Article
    大量功能性代谢多样性存在于直接或间接提供全球人类消耗的所有卡路里的一半以上的栽培谷物作物物种中。虽然这种多样性是用于改善农艺性状的分子货币,多样性对人体营养和肠道微生物利用的影响特征不明确。此外,我们对农艺性状的潜在权衡和对人类营养性状的多效性影响知之甚少。在这里,我们应用了定量遗传学方法,使用了高粱双色性状的荟萃分析和平行全基因组关联研究,描述了人类肠道微生物群落的组成和功能变化以及不同高粱群体中200个高粱种子和农艺性状中的任何一个。最初总共发现了15个多效基因座(MEL),其中高粱基因组中的不同等位基因在种子中产生了变化,从而在自动体外发酵中影响了两个人类微生物组中多种细菌分类群的丰度。接下来,对种子进行的平行全基因组研究,生物化学,在同一群体中,农艺性状在13/15MEL的范围内确定了微生物组性状的显着关联。在一些情况下,影响肠道微生物组和农艺性状的变异的共定位为因果机制提供了假设,变异可以通过因果机制影响农艺性状和人类肠道微生物。这项工作表明,影响高粱种子农艺性状的遗传因素也可以驱动对人体肠道微生物的显着影响,特别是细菌类群被认为是有益的。了解这些多效性关系将为未来的作物改良策略提供信息,可持续性和人类健康。
    Substantial functional metabolic diversity exists within species of cultivated grain crops that directly or indirectly provide more than half of all calories consumed by humans around the globe. While such diversity is the molecular currency used for improving agronomic traits, diversity is poorly characterized for its effects on human nutrition and utilization by gut microbes. Moreover, we know little about agronomic traits\' potential tradeoffs and pleiotropic effects on human nutritional traits. Here, we applied a quantitative genetics approach using a meta-analysis and parallel genome-wide association studies of Sorghum bicolor traits describing changes in the composition and function of human gut microbe communities, and any of 200 sorghum seed and agronomic traits across a diverse sorghum population to identify associated genetic variants. A total of 15 multiple-effect loci (MEL) were initially found where different alleles in the sorghum genome produced changes in seed that affected the abundance of multiple bacterial taxa across 2 human microbiomes in automated in vitro fermentations. Next, parallel genome-wide studies conducted for seed, biochemical, and agronomic traits in the same population identified significant associations within the boundaries of 13/15 MEL for microbiome traits. In several instances, the colocalization of variation affecting gut microbiome and agronomic traits provided hypotheses for causal mechanisms through which variation could affect both agronomic traits and human gut microbes. This work demonstrates that genetic factors affecting agronomic traits in sorghum seed can also drive significant effects on human gut microbes, particularly bacterial taxa considered beneficial. Understanding these pleiotropic relationships will inform future strategies for crop improvement toward yield, sustainability, and human health.
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  • 文章类型: Journal Article
    衰老是最重要的公共卫生问题之一。以前对影响衰老的因素的研究集中在遗传和生活方式上,但是多环芳烃(PAHs)与老化之间的关系尚不清楚。
    这项研究利用了2003-2010年国家健康和营养调查(NHANES)的数据。通过使用最新的先进算法Klemera-Doubal方法(KDM)和马氏距离,共有8,100名参与者用于构建生物学年龄预测因子。两个生物老化指标,记录为KDM-BA加速度和PhenoAge加速度,使用多元线性回归分析研究单一PAHs与生物年龄之间的关系,并构建了加权分位数和(WQS)模型,以探讨PAHs对生物年龄的混合影响。最后,我们构建了约束三次样条(RCS)模型来评估PAHs与生物年龄之间的非线性关系。
    PAHs暴露与PhenoAge加速度相关。每个单位增加1-萘酚的log10转化水平,2-萘酚,2-芴与0.173(95%CI:0.085,0.261)相关,0.310(95%CI:0.182,0.438),和0.454(95%CI:0.309,0.598)-年增加的PhenoAge加速度,分别为(所有校正P<0.05)。尿PAH混合物与KDM-BA加速(β=0.13,95%CI:0,0.26,P=0.048)和PhenoAge加速(β=0.59,95%CI:0.47,0.70,P<0.001)有关。在加权分位数和(WQS)回归中,2-萘酚的权重最高。RCS分析显示,除了1-萘酚之间的非线性关联外,2-萘酚和2-芴与KDM-BA加速之间的非线性关联(所有P<0.05),2-萘酚,3-芴,2-芴,1-芘与PhenoAge加速(均P<0.05)。
    暴露于混合PAHs与老化增加有关,2-萘酚是与衰老相关的PAHs的关键成分。这项研究已经确定了老化的PAH成分的风险因素。
    UNASSIGNED: Aging is one of the most important public health issues. Previous studies on the factors affecting aging focused on genetics and lifestyle, but the association between polycyclic aromatic hydrocarbons (PAHs) and aging is still unclear.
    UNASSIGNED: This study utilized data from the National Health and Nutrition Examination Survey (NHANES) 2003-2010. A total of 8,100 participants was used to construct the biological age predictors by using recent advanced algorithms Klemera-Doubal method (KDM) and Mahalanobis distance. Two biological aging indexes, recorded as KDM-BA acceleration and PhenoAge acceleration, were used to investigate the relationship between single PAHs and biological age using a multiple linear regression analysis, and a weighted quantile sum (WQS) model was constructed to explore the mixed effects of PAHs on biological age. Finally, we constructed the restricted cubic spline (RCS) model to assess the non-linear relationship between PAHs and biological age.
    UNASSIGNED: Exposure to PAHs was associated with PhenoAge acceleration. Each unit increase in the log10-transformed level of 1-naphthol, 2-naphthol, and 2-fluorene was associated with a 0.173 (95% CI: 0.085, 0.261), 0.310 (95% CI: 0.182, 0.438), and 0.454 (95% CI: 0.309, 0.598) -year increase in PhenoAge acceleration, respectively (all corrected P < 0.05). The urinary PAH mixture was relevant to KDM-BA acceleration (β = 0.13, 95% CI: 0, 0.26, P = 0.048) and PhenoAge acceleration (β = 0.59, 95% CI: 0.47, 0.70, P < 0.001), and 2-naphthol had the highest weight in the weighted quantile sum (WQS) regression. The RCS analyses showed a non-linear association between 2-naphthol and 2-fluorene with KDM-BA acceleration (all P < 0.05) in addition to a non-linear association between 1-naphthol, 2-naphthol, 3-fluorene, 2-fluorene, and 1-pyrene with PhenoAge acceleration (all P < 0.05).
    UNASSIGNED: Exposure to mixed PAHs is associated with increased aging, with 2-naphthol being a key component of PAHs associated with aging. This study has identified risk factors in terms of PAH components for aging.
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  • 文章类型: Journal Article
    背景:口腔美学中牙齿颜色与个体满意度之间的关系一直是人们感兴趣的话题。在这项研究中,我们利用模糊层次分析法(FAHP)研究了性别和年龄对牙齿颜色偏好的影响。本研究的发现应为口腔美学实践提供科学依据。
    方法:在目前的研究中,采用随机选择方法,120名患者完成了一项调查。为了获得牙齿颜色数据,使用标准牙齿颜色图。使用单镜头反光相机拍摄微笑照片作为模板图像。FAHP用于对不同性别和年龄段的患者的牙齿颜色偏好进行体重分析。
    结果:根据性别和年龄,牙齿颜色偏好存在显着差异。男人更喜欢B1色,而女性可能会优先考虑其他颜色的美学效果。此外,随着患者年龄的增长,他们对牙齿颜色的偏好变得更加多样化。这些发现为口腔美学从业者提供了有价值的见解,使他们能够更好地满足不同性别和年龄的患者的审美需求。这些知识可以帮助制定符合患者期望的更个性化的治疗计划。
    结论:在这项研究中,我们利用科学的分析方法来量化不同牙齿颜色在不同人群中的流行程度。通过这样做,我们为临床实践建立了科学基础。这项研究的结果为口腔美学研究提供了有价值的见解,增强我们对牙齿颜色的理解。此外,这些发现在口腔医学领域具有实际应用,有可能改善患者的生活质量和整体口腔健康。
    BACKGROUND: The relationship between tooth colour and individual satisfaction in oral aesthetics has long been a topic of interest. In this study, we utilized the fuzzy analytic hierarchy process (FAHP) to investigate the impacts of sex and age on tooth colour preference. The findings of this study should provide a scientific basis for oral aesthetic practice.
    METHODS: In the current study, a random selection method was employed, and a survey was completed by 120 patients. To obtain tooth colour data, standard tooth colour charts were used. Smile photos were taken as template images using a single-lens reflex camera. The FAHP was utilized to conduct a weight analysis of tooth colour preferences among patients of different sexes and age groups.
    RESULTS: There were significant differences in tooth colour preference based on sex and age. Men tend to prefer the B1 colour, while women may prioritize the aesthetic effects of other colours. Additionally, as patients age, their preferences for tooth colour become more diverse. These findings offer valuable insights for oral aesthetics practitioners, enabling them to better address the aesthetic needs of patients across different sexes and ages. This knowledge can aid in the development of more personalized treatment plans that align with patients\' expectations.
    CONCLUSIONS: In this study, we utilized scientific analysis methods to quantify the popularity of different tooth colours among various groups of people. By doing so, we established a scientific foundation for clinical practice. The findings of this study offer valuable insights for oral aesthetic research, enhancing our understanding of tooth colour. Additionally, these findings have practical applications in the field of oral medicine, potentially improving patients\' quality of life and overall oral health.
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  • 文章类型: Journal Article
    关联测试已被广泛用于研究遗传变异与表型之间的关系。大多数关联测试方法是基于基因型的,即首先估计基因型,然后在估计的基因型和其他变量上回归表型。已经提出了基于没有基因型调用的下一代测序(NGS)数据的直接测试方法,并且在基因型调用不准确的情况下显示出优于基于基因型的方法的优势。已经提出了基于NGS数据的单变量测试,包括我们先前提出的单变量测试方法,即UNC组合方法[1]。我们还使用可以处理连续反应的线性模型框架提出了基于NGS数据的连续表型群体测试方法[2]。在本文中,我们将基于线性模型的框架扩展到基于广义线性模型的框架,以便该方法可以处理其他类型的响应,尤其是在关联研究中常见的二元响应。我们进行了广泛的模拟研究,以评估不同估计器的性能,并将我们的估计器与其相应的基于基因型的方法进行比较。我们发现所有方法都控制了I型错误,对于其他类型的响应,包括二元响应(逻辑回归)和计数响应(泊松回归,尤其是在测序深度较低时,我们的基于NGS数据的测试方法比文献中相应的基于基因型的方法具有更好的性能。总之,我们将以前的线性模型(LM)框架扩展到广义线性模型(GLM)框架,并推导了一组遗传变异的基于NGS数据的测试方法.与我们以前提出的基于LM的方法[2]相比,新的基于GLM的方法可以处理更复杂的响应(例如,二进制响应和计数响应)以及连续响应。我们的方法填补了文献空白,并在文献中显示出优于其相应的基于基因型的方法的优势。
    Association testing has been widely used to study the relationship between genetic variants and phenotypes. Most association testing methods are genotype-based, i.e. first estimate genotype and then regress phenotype on estimated genotype and other variables. Directly testing methods based on next generation sequencing (NGS) data without genotype calling have been proposed and shown advantage over genotype-based methods in the scenarios when genotype calling is not accurate. NGS data-based single-variant testing have been proposed including our previously proposed single-variant testing method, i.e. UNC combo method [1]. NGS data-based group testing methods for continuous phenotype have also been proposed by us using a linear model framework which can handle continuous responses [2]. In this paper, we extend our linear model-based framework to a generalized linear model-based framework so that the methods can handle other types of responses especially binary responses which is commonly-faced in association studies. We have conducted extensive simulation studies to evaluate the performance of different estimators and compare our estimators with their corresponding genotype-based methods. We found that all methods have Type I errors controlled, and our NGS data-based testing methods have better performance than their corresponding genotype-based methods in the literature for other types of responses including binary responses (logistic regression) and count responses (Poisson regression especially when sequencing depth is low. In conclusion, we have extended our previous linear model (LM) framework to a generalized linear model (GLM) framework and derived NGS data-based testing methods for a group of genetic variants. Compared with our previously proposed LM-based methods [2], the new GLM-based methods can handle more complex responses (for example, binary responses and count responses) in addition to continuous responses. Our methods have filled the literature gap and shown advantage over their corresponding genotype-based methods in the literature.
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  • 文章类型: Journal Article
    背景:先天性肾脏和泌尿道异常(CAKUT)是小儿肾衰竭的常见原因。CNVs,作为一类主要的基因组变异,还可以影响miRNA区域。常见的CNV对应的miRNA(cCNV-miRNA)是调节可能影响泌尿系统发育的关键过程的功能变体。因此,我们假设cCNV-miRNA与CAKUT的发生及其表达相关。
    方法:普通CNVs的提取和过滤,在存放在公开数据库gnomADv2.1和dbVar中的对照样品中鉴定,与使用UCSC基因组浏览器的miRNA序列作图相结合。在使用参考miRBaseV22.1验证映射的miRNA之后,已经使用生物信息学注释和文献研究进行了cCNV-miRNA候选物的优先化。使用TaqMan™技术对221名CAKUT患者和192名对照进行MIR9-3、MIR511和MIR1299的miRNA基因拷贝数的基因分型。
    结果:我们观察到CAKUT患者和对照组之间MIR9-3和MIR1299基因拷贝数分布显着不同(卡方,分别为P=0.006和P=0.0002),而MIR511拷贝数分布的差异显示出名义上的显著性(卡方,P=0.027)。与对照组相比,CAKUT患者中少于和多于两个MIR1299拷贝数的计数更为频繁(分别为P=0.01和P=0.008),与对照组相比,在泌尿道异常患者队列中也更为频繁(分别为P=0.016和P=0.003)。
    结论:miRNA基因的拷贝数变异代表了澄清CAKUT遗传复杂性的新途径,并提供了关于常见遗传变异与CAKUT表型关联的潜在证据。
    BACKGROUND: Congenital anomalies of the kidney and urinary tract (CAKUT) represent a frequent cause of pediatric kidney failure. CNVs, as a major class of genomic variations, can also affect miRNA regions. Common CNV corresponding miRNAs (cCNV-miRNAs) are functional variants regulating crucial processes which could affect urinary system development. Thus, we hypothesize that cCNV-miRNAs are associated with CAKUT occurrence and its expressivity.
    METHODS: The extraction and filtering of common CNVs, identified in control samples deposited in publicly available databases gnomAD v2.1 and dbVar, were coupled with mapping of miRNA sequences using UCSC Genome Browser. After verification of the mapped miRNAs using referent miRBase V22.1, prioritization of cCNV-miRNA candidates has been performed using bioinformatic annotation and literature research. Genotyping of miRNA gene copy numbers for MIR9-3, MIR511, and MIR1299, was conducted on 221 CAKUT patients and 192 controls using TaqMan™ technology.
    RESULTS: We observed significantly different MIR9-3 and MIR1299 gene copy number distribution between CAKUT patients and controls (Chi-square, P = 0.006 and P = 0.0002, respectively), while difference of MIR511 copy number distribution showed nominal significance (Chi-square, P = 0.027). The counts of less and more than two of MIR1299 copy numbers were more frequent within CAKUT patients compared to controls (P = 0.01 and P = 0.008, respectively) and also in cohort of patients with anomalies of the urinary tract compared to controls (P = 0.016 and P = 0.003, respectively).
    CONCLUSIONS: Copy number variations of miRNA genes represent a novel avenue in clarification of the inheritance complexity in CAKUT and provide potential evidence about the association of common genetic variation with CAKUT phenotypes.
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  • 文章类型: Journal Article
    信号转导和转录激活因子4(STAT4)在宿主针对结核分枝杆菌的免疫应答中起着至关重要的作用。这项研究调查了摩尔多瓦人群中STAT4基因多态性与肺结核(TB)风险之间的关系。总共272例结核病患者和251例社区匹配的对照者接受了STAT4基因中功能性单核苷酸多态性(SNP)rs897200和rs7574865的筛查。rs897200的次要T等位基因和TT/CT基因型与降低的肺结核风险显着相关(等位基因模型:调整后的OR=.74,p=.025;对数累加模型:调整后的OR=.72,p=.02;显性模型:调整后的OR=.65,p=.023),表明有保护作用。类似的协会,以风险更明显的降低为特征,在女性和晚发性结核病患者(>44岁)中观察到。rs7574865没有发现显著关联。此外,结合了我们以前研究的43个SNP的组合基因型分析揭示了潜在的关联,如STAT4rs897200CT与IFNGrs2430561AA(调整或=.36,p=.0025)和STAT4rs897200CT与TNFArs1800629GA(调整或=.33,p=.0012)。这项研究强调了STAT4rs897200与Moldavian人群中肺结核风险的显着关联。强调其在疾病发展中的作用。
    Signal transducer and activator of transcription 4 (STAT4) plays a crucial role in the host immune response against Mycobacterium tuberculosis. This study investigates the association between STAT4 gene polymorphisms and pulmonary tuberculosis (TB) risk in the Moldavian population. A total of 272 TB patients and 251 community-matched controls underwent screening for functional single-nucleotide polymorphisms (SNPs) rs897200 and rs7574865 in the STAT4 gene. The minor T allele and the TT/CT genotype of rs897200 demonstrated a significant association with reduced pulmonary TB risk (allelic model: adjusted OR = .74, p = .025; log-additive model: adjusted OR = .72, p = .02; and dominant model: adjusted OR = .65, p = .023), indicating a protective effect. Similar associations, characterized by an even more pronounced reduction in risk, were observed among females and late-onset TB patients (>44 years). No significant associations were found for rs7574865. In addition, a combined genotype analysis incorporating 43 SNPs from our previous studies revealed potential associations, such as STAT4 rs897200 CT with IFNG rs2430561 AA (adjusted OR = .36, p = .0025) and STAT4 rs897200 CT with TNFA rs1800629 GA (adjusted OR = .33, p = .0012). This study emphasizes the significant association of STAT4 rs897200 with pulmonary TB risk in the Moldavian population, underscoring its role in the disease development.
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  • 文章类型: Journal Article
    中度至重度银屑病(Ps)治疗包括全身性药物和生物制剂。Apremilast,一种主要由细胞色素CYP3A4代谢的小分子,通过特异性抑制4型磷酸二酯酶(PDE4)亚型来调节免疫系统,目前用于治疗Ps和银屑病关节炎(PsA)。临床试验和现实世界的数据显示,在需要个性化治疗的基础上,Ps患者的反应效果不同。这项研究实施了一种候选基因和基于网络的方法,以鉴定49名希腊Ps患者中与apremilast反应相关的遗传标记。我们的数据揭示了PDE4和CYP3A4基因内或附近的64个SNP的关联,ncRNAsANRIL中的四个SNP,LINC00941和miR4706,它们影响PDE4s的丰度或功能,和十四个基因中的33个SNP,其蛋白质产物直接与PDE4蛋白相互作用或构成由PDE4调节的cAMP信号通路的组成部分。值得注意的是,上述SNP中的56个构成与牛皮癣组织/细胞相关的相应基因的eQTL,暗示这些变体可能是因果的。我们的分析提供了许多新的遗传变异,在更大的队列中验证后,可用作Ps患者对apremilast治疗反应的预测指标。
    Moderate-to-severe psoriasis (Ps) treatment includes systemic drugs and biological agents. Apremilast, a small molecule primarily metabolized by cytochrome CYP3A4, modulates the immune system by specifically inhibiting phosphodiesterase type 4 (PDE4) isoforms and is currently used for the treatment of Ps and psoriatic arthritis (PsA). Clinical trials and real-world data showed variable efficacy in response among Ps patients underlying the need for personalized therapy. This study implements a candidate-gene and a network-based approach to identify genetic markers associated with apremilast response in forty-nine Greek Ps patients. Our data revealed an association of sixty-four SNPs within or near PDE4 and CYP3A4 genes, four SNPs in ncRNAs ANRIL, LINC00941 and miR4706, which influence the abundance or function of PDE4s, and thirty-three SNPs within fourteen genes whose protein products either interact directly with PDE4 proteins or constitute components of the cAMP signaling pathway which is modulated by PDE4s. Notably, fifty-six of the aforementioned SNPs constitute eQTLs for the respective genes in relevant to psoriasis tissues/cells implying that these variants could be causal. Our analysis provides a number of novel genetic variants that, upon validation in larger cohorts, could be utilized as predictive markers regarding the response of Ps patients to apremilast treatment.
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