Gene Polymorphisms

基因多态性
  • 文章类型: Journal Article
    遗传多态性在预测肝细胞癌(HCC)患者的治疗效果中起着至关重要的作用。本研究旨在评估HCC患者对经动脉化疗栓塞(TACE)的反应与白细胞介素28B(IL28B)和血管生成素2(ANGPT2)的遗传多态性有关。
    对104例接受TACE治疗的埃及肝癌患者进行前瞻性队列研究。用实验室数据分析进行IL28B和ANGPT2基因的基因分型。
    在基线IL28Brs12979860基因型C/T,C/C和T/T出现在43.9%,34.6%和21.5%,而ANGPT2rs55633437基因型为C/C,C/A和A/A发现71.03%,分别为28.04%和0.93%。经过一个月的治疗,51.4%的患者达到完全缓解。与IL28Brs12979860基因型之间存在显着差异(p=0.017),而ANGPT2rs55633437基因型(p=0.432)在TACE一个月后的患者反应中没有显着差异。结论:本研究证明了TACE在埃及HCC患者中的有效性,低复发率证明了这一点。此外,IL28Brs12979860(C/T)基因可能与埃及HCC患者TACE治疗的疗效和预后相关.
    该试验已在ClinicalTrials.gov注册(CT.gov标识符:NCT05291338)。
    UNASSIGNED: Genetic polymorphisms play a crucial role in predicting treatment efficacy in patients with hepatocellular carcinoma (HCC). This study aims to evaluate the response to Transarterial Chemoembolization (TACE) in relation to the genetic polymorphisms of interleukin 28B (IL28B) and angiopoietin-2 (ANGPT2) in HCC patients.
    UNASSIGNED: Prospective cohort study conducted on 104 eligible HCC Egyptian patients who underwent TACE using doxorubicin and lipiodol. Genotyping of the IL28B and ANGPT2 genes was performed with laboratory data analysis.
    UNASSIGNED: At baseline IL28B rs12979860 genotypes C/T, C/C and T/T appeared in 43.9%, 34.6% and 21.5% while ANGPT2 rs55633437 genotypes C/C, C/A and A/A found in 71.03%, 28.04% and 0.93% of patients respectively. After one month of therapy, 51.4% of patients achieved a complete response. There was a significant difference in relation to IL28B rs12979860 genotypes (p = 0.017) whereas ANGPT2 rs55633437 genotypes (p = 0.432) showed no significant difference in patient response after one month of TACE. Conclusion:This study demonstrates the effectiveness of TACE in Egyptian HCC patients, as evidenced by low recurrence rates. Furthermore, the IL28B rs12979860 (C/T) gene may be associated with the efficacy and prognosis of TACE treatment in HCC Egyptian patients.
    UNASSIGNED: The trial is registered at ClinicalTrials.gov (CT.gov identifier: NCT05291338).
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  • 文章类型: Journal Article
    背景:幽门螺杆菌感染是胃肠道疾病的重要病原体。先前的研究已经确定单核苷酸多态性(SNP)是与幽门螺杆菌感染相关的因素。值得注意的是,Leb和唾液酸-Lex抗原,受FUT3和FUT6基因调控,在幽门螺杆菌感染中起着至关重要的作用。本研究旨在探讨中国北方汉族人群FUT3和FUT6基因多态性与幽门螺杆菌感染的相关性。
    方法:采用免疫比浊法检测幽门螺杆菌感染,将受试者分为感染组和未感染组。通过测序鉴定基因变体。最后,分析FUT3和FUT6基因多态性以评估其与幽门螺杆菌感染的相关性。
    结果:感染组中T等位基因(rs778805)和G等位基因(rs61147939)的频率明显高于非感染组(63.4%vs.55.1%,p=0.045;55.2%vs.47.0%,分别为p=0.042)。在感染组中,隐性模型中AA基因型(rs3745635)的频率,隐性模型中的TT基因型(rs778805),和GG基因型(rs61147939)在隐性模型显著高于非感染组(5.8%vs.2.3%,p=0.042;41.9%vs.29.3%,p=0.022;34.9%vs.20.5%,分别为p=0.0068)。感染组FUT6基因的A13单倍型和A13/A13复型的频率明显高于非感染组(55.56%vs.46.32%,p=0.019;34.94%vs.20.30%,分别为p=0.045)。rs778805-rs17855739-rs28362459-rs3745635组合被鉴定为最佳相互作用模型(p<0.05)。
    结论:这项研究表明,在中国北方的汉族人群中,FUT3和FUT6基因多态性与幽门螺杆菌感染显著相关。
    BACKGROUND: Helicobacter pylori infection is a significant pathogen in gastrointestinal diseases. Previous studies have identified single-nucleotide polymorphisms (SNPs) are factors associated with H. pylori infection. Notably, Leb and Sialyl-Lex antigens, regulated by the FUT3 and FUT6 genes, play a crucial role in H. pylori infection. This study aimed to investigate the correlation between FUT3 and FUT6 gene polymorphisms and H. pylori infection in the Han population of northern China.
    METHODS: An immunoturbidimetric assay was employed to detect H. pylori infection, categorizing subjects into infected and noninfected groups. Gene variants were identified through sequencing. Finally, FUT3 and FUT6 gene polymorphisms were analyzed to assess their association with H. pylori infection.
    RESULTS: The frequency of the T allele (rs778805) and the G allele (rs61147939) in the infection group was significantly higher than that in the noninfection group (63.4% vs. 55.1%, p = 0.045; 55.2% vs. 47.0%, p = 0.042, respectively). In the infection group, the frequency of the AA genotype (rs3745635) in the recessive model, the TT genotype (rs778805) in the recessive model, and the GG genotype (rs61147939) in the recessive model were significantly higher than the noninfection group (5.8% vs. 2.3%, p = 0.042; 41.9% vs. 29.3%, p = 0.022; 34.9% vs. 20.5%, p = 0.0068, respectively). The frequency of the A13 haplotype and the A13/A13 diplotype of the FUT6 gene was significantly higher in the infection group than in the noninfection group (55.56% vs. 46.32%, p = 0.019; 34.94% vs. 20.30%, p = 0.045, respectively). The rs778805-rs17855739-rs28362459-rs3745635 combination was identified as the best interaction model (p < 0.05).
    CONCLUSIONS: This study suggests that FUT3 and FUT6 gene polymorphisms are significantly associated with H. pylori infection in the Han Chinese from northern China.
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  • 文章类型: Journal Article
    儿童对原发性免疫性血小板减少症的病理生理学和易感性与白细胞介素(IL)-1B和IL-1受体(IL-1R)拮抗剂基因的多态性有关。
    研究儿童原发性ITP的易感性和严重程度与IL-1B和IL-1R拮抗剂基因多态性之间的关系。
    这项比较病例对照研究是在梅诺菲亚大学医院血液和肿瘤科进行的,儿科,2022年至2023年9月之间。孩子们被转移到病人身上(28名男孩,22名女孩)接受医院和门诊治疗和控制(50名年龄和性别匹配的健康儿童)。
    IL1B基因rs16944的突变纯合GG基因型和突变G等位基因在患者中明显高于对照组(P<0.001)。此外,与对照组相比,病例组IL-1R拮抗剂基因的突变型纯合II/II基因型和杂合I/II基因型显著更大.与对照组相比,突变II等位基因在患者中明显更普遍(P<0.001)。
    IL-1B和IL-1R拮抗剂可能对免疫性血栓-血细胞减少症的发展产生重大影响。此外,我们发现IL-1B和IL-1R拮抗剂基因多态性与儿童的病因之间存在关系。
    UNASSIGNED: The pathophysiology and susceptibility of children to primary immune thrombocytopenia are linked to polymorphisms of the interleukin (IL)-1B and IL-1 receptor (IL-1R) antagonist genes.
    UNASSIGNED: To investigated the association between the susceptibility and severity of primary ITP in children and the IL-1B and IL-1R antagonist gene polymorphisms.
    UNASSIGNED: This comparative case-control study was con-ducted at the Menoufia University Hospital Hematology and Oncology Unit, Pediatric Department, between Au-gust 2022 and September 2023. The children were di vided into patients (28 boys, 22 girls) who received hospital and outpatient clinic care and controls (50 healthy age- and sex-matched children).
    UNASSIGNED: The mutant homozygous GG genotype and mutant G allele of rs16944 of the IL1B gene were consi-derably greater in patients than in controls (P<0.001). Furthermore, the mutant homozygous II/II genotype and heterozygous I/II genotype of the IL-1R antagonist gene were considerably greater in the case versus control group. The mutant II allele was significantly more prevalent in patients versus controls (P<0.001).
    UNASSIGNED: IL-1B and IL-1R antagonists may have a major impact on the development of immune thrombo-cytopenia. Furthermore, we found a relationship between IL-1B and IL-1R antagonist gene polymorphisms and the etiology of and children\'s.
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  • 文章类型: Journal Article
    尼古丁,香烟中的主要化合物,导致吸烟成瘾。尼古丁通过与烟碱乙酰胆碱受体结合作用于中脑的边缘多巴胺奖励环,促进多巴胺的释放,并产生奖励效果或满足感。这种满足感对于持续和强制使用烟草至关重要,因此,多巴胺在尼古丁依赖中起着至关重要的作用。许多研究已经确定了可能影响尼古丁成瘾易感性的多巴胺能途径的遗传多态性。多巴胺水平受合成影响很大,storage,释放,降解,和再摄取相关的基因,包括编码酪氨酸羟化酶的基因,多巴胺脱羧酶,多巴胺转运蛋白,多巴胺受体,多巴胺3-羟化酶,儿茶酚-O-甲基转移酶,和单胺氧化酶.在本文中,我们综述了上述基因多态性对下游吸烟行为和尼古丁依赖影响的研究进展,为阐明尼古丁依赖的遗传机制和未来戒烟的个性化治疗提供理论基础。
    Nicotine, the main compound in cigarettes, leads to smoking addiction. Nicotine acts on the limbic dopamine reward loop in the midbrain by binding to nicotinic acetylcholine receptors, promoting the release of dopamine, and resulting in a rewarding effect or satisfaction. This satisfaction is essential for continued and compulsive tobacco use, and therefore dopamine plays a crucial role in nicotine dependence. Numerous studies have identified genetic polymorphisms of dopaminergic pathways which may influence susceptibility to nicotine addiction. Dopamine levels are greatly influenced by synthesis, storage, release, degradation, and reuptake-related genes, including genes encoding tyrosine hydroxylase, dopamine decarboxylase, dopamine transporter, dopamine receptor, dopamine 3-hydroxylase, catechol-O-methyltransferase, and monoamine oxidase. In this paper, we review research progress on the effects of polymorphisms in the above genes on downstream smoking behavior and nicotine dependence, to offer a theoretical basis for the elucidation of the genetic mechanism underlying nicotine dependence and future personalized treatment for smoking cessation.
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  • 文章类型: Journal Article
    研究24个GWAS相关多态性基因变异对哈萨克人种族同质人群儿童B系急性淋巴细胞白血病(B-ALL)发展的遗传贡献。
    对205名B-ALL儿童和204名健康儿童进行了研究。使用TaqMan方法进行多态位点的基因分型。
    发现12种变异与儿童B-ALL风险显著相关(p<0.05),包括HLA基因的rs6457327,IL1RN基因的rs4251961,和TNF基因的rs1800630。携带CXCL12基因的保护性rs1801157多态性A的次要等位基因A可将哈萨克族人群中B-ALL的风险降低40%。
    结果显示多态遗传变异的显著关联,这可以作为开发预测B-ALL风险的有效方法的基础,早期诊断,及时治疗。
    UNASSIGNED: To investigate the genetic contribution of 24 GWAS-associated polymorphic gene variants on the development of children\'s B-lineage acute lymphoblastic leukemia (B-ALL) in an ethnically homogeneous population of Kazakhs.
    UNASSIGNED: A study of 205 children with B-ALL and 204 healthy children was conducted. Genotyping of polymorphic loci was carried out using the TaqMan method.
    UNASSIGNED: Significant associations (p < 0.05) with the risk of childhood B-ALL were found for twelve variants, including rs6457327 of the HLA gene, rs4251961 of the IL1RN gene, and rs1800630 of the TNF gene. Carriage of the minor allele A of the protective rs1801157 polymorphism A of the CXCL12 gene reduces the risk of B-ALL in the Kazakh population by 40%.
    UNASSIGNED: The results reveal significant associations of polymorphic genetic variants, which can serve as a basis for the development of effective methods for predicting the risk of B-ALL, early diagnosis, and timely treatment.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    探讨TNF-α-308G/Ars1800629基因多态性与类风湿关节炎(RA)易感性及严重程度的关系。PubMed的文献,EMBASE,搜索了WebofScience和CNKI数据库。两位作者独立筛选了文献,提取数据并评估纳入研究的偏倚风险。根据纳入和排除标准,建立了五个遗传模型:等位基因模型(A与G),主导模型(GA+AA与GG),隐性模型(AA与GG+GA),共同主导模型(AA与GG)和超主导模型(GG+AA与GA).采用Stata17.0软件进行Meta分析。总共纳入了34项符合条件的研究,包括12,611名受试者,包括RA组6,030例和6,581例对照。Meta分析结果显示,TNF-α-308G/Ars1800629基因多态性与RA易感性无显著相关性,每个遗传模型的比值比和95%置信区间(CI)[A与G:0.937(0.762-1.152);GA+AAvs.GG:0.918(0.733-1.148);AAvs.GG+GA:1.131(0.709-1.802);AAvs.GG:1.097(0.664-1.813);GG+AAvs.GA:1.108(0.894-1.373)]。TNF-α-308G/Ars1800629基因多态性与RA严重程度的关系,亚组分析计算结果表明,TNF-α-308G/Ars1800629基因多态性与欧洲人群RA的严重程度相关,基因模型和95%CI[GA+AAvs.GG:0.503(0.297-0.853);GG+AA与GA:2.268(1.434-3.590)].当通过假阳性报告概率评估本研究阳性结果的置信度时,观察到阳性结果是可靠的.TNF-α-308G/Ars1800629基因多态性与RA易感性无显著关联。然而,在欧洲人群中,与RA的严重程度存在显著关联.
    To investigate the association of gene polymorphisms of TNF-α-308G/A rs1800629 with the susceptibility and severity of rheumatoid arthritis (RA), literature from PubMed, EMBASE, Web of Science and CNKI databases was searched. Two authors screened the literature independently, extracted data and evaluated the risk of bias of the included studies. According to the inclusion and exclusion criteria, five genetic models were established: The allelic model (A vs. G), dominant model (GA + AA vs. GG), recessive model (AA vs. GG + GA), co-dominant model (AA vs. GG) and super-dominant model (GG + AA vs. GA). Stata 17.0 software was used for the meta-analysis. A total of 34 eligible studies with 12,611 subjects were included, including 6,030 cases in the RA group and 6,581 controls. Meta-analysis calculations revealed that the genetic polymorphisms of TNF-α-308G/A rs1800629 were not significantly associated with susceptibility to RA, with an odds ratio and 95% confidence interval (CI) for each genetic model [A vs. G: 0.937 (0.762-1.152); GA + AA vs. GG: 0.918 (0.733-1.148); AA vs. GG + GA: 1.131 (0.709-1.802); AA vs. GG: 1.097 (0.664-1.813); and GG + AA vs. GA: 1.108 (0.894-1.373)]. For the association between TNF-α-308G/A rs1800629 gene polymorphisms and the severity of RA, the results of subgroup analysis calculations showed that TNF-α-308G/A rs1800629 gene polymorphisms were associated with the severity of RA in European populations, with the gene model and 95% CI [GA + AA vs. GG: 0.503 (0.297-0.853); and GG + AA vs. GA: 2.268 (1.434-3.590)]. When assessing the confidence in the positive results of the present study through the false-positive report probability, the positive results were observed to be reliable. No significant association was observed between genetic polymorphisms in TNF-α-308G/A rs1800629 and susceptibility to RA. However, a significant association exists with the severity of RA in European populations.
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  • 文章类型: Journal Article
    背景:目前尚不清楚使用酒精代谢酶醛脱氢酶2(ALDH2)和酒精脱氢酶1B(ADH1B)的联合分类以及酒精使用行为改变的简短干预是否可以减少过度饮酒。这项研究旨在研究基于ALDH2和ADH1B基因多态性筛查的简短干预对日本年轻人饮酒的影响。
    方法:在这项开放标签的随机对照试验中,我们招募了20-30岁有过度饮酒行为的成年人(平均饮酒量:男性,≥4杯/每天和女性,每天≥2杯;1杯饮料=10克纯酒精当量)。使用简单的随机数字表将参与者随机分为干预组或对照组。干预组进行基于唾液的酒精代谢酶(ALDH2和ADH1B)基因分型,分为五种类型。大约1个月后,根据基因分型测试结果和他们自己的饮酒记录,进行了30分钟的面对面或在线教育咨询。对照组接受传统酒精教育。平均每日饮酒量是根据饮酒日记计算的,记录在基线和随访3个月和6个月时.主要终点是平均每日饮酒量,次要终点是饮酒障碍消费鉴定试验(AUDIT-C)评分和使用跨理论模型评估的行为改变阶段.
    结果:使用简单随机化将参与者分为干预组(n=100)和对照组(n=96)。总的来说,对照组28例(29.2%),干预组21例(21.0%)未完成随访。干预组从基线到3个月和6个月的平均饮酒量显着下降,而对照组则没有下降。干预组3个月时基线饮酒量和AUDIT-C评分的下降幅度大于对照组(p<0.001)。此外,干预后行为改变阶段显著改变(p<0.001)。
    结论:酒精代谢酶的基因检测和特定类型过度饮酒的健康指导可能有助于减少与行为改变相关的持续平均饮酒。
    背景:R000050379,UMIN000044148,于2021年6月1日注册。
    BACKGROUND: It is unclear whether brief interventions using the combined classification of alcohol-metabolizing enzymes aldehyde dehydrogenase 2 (ALDH2) and alcohol dehydrogenase 1B (ADH1B) together with behavioral changes in alcohol use can reduce excessive alcohol consumption. This study aimed to examine the effects of a brief intervention based on the screening of ALDH2 and ADH1B gene polymorphisms on alcohol consumption in Japanese young adults.
    METHODS: In this open-label randomized controlled trial, we enrolled adults aged 20-30 years who had excessive drinking behavior (average amount of alcohol consumed: men, ≥  4 drinks/per day and women, ≥  2 drinks/per day; 1 drink = 10 g of pure alcohol equivalent). Participants were randomized into intervention or control group using a simple random number table. The intervention group underwent saliva-based genotyping of alcohol-metabolizing enzymes (ALDH2 and ADH1B), which were classified into five types. A 30-min in-person or online educational counseling was conducted approximately 1 month later based on genotyping test results and their own drinking records. The control group received traditional alcohol education. Average daily alcohol consumption was calculated based on the drinking diary, which was recorded at baseline and at 3 and 6 months of follow-up. The primary endpoint was average daily alcohol consumption, and the secondary endpoints were the alcohol-use disorder identification test for consumption (AUDIT-C) score and behavioral modification stages assessed using a transtheoretical model.
    RESULTS: Participants were allocated to the intervention (n = 100) and control (n = 96) groups using simple randomization. Overall, 28 (29.2%) participants in the control group and 21 (21.0%) in the intervention group did not complete the follow-up. Average alcohol consumption decreased significantly from baseline to 3 and 6 months in the intervention group but not in the control group. The reduction from baseline alcohol consumption values and AUDIT-C score at 3 months were greater in the intervention group than in the control group (p < 0.001). In addition, the behavioral modification stages were significantly changed by the intervention (p < 0.001).
    CONCLUSIONS: Genetic testing for alcohol-metabolizing enzymes and health guidance on type-specific excessive drinking may be useful for reducing sustained average alcohol consumption associated with behavioral modification.
    BACKGROUND: R000050379, UMIN000044148, Registered on June 1, 2021.
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  • 文章类型: Journal Article
    抑郁症和冠心病(CHD)具有共同的风险机制。常见的单核苷酸多态性(SNP)可能与抑郁症合并冠心病的风险有关。
    本研究是根据PRISMA-P指南设计的。我们将包括病例对照研究和队列研究,调查基因SNP与抑郁症和冠心病合并症之间的关系。纽卡斯尔-渥太华量表(NOS)将用于评估偏倚的风险。当测量二分法的结果时,我们将在病例对照研究中使用比值比(OR)和95%置信区间(95CIs).五种遗传模型(等位基因模型,纯合模型,共同主导模型,主导模型,和隐性模型)将对每个纳入的研究进行评估。按种族进行亚组分析。如有必要,根据不同类型进行事后分析。
    本研究共纳入13项研究,包括的基因类型是作用于糖皮质激素的FKBP5和SGK1基因;miR-146a,作用于炎症机制的IL-4-589,IL-6-174,TNF-α-308,CRP-717基因;来自内皮细胞的eNOS基因;作用于自身免疫反应的HSP70基因;在RAS系统中介导Ang(1-7)的ACE2和MAS1基因;5-HTTLPR基因负责5-羟色胺5-HT和神经营养因子BDNF基因的转运。有三个关于5-HTTLPR和BDNF基因的研究,分别,虽然只有一项研究针对FKBP5,SGK1,miR-146a,IL-4-589,IL-6-174,TNF-α-308,CRP-717,eNOS,HSP70、ACE2和MAS1基因。我们没有对一项研究中报道的基因进行荟萃分析,并对探索5-HTTLPR和BDNF基因的研究分别进行荟萃分析。结果表明,对于5-HTTLPR基因,在共显性模型下,5-HTTLPR基因多态性与合并冠心病(CHD-D)的抑郁症之间存在统计学上的显着关联(LSvsLL:OR1.76,95CI1.20-2.59;SSvsLL:OR2.80,95CI1.45至5.41),主导模型(LS+SS与LL:OR2.06,95CI1.44至2.96),纯合模型(SSvsLL:OR2.8095CI1.45至5.5.41)对CHD-D有统计学意义,证明5-HTTLPR基因的多态性与CHD-D的发展有关,并且5-HTTLPR基因中的S等位基因可能是CHD-D的危险因素。对于BDNF基因,共显性基因模型之一之间没有显着差异(AAvsGG:OR6.63,95CI1.44至30.64),纯合基因模型(AA与GG:OR6.63,95%CI1.44至30.64),显性基因模型(GA+AAvsGG:OR4.29,95CI1.05至17.45),隐性基因模型(AA与GG+GA:OR2.71,95CI1.16至6.31),和等位基因模型(AvsG:OR2.59,95CI1.18至5.67)对CHD-D有统计学意义,证明BDNFrs6265基因多态性与CHD-D的发展有关,并且BDNFrs6265基因中的A等位基因可能是CHD-D的危险因素。我们分析了一项研究中报道的SNP的等位基因频率,发现microRNA146a基因rs2910164中的SNP,ACE2基因rs2285666中的SNP以及SGK1基因rs1743963和rs1763509中的SNP是CHD-D发展的危险因素。我们对涉及BDNFrs6265基因的三项研究进行了亚组分析。结果表明,在显性模型(GAAAvsGG:OR10.47,95CI3.53至31.08)和共显性模型(GAvsGG:OR6.40,95CI1.98至20.73)中,欧洲人群比亚洲人群更容易患CHD-D。具有统计学上的显著差异。相比之下,涉及5-HTTLPR基因的研究都是亚洲人群,因此未进行亚组分析.我们对探索5-HTTLPR和BDNFrs6265基因的研究进行了敏感性分析。结果表明,等位基因模型的结果,主导模式,隐性模型,5-HTTLPR和BDNFrs6265基因的纯合模型和共显性模型是稳定的。由于对5-HTTLPR和BDNF基因的研究数量有限,使用Begg的漏斗图和Egger的测试无法确定漏斗图的对称性。因此,我们没有评估发表偏倚.
    rs2910164处的microRNA146a基因,rs2285666处的ACE2基因和rs1743963和rs1763509处的SGK1基因的SNP,以及5-HTTLPR和BDNF基因位点的SNP与冠心病并发抑郁症的发作有关。我们建议未来的研究重点是研究SNP对冠心病合并抑郁的影响。特异性靶向rs6265的5-HTTLPR和BDNF基因。
    https://www.crd.约克。AC.英国/普华永道/,标识符CRD42021229371。
    UNASSIGNED: Depression and coronary heart disease (CHD) have common risk mechanisms. Common single nucleotide polymorphisms (SNPs) may be associated with the risk of depression combined with coronary heart disease.
    UNASSIGNED: This study was designed according to the PRISMA-P guidelines. We will include case-control studies and cohort studies investigating the relationship between gene SNPs and depression and coronary heart disease comorbidities. The Newcastle-Ottawa Scale (NOS) will be used to assess the risk of bias. When measuring dichotomous outcomes, we will use the odds ratio (OR) and 95% confidence interval (95%CIs) in a case-control study. Five genetic models (allele model, homozygous model, co-dominant model, dominant model, and recessive model) will be evaluated for each included study. Subgroup analysis by ethnicity will be performed. If necessary, post hoc analysis will be made according to different types.
    UNASSIGNED: A total of 13 studies were included in this study, and the types of genes included are FKBP5 and SGK1 genes that act on glucocorticoid; miR-146a, IL-4-589, IL-6-174, TNF-α-308, CRP-717 genes that act on inflammatory mechanisms; eNOS genes from endothelial cells; HSP70 genes that act on the autoimmune response; ACE2 and MAS1 genes that act to mediate Ang(1-7) in the RAS system; 5-HTTLPR gene responsible for the transport of serotonin 5-HT and neurotrophic factor BDNF gene. There were three studies on 5-HTTLPR and BDNF genes, respectively, while there was only one study targeting FKBP5, SGK1, miR-146a, IL-4-589, IL-6-174, TNF-alpha-308, CRP-717, eNOS, HSP70, ACE2, and MAS1 genes. We did not perform a meta-analysis for genes reported in a single study, and meta-analysis was performed separately for studies exploring the 5-HTTLPR and BDNF genes. The results showed that for the 5-HTTLPR gene, there was a statistically significant association between 5-HTTLPR gene polymorphisms and depression in combination with coronary diseases (CHD-D) under the co-dominant model (LS vs LL: OR 1.76, 95%CI 1.20-2.59; SS vs LL: OR 2.80, 95%CI 1.45 to 5.41), the dominant model (LS+SS vs LL: OR 2.06, 95%CI 1.44 to 2.96), and the homozygous model (SS vs LL: OR 2.80 95%CI 1.45 to 5.5.41) were statistically significant for CHD-D, demonstrating that polymorphisms in the 5-HTTLPR gene are associated with the development of CHD-D and that the S allele in the 5-HTTLPR gene is likely to be a risk factor for CHD-D. For the BDNF gene, there were no significant differences between one of the co-dominant gene models (AA vs GG: OR 6.63, 95%CI 1.44 to 30.64), the homozygous gene model (AA vs GG: OR 6.63,95% CI 1.44 to 30.64), the dominant gene model (GA+AA vs GG: OR4.29, 95%CI 1.05 to 17.45), recessive gene model (AA vs GG+GA: OR 2.71, 95%CI 1.16 to 6.31), and allele model (A vs G: OR 2.59, 95%CI 1.18 to 5.67) were statistically significant for CHD-D, demonstrating that BDNFrs6265 gene polymorphisms are associated with the CHD-D development and that the A allele in the BDNFrs6265 gene is likely to be a risk factor for CHD-D. We analyzed the allele frequencies of SNPs reported in a single study and found that the SNPs in the microRNA146a gene rs2910164, the SNPs in the ACE2 gene rs2285666 and the SNPs in the SGK1 gene rs1743963 and rs1763509 were risk factors for the development of CHD-D. We performed a subgroup analysis of three studies involving the BDNFrs6265 gene. The results showed that European populations were more at risk of developing CHD-D than Asian populations in both dominant model (GA+AA vs GG: OR 10.47, 95%CI 3.53 to 31.08) and co-dominant model (GA vs GG: OR 6.40, 95%CI 1.98 to 20.73), with statistically significant differences. In contrast, the studies involving the 5-HTTLPR gene were all Asian populations, so subgroup analyses were not performed. We performed sensitivity analyses of studies exploring the 5-HTTLPR and BDNF rs6265 genes. The results showed that the results of the allele model, the dominant model, the recessive model, the homozygous model and the co-dominant model for both 5-HTTLPR and BDNF rs6265 genes were stable. Due to the limited number of studies of the 5-HTTLPR and BDNF genes, it was not possible to determine the symmetry of the funnel plot using Begg\'s funnel plot and Egger\'s test. Therefore, we did not assess publication bias.
    UNASSIGNED: SNPs of the microRNA146a gene at rs2910164, the ACE2 gene at the rs2285666 and the SGK1 gene at rs1743963 and rs1763509, and the SNPs at the 5-HTTLPR and BDNF gene loci are associated with the onset of comorbid depression in coronary heart disease. We recommend that future research focus on studying SNPs\' impact on comorbid depression in coronary heart disease, specifically targeting the 5-HTTLPR and BDNF gene at rs6265.
    UNASSIGNED: https://www.crd.york.ac.uk/prospero/, identifier CRD42021229371.
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