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SERPINB8基因多態(tài)性與漢族人尋常型銀屑病表型的相關性研究

發(fā)布時間:2018-09-17 16:47
【摘要】:研究背景銀屑病(Psoriasis,OMIM*177900)是一種長期的慢性炎癥性皮膚病,遺傳因素與環(huán)境因素在疾病的發(fā)生發(fā)展過程中起重要的作用,據(jù)統(tǒng)計漢族人發(fā)病率是0.123%。尋常型銀屑病(Psoriasis vulgaris,PV)是最常見的臨床類型,占99%以上。本課題組通過銀屑病全基因組關聯(lián)分析(Genome-wide association study,GWAS)研究發(fā)現(xiàn)漢族人尋常型銀屑病易感性與SERPINB8(rs514315)基因多態(tài)性顯著相關。 目的對尋常型銀屑病發(fā)病年齡、家族史及臨床類型進行分層分析,在漢族人群中研究SERPINB8(rs514315)多態(tài)性與尋常型銀屑病患者臨床表型的相關性,為進一步探討銀屑病的發(fā)病機制提供重要的遺傳學依據(jù)。 方法7,227例銀屑病患者和11,313例正常對照的SERPINB8基因多態(tài)位點rs514315的基因分型(CC、CT、TT)資料一部分來源于本課題組前期的銀屑病GWAS數(shù)據(jù)(包括1,031例銀屑病患者和1,120例正常對照)的Illumina 610芯片基因分型結(jié)果,其他部分來源于驗證1(4,338例銀屑病患者和5,058例正常對照)和驗證2(1,858例銀屑病患者和5,135例正常對照)的Sequenom MassArray系統(tǒng)和Biosystems TaqMan assays基因分型分型數(shù)據(jù)。數(shù)據(jù)資料經(jīng)適當轉(zhuǎn)化后應用社會科學統(tǒng)計軟件包SPSS 10.0對資料進行統(tǒng)計學分析。χ~2檢驗用于比較各組間SERPINB8基因多態(tài)位點rs514315基因型和等位基因的頻率分布。 結(jié)果1.病例組與對照組的基因型頻率分布總體差異具有統(tǒng)計學意義(χ~2 =30.22,df=2,P= 2.74×10~(-7),病例組與對照組的等位基因頻率分布差異亦具有統(tǒng)計學意義(χ~2 =30.15,df=1,P= 3.99×10~(-8),OR 1.15,95%CI 1.09-1.20)。2.少兒發(fā)病患者與對照比較,rs514315位點基因型和等位基因分布差異均有統(tǒng)計學意義(χ~2=19.23,df=2,P= 6.67×10~(-5);χ~2=19.08,df=1,P=1.25×10~(-5),OR 1.21,95%CI 1.11-1.31)。成人發(fā)病患者分別與對照比較,rs514315位點基因型和等位基因分布差異亦具有統(tǒng)計學意義(χ~2=19.54,df=2,P=5.72×10~(-5);χ~2=19.46,df=1,P=1.02×10~(-5),OR 1.13,95%CI 1.07-1.19)。少兒發(fā)病患者和成人發(fā)病患者間rs514315位點基因型和等位基因分布差異均無統(tǒng)計學意義(χ~2=2.18,df=2,P=0.34;χ~2=2.10,df=1,P=0.15,OR 0.94,95%CI 0.86-1.02)。3.家族史陽性患者與對照比較,rs514315位點基因型和等位基因分布差異均有統(tǒng)計學意義(χ~2=17.96,df=2,P=1.26×10-4;χ~2=17.08,df=1,P=3.59×10~(-5),OR 1.19,95%CI 1.10-1.30)。家族史陰性患者與對照比較,rs514315位點基因型和等位基因分布差異亦具有統(tǒng)計學意義(χ~2=20.82,df=2,P=3.02×10~(-5);χ~2=20.54,df=1,P=5.84×10~(-6),OR 1.13,95%CI 1.07-1.19)。家族史陽性患者和陰性患者間rs514315位點基因型和等位基因分布差異均無統(tǒng)計學意義(χ~2=2.45,df=2,P=0.29;χ~2=1.31,df=1,P=0.25,OR 0.95,95%CI 0.87-1.04)。4.慢性斑塊型患者與對照比較,rs514315位點基因型和等位基因頻率分布總體差異均具有統(tǒng)計學意義(χ~2=29.62,df=2,P=3.69×10~(-7);χ~2=29.55,df=1,P=5.43×10~(-8),OR 1.16,95%CI 1.10-1.23)。急性點滴型患者與對照之間rs514315位點基因型和等位基因頻率分布總體差異均具有統(tǒng)計學意義(χ~2=6.02,df=2,P=0.049;χ~2=6.00,df=1,P=1.4×10~(-2),OR 1.10,95%CI 1.02-1.20)。慢性斑塊型患者和急性點滴型患者之間rs514315位點基因型和等位基因頻率分布差異均無統(tǒng)計學意義(χ~2=1.31,df=2,P=0.52;χ~2=1.31,df=1,P=0.25,OR 1.05,95%CI 0.97-1.15)。 結(jié)論1. SERPINB8基因(rs514315)遺傳多態(tài)性與漢族人群尋常型銀屑病的易感性相聯(lián);2.SERPINB8基因(rs514315)遺傳多態(tài)性與銀屑病的發(fā)病年齡、有無家族史、臨床發(fā)病類型無明顯相關性。
[Abstract]:Background Psoriasis (OMIM * 177900) is a chronic inflammatory skin disease. Genetic and environmental factors play an important role in the occurrence and development of the disease. According to statistics, the incidence of psoriasis vulgaris (PV) is the most common clinical type, accounting for more than 99%. Genome-wide association study (GWAS) showed that the susceptibility to psoriasis vulgaris was significantly correlated with the SERPINB8 (rs514315) gene polymorphism.
Objective To study the relationship between SERPINB8 (rs514315) polymorphism and clinical phenotype of psoriasis vulgaris in Han population by stratified analysis of age, family history and clinical type of psoriasis vulgaris, and to provide important genetic basis for further study of the pathogenesis of psoriasis vulgaris.
Methods Seven hundred and twenty-seven patients with psoriasis and 11,313 normal controls were enrolled in this study. One part of the genotyping (CC, CT, TT) data of the SERPINNB8 gene polymorphism site, rs514315, was derived from the GWAS data of psoriasis (including 1,031 psoriatic patients and 1,120 normal controls), and the other part was from the results of Illumina 610 microarray genotyping. Syndrome 1 (4,338 psoriasis patients and 5,058 normal controls) and 2 (1,858 psoriasis patients and 5,135 normal controls) genotyping data of Sequenom Mass Array system and Biosystems TaqMan assays were validated. The frequency distribution of rs514315 genotype and allele of SERPINB8 polymorphic loci was compared.
Results 1. There was significant difference in genotype frequency distribution between the case group and the control group (_~2=30.22, df=2, P=2.74*10~(-7). There was also significant difference in allele frequency distribution between the case group and the control group (_~2=30.15, df=1, P=3.99*10~(-8), OR 1.15, 95% CI 1.09-1.20). 2. Compared with the control group, the incidence of childhood disease was significantly different. There were significant differences in genotype and allele distribution of 4315 loci (_~2=19.23, df=2, P=6.67 *10~(-5); _~2=19.08, df=1, P=1.25 *10~(-5), OR 1.21, 95% CI 1.11-1.31). There were also significant differences in genotype and allele distribution of rs5115 locus between adult patients and controls (_~2=19.54, df=2, P=5.72 *10). (967~2 = 2.18, DF = 2, P = 0.34; 96 ~ 2 = 2.10, DF = 1, P = 1.02 x 10-5, OR 1.13, 95% CI 1.13, 95% CI 1.07-1.19). There was no significant difference in the genotype and allele distribution of rs4315 locus between children and adultpatients (962 = 2.18, DF = 2, DF = 2, P = 2, P = 0.34; 962 = 2.10, DF = 1, P = 1, P = 0.15, P = 0.94, 95% CI 0.94, 95% CI 0.86-1.86-1.02).3.3.3.3.3.3.3.3.3.3.3.3.Locus There were significant differences in genotype and allele distribution (_~2=17.96, df=2, P=1.26*10-4; _~2=17.08, df=1, P=3.59*10-5, OR 1.19, 95% CI 1.10-1.30). There were also significant differences in genotype and allele distribution at rs5115 locus between family history negative patients and controls (_~2=20.82, df=2, P=3.02*10-5). There was no significant difference in the genotype and allele distribution of rs514315 locus between positive and negative family history patients (_~2 = 2.45, DF = 2, P = 0.29; _~2 = 1.31, DF = 1, P = 0.25, OR 0.95, 95% CI 0.87-1.04). There were significant differences in gene frequency distribution (_~2 = 29.62, DF = 2, P = 3.69 (-7); _~2 = 29.55, DF = 1, P = 5.43 (-8), OR 1.16, 95% CI 1.10-1.23). There were significant differences in genotype and allele frequency distribution of rs5115 between patients with acute drip and controls (_~2 = 6.02, DF = 2, P = 0.049). There was no significant difference in the frequency distribution of rs514315 genotype and allele between patients with chronic plaque and patients with acute drip (_~2 = 1.31, DF = 2, P = 0.52; _~2 = 1.31, DF = 1, P = 0.25, OR 1.05, 95% CI 0.97-1.15).
Conclusion 1. The genetic polymorphism of SERPINB8 gene (rs514315) is associated with the susceptibility of psoriasis vulgaris in the Han population; 2. The genetic polymorphism of SERPINB8 gene (rs514315) is associated with the age of onset of psoriasis, whether there is a family history, and there is no significant correlation between the clinical types of psoriasis.
【學位授予單位】:安徽醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2011
【分類號】:R758.63

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