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P2RX7基因单核苷酸多态性与原发性痛风及高尿酸血症的相关性

  

  1. 1.宁波大学医学院,浙江 宁波 310000;2.宁波市第二医院 风湿免疫科,浙江 宁波 315010
  • 出版日期:2017-01-05 发布日期:2017-01-12
  • 通讯作者: 通信作者:陈勇,Email:nbdeyycy@163.com
  • 基金资助:
    浙江省医药卫生基金项目(2015KYB346)

Correlation between P2RX7 gene polymorphism and primary gout and hyperuricemia

  1. 1. School of Medicine,Ningbo University, Ningbo  310000, China;2. Department of Rheumatology,
    Ningbo No. 2 Hospital, Ningbo 315010, China
  • Online:2017-01-05 Published:2017-01-12
  • Contact: Corresponding author: Chen Yong,Email: nbdeyycy@163.com

摘要: 目的探讨P2RX7基因的五个位点(rs2230911, rs208294, rs435309, rs1718119和rs3751143)的单核苷酸多态性与宁波地区汉族男性原发性痛风发病和高尿酸血症的相关性。方法男性原发性痛风患者293例、男性高尿酸血症患者187例和男性健康对照者269例,用SNaPshot SNP分型技术对P2RX7基因五个位点的基因型进行检测。用Logistic回归来评估基因型与疾病的易感性程度。对各组基因型均进行HardyWeinberg平衡检验,用SHEsis软件对SNP位点进行连锁不平衡检验,并进行单倍型分析。结果P2RX7基因rs2230911,rs208294和rs1752809三个位点在研究人群中符合HardyWeinberg平衡检验(P>0.05)。其中原发性痛风和健康对照组基因型频率差异有统计学意义(P=0.002),且原发性痛风组等位基因rs2230911G的频率明显高于健康对照组(OR =1.755,95%CI=1.278~2.410,P<0.01);在显性模型中,原发性痛风的基因型(CG+GG)频率明显高于健康对照组(OR=1.876,95%CI=1.303~2.701,P=0.001)。结论P2RX7基因rs2230911位点单核苷酸多态性可能与宁波地区汉族男性原发性痛风发病相关,等位基因G是痛风发病的危险因素。该研究为原发性痛风的诊疗提供了可能的新靶点。

关键词: 痛风, 高尿酸血症, P2RX7, 多态性, 单核苷酸

Abstract: ObjectiveTo investigate the relationship between P2RX7 gene single nucleotide polymorphisms and primary gout and hyperuricemia in Ningbo Han male population.MethodsThe genetic distributions of the single nucleotide polymorphisms rs2230911, rs208294, rs435309, rs1718119 and rs3751143 in P2RX7 were detected in 293 primary gout patients, 187 hyperuricemia patients and 269 controls using SNaPshot technology. The susceptibility of genotypes and phenotypes to disease were assessed using logistic regression with odds ratios and 95% confidence interval(CI).The genetic distributions of each group were tested by HardyWeinberg equilibrium (HWE). SHEsis soft was used to calculate linkage disequilibrium blocks and haplotype association risk.ResultsThree SNPs (rs2230911, rs208294 and rs435309) followed the HardyWeinberg equilibrium (P>0.05). Compared with the control group, the frequencies of rs2230911 genotypes in patient with primary gout were significantly different (P=0.002). In addition,allele G had a higher frequency in primary gout compared with control (OR=1.755,95%CI=1.278   2.410,P<0.001). There was also a higher frequency of genotype (CG+GG) in primary gout compared with control group(OR=1.876,95%CI=1.303  2.701,P=0.001). ConclusionP2RX7 rs2230911 might be associated with primary gout risk in Ningbo Han male population. Moreover, allele G might be a susceptibility factor for primary gout. The research  provided a new target for primary gout diagnosis and treatment.

Key words: gout;hyperuricemia;P2RX7; polymorphism, single nucleotide