热休克蛋白70-hom基因多态性与儿童过敏性紫癜的相关性
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南京市医学重点发展项目(ZKX08007)


HSP70-hom polymorphism and susceptibility to childhood Henoch-Schonlein purpura
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    摘要:

    目的:探讨热休克蛋白70-hom(heat shock protein 70-hom,HSP70-hom)基因多态性与儿童过敏性紫癜发病的相关性-方法:应用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法检测131例过敏性紫癜患儿和66例正常儿童的HSP70-hom基因的+2437位核苷酸的Nco Ⅰ限制性内切酶位点的多态性-结果:HSP70-hom各基因型频率在过敏性紫癜组中分别为1.5%(TT)-34.4%(TC)和64.1%(CC),在对照组中分别为19.7%(TT)-19.7%(TC)和60.6%(CC),两组之间基因型分布频率的差异具有统计学意义(χ2 = 22.318,P < 0.05);T和C等位基因频率在过敏性紫癜组中分别为18.7%(T)和81.3%(C),在对照组中为29.5%(T)和70.5%(C),差别亦具有统计学意义(χ2 = 5.949,P < 0.05)-与携带TT基因型者比较,携带至少1个C等位基因(即TC和CC基因型)的个体患过敏性紫癜的风险增加18.83倍(95%CI:3.95~89.75)-过敏性紫癜非肾脏损害组与肾损害组TT-TC-CC基因型频率分别为2.4%-32.1%-65.5%和0%-38.3%-61.7%,差异不具有统计学意义(χ2 = 0.379,P > 0.05)-结论:HSP70-hom +2437T/C基因多态性是儿童过敏性紫癜发病的遗传易感因素,但与肾脏损害发生无显著相关性-

    Abstract:

    Objective:To investigate the potential involvement of gene variants of heat shock protein 70-hom(HSP70-hom) in childhood Henoch-Schonlein purpura. Methods:Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to analyze the polymorphisms of HSP70-hom +2437T/C in 131 children with Henoch-Schonlein purpura and 66 health controls. Results:HSP70-hom gene frequencies in children with Henoch-Schonlein purpura were 1.5%(TT),34.4%(TC),64.1%(CC),and 19.7%(TT),19.7%(TC),60.6%(CC) in health controls,the differences between two groups were statistically significant. In addition,the T,C allele frequencies were 18.7%(T),81.3%(C) in Henoch-Schonlein purpura group,and were 29.5%(T),70.5%(C) in control groups,the differences were statistically significant,too. Children carrying at least one +2437C variant allele(TC+CC genotype) had a significantly increased risk for childhood Henoch-Schonlein purpura compared with the wildtype genotype (+2437TT). However,the differences between children without renal involvement in Henoch-Schonlein purpura and children with renal complications did not reach statistical significance. Conclusion:The polymorphisms of HSP70-hom+2437 T/C are genetic predisposing predictors for Henoch-Schonlein purpura in children,but has no relationship with renal complications.

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徐锦雯,赵丽萍,朱春华,韩 媛,张爱华,黄松明.热休克蛋白70-hom基因多态性与儿童过敏性紫癜的相关性[J].南京医科大学学报(自然科学版),2012,(8):1075-1078

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  • 收稿日期:2012-03-30
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