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EDN1基因遗传多态性与糖尿病肾病的相关性研究OACSTPCD

Relationship between genetic polymorphism of EDN1 gene and diabetic nephropathy

中文摘要英文摘要

目的 探讨EDN1 基因的遗传多态性对汉族 2 型糖尿病肾病发生的影响.方法 选取 2020 年 1 月至 12 月就诊华北石油管理局总医院汉族 2 型糖尿病患者 120 例,包括 60 例 2 型糖尿病肾病患者和 60 例性别、年龄相匹配的未患糖尿病肾病的 2 型糖尿病患者.通过聚合酶链反应(PCR)技术检测EDN1 rs5370 基因位点的多态性.结果 糖尿病肾病组血清总胆固醇、三酰甘油、低密度脂蛋白、血清尿素氮、血清肌酐和血清尿酸显著高于非糖尿病肾病组(P<0.05).EDN1 基因的rs5370 等位基因在糖尿病肾病组与非糖尿病肾病组间分布存在显著差异.携带T/T基因型的个体相比于携带G/G基因型的个体,糖尿病肾病的发生风险显著降低[OR=0.357,95%CI(0.132、0.963),P=0.042].此外,携带等位基因T的个体相比于携带等位基因G的个体,其糖尿病肾病的风险也显著降低[OR=0.565,95%CI(0.339、0.942),P=0.029].结论 EDN1 基因的rs5370 多态性可能与 2 型糖尿病肾病的发生风险相关,T等位基因可能对糖尿病肾病发生具有保护作用.

Objective To investigate the effect of genetic polymorphism of EDN1 gene on the incidence of type 2 diabetic ne-phropathy among the Han nationality in northern China.Methods This study involved 120 Han population,including 60 patients with type 2 diabetic nephropathy and 60 patients with type 2 diabetes but without nephropathy matched by sex and age.Polymorphisms of EDN1 rs5370 locus were detected using polymerase chain reaction(PCR)techniques.Results Serum levels of total cholesterol,tri-glycerides,low-density lipoprotein,creatinine and uric acid were notably elevated in the diabetic nephropathy group compared with the non-nephropathy diabetes group.There was a significant difference in the distribution of the EDN1 rs5370 alleles between the groups.Individuals with T/T genotype had a significantly lower risk of diabetic nephropathy compared to those with G/G genotype[OR=0.357,95%CI(0.132-0.963),P=0.042].Additionally,individuals with T allele had a significantly lower risk of diabetic nephrop-athy compared to those with G allele[OR=0.565,95%CI(0.339-0.942),P=0.029].Conclusions The rs5370 polymorphism of EDN1 gene may be associated with the risk of type 2 diabetic nephropathy,especially the T allele may offer a protective effect.These findings provide important insights into the genetic mechanisms of diabetic nephropathy and may influence future strategies for preven-tion and treatment.

李典耕;郭玉洁;金美玲;高玲玲;陈有利

100015,首都医科大学附属北京地坛医院科技处100020,首都医科大学附属北京朝阳医院肾内科062553 石家庄,华北石油管理局总医院内科101100,北京市人民代表大会常务委员会综合保障中心医务室

临床医学

DNEDN1基因多态性

diabetic nephropathyEDN1gene polymorphism

《武警医学》 2024 (006)

484-487 / 4

首都医科大学附属北京地坛医院"优秀青年人才培养计划"(QS202401);北京市朝阳区委组织部"凤凰计划·青年拔尖人才"项目(QB202112-01)

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