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孙义, 陈堃, 叶海玲, 黄淑娜, 蔡莹莹, 徐兴燕, 刘邦, 林少炜, 吴思英. 特定环状RNA及其与超重联合作用对糖尿病患病影响[J]. 中国公共卫生, 2021, 37(4): 660-663. DOI: 10.11847/zgggws1123673
引用本文: 孙义, 陈堃, 叶海玲, 黄淑娜, 蔡莹莹, 徐兴燕, 刘邦, 林少炜, 吴思英. 特定环状RNA及其与超重联合作用对糖尿病患病影响[J]. 中国公共卫生, 2021, 37(4): 660-663. DOI: 10.11847/zgggws1123673
SUN Yi, CHEN Kun, YE Hai-ling, . Joint effect of specific circular RNA and overweight on diabetes: a hospital-based case-control study[J]. Chinese Journal of Public Health, 2021, 37(4): 660-663. DOI: 10.11847/zgggws1123673
Citation: SUN Yi, CHEN Kun, YE Hai-ling, . Joint effect of specific circular RNA and overweight on diabetes: a hospital-based case-control study[J]. Chinese Journal of Public Health, 2021, 37(4): 660-663. DOI: 10.11847/zgggws1123673

特定环状RNA及其与超重联合作用对糖尿病患病影响

Joint effect of specific circular RNA and overweight on diabetes: a hospital-based case-control study

  • 摘要:
      目的  探讨外周血淋巴细胞中环状RNA(circular RNAs,circRNAs)及其与超重的联合作用在糖尿病中的作用,为糖尿病的防控提供参考依据。
      方法  采用病例 – 对照研究的方法,选取2017年04月 — 2018年10月在福建医科大学附属第一医院和福建医科大学附属协和医院的1 170个患者进行问卷调查、健康体检和实验室检测;运用实时荧光定量PCR检测circRNAs(hsa_circ_0008507、hsa_circ_0001946及hsa_circ_0000284)在36例病例组和164例对照组中的表达情况;采用多因素Logistic回归模型和叉生分析等探讨circRNAs与超重联合作用对糖尿病的影响。
      结果  经性别和年龄等混杂因素调整后,超重(OR = 1.402,95 % CI = 1.020~1.929)、hsa_circ_0008507(OR = 2.661,95 % CI = 1.099~6.447)和hsa_circ_0001946(OR = 3.790,95 % CI = 1.140~12.602)是患糖尿病的危险因素;联合作用分析提示,超重合并hsa_circ_0008507高表达(OR = 6.122,95 % CI = 1.485~25.237)或合并hsa_circ_0001946高表达(OR = 4.523,95 % CI = 1.148~17.816)能增加患糖尿病的风险;超重与hsa_circ_0008507高表达或hsa_circ_0001946高表达均不存在相乘及相加交互作用(P > 0.05)。
      结论  hsa_circ_0008507及hsa_circ_0001946可能与患糖尿病有关,合并超重可增加糖尿病的患病风险。

     

    Abstract:
      Objective  To investigate the expression of circular RNAs (circRNAs) in peripheral blood lymphocytes and joint effect of circRNAs expression and overweight on diabetes for providing references for the prevention and control of diabetes.
      Methods  We conducted questionnaire interviews, physical examination and laboratory detection among 233 diabetic cases and 937 controls recruited at two general hospitals affiliated to Fujian Medical University in Fujian province during April 2017 and October 2018. Real-time quantitative PCR was used to detect the expression of circRNAs (hsa_circ_0008507, hsa_circ_0001946 and hsa_circ_0000284) in 36 cases and 164 controls. Multivariate logistic regression model and crossover analysis were utilized to analyze the interaction between circRNAs and overweight and their effect on diabetes.
      Results  After adjusting for confounding factors such as gender and age, overweight (odds ratio OR = 1.402, 95% confidence interval 95% CI: 1.020 – 1.929), high expressions of hsa_circ_0008507 (OR = 2.661, 95% CI: 1.099 – 6.447) and hsa_circ_0001946 (OR = 3.790, 95% CI: 1.140 – 12.602) were risk factors for diabetes incidence. Further analyses revealed that the participants with both overweight and high expression of hsa_circ_0008507 (OR = 6.122, 95% CI: 1.485 – 25.237) and the participants with both overweight and high expression of hsa_circ_0001946 (OR = 4.523, 95% CI: 1.148 – 17.816) had increased risk of diabetes. There were no multiplicative and additive interaction between overweight and high expressions of hsa_circ_0008507 and hsa_circ_0001946 based on interaction analysis (P > 0.05).
      Conclusion  The expression of hsa_circ_0008507 and hsa_circ_0001946 may be associated with diabetes incidence; the high expression of hsa_circ_0008507 and hsa_circ_0001946 combined with overweight could increase the risk of diabetes.

     

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