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赵翔, 金律, 陈业达, 林美华, 覃继恒, 张乃尊, 梁岩, 饶绍奇. 广东汉族人群GLUT4基因多态性与冠心病关系[J]. 中国公共卫生, 2016, 32(5): 636-638. DOI: 10.11847/zgggws2016-32-05-19
引用本文: 赵翔, 金律, 陈业达, 林美华, 覃继恒, 张乃尊, 梁岩, 饶绍奇. 广东汉族人群GLUT4基因多态性与冠心病关系[J]. 中国公共卫生, 2016, 32(5): 636-638. DOI: 10.11847/zgggws2016-32-05-19
ZHAO Xiang, JIN Lü, CHEN Ye-da.et al, . Association of GLUT4 gene polymorphisms with risk of coronary heart disease in Han population in Guangdong province[J]. Chinese Journal of Public Health, 2016, 32(5): 636-638. DOI: 10.11847/zgggws2016-32-05-19
Citation: ZHAO Xiang, JIN Lü, CHEN Ye-da.et al, . Association of GLUT4 gene polymorphisms with risk of coronary heart disease in Han population in Guangdong province[J]. Chinese Journal of Public Health, 2016, 32(5): 636-638. DOI: 10.11847/zgggws2016-32-05-19

广东汉族人群GLUT4基因多态性与冠心病关系

Association of GLUT4 gene polymorphisms with risk of coronary heart disease in Han population in Guangdong province

  • 摘要: 目的 探讨中国广东汉族人群葡萄糖转运蛋白-4(GLUT4)基因多态性与冠心病易感性之间的关系。方法 采用多重单核苷酸多态性(SNP)分型试剂盒,对筛选的2个tagSNP位点(rs16956647、rs5435)在1044例冠心病患者和1349例非冠心病患者为对照进行基因分型;采用遗传分析软件Plink和统计分析软件SPSS 17.0分析SNP位点与冠心病的关联性。结果 SNP rs5435未满足Hardy-Weinberg平衡条件,予以剔除。校正性别、年龄、高血压、糖尿病、吸烟史、总胆固醇、甘油三酯、心率和体质指数后,rs16956647基因型与冠心病存在明显关联加性模型:P=0.016,OR=0.80(95%CI=0.67~0.96);显性模型:P=0.002,OR=0.71(95%CI=0.57~0.89)。进一步按是否患糖尿病分层后进行基因型关联分析,结果显示仅在糖尿病组rs16956647位点与冠心病呈显著关联加性模型:P=0.048,OR=0.82(95%CI=0.67~0.99);显性模型:P=0.007,OR=0.72(95%CI=0.56~0.91)。结论 在中国广东汉族人群中,GLUT4基因多态性与冠心病易感性之间的关联可能与患者胰岛素抵抗有关。

     

    Abstract: Objective to study the association between the single nucleotide polymorphism(SNP) of glucose transporter-4(GLUT4) gene and the susceptibility of the coronary heart disease(CHD) in Han population in Guangdong province.Methods Genotyping for the two selected tag SNP(rs16956647 and rs5435) in GLUT4 gene was conducted in 1 044 CHD cases and 1 349 health controls by using SNPscanTM Kit.Then, genetic analysis software Plink and statistical analysis software SPSS 17.0 were used to assess the association of the SNP loci with CHD.Results SNP of rs5435 was excluded because it did not agree with Hardy-Weinberg proportions.Significant genotypic association of rs16956647 with CHD was found after adjustment for gender, age, hypertension, diabetes, smoking, total cholesterol, and body mass index(additive model:P=0.016, odd ratioOR=0.8095% confidence interval:0.67-0.96;dominant model:P=0.002, OR=0.710.57-0.89).And further stratification analysis demonstrated that only in the diabetes subgroup, rs16956647 was significantly associated with CHD(additive model:P=0.048, OR=0.820.67-0.99;dominant model:P=0.007, OR=0.720.56-0.91).Conclusion In Han population in Guangdong province, the association of GLUT4 rs16956647 polymorphisms with CHD may be related to the insulin resistance that the gene confers, however, further studies are required to elucidate its molecular mechanism(s) precisely.

     

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