目的:研究P-选择素基因 -2123位点多态性与儿童过敏性紫癜(HSP)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)分析方法对86例HSP患儿(其中40例合并肾炎)和70例健康对照进行基因多态性检测。结果与对照组比较,HSP患儿P-选择素基因 -2123位点GG基因型频率和G等位基因频率均明显增高(P<0.05)。合并肾炎患儿与未合并肾炎患儿比较,该位点各基因型频率及等位基因频率差异均无统计学意义(P>0.05)。结论 P-选择素基因 -2123位点多态性可能与儿童HSP发病有关。
Abstract
OBJECTIVE: To investigate whether P-selectin gene -2123 polymorphism is associated with the pathogenesis of Henoch-Schonlein purpura (HSP) in children. METHODS: Polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) is used to identify the distribution of allele and genotype frequencies of P-selectin gene promoter -2123 polymorphism in 86 children with HSP (including 40 cases of purpura nephritis) and 70 healthy controls. RESULTS: Compared with the healthy controls, the frequencies of GG genotype and G allele of P-selectin promoter -2123 in children with HSP increased significantly (P<0.05). There were no significant differences in P-selectin promoter -2123 genotype and allele frequencies between the patients with and without nephritis. CONCLUSIONS: P-selectin gene promoter -2123 polymorphism appears to be associated with the pathogenesis of HSP in children.
关键词
过敏性紫癜 /
肾炎 /
P-选择素 /
基因多态性 /
儿童
Key words
Henoch-Schonlein purpura /
Nephritis /
P-selectin /
Gene polymorphism /
Child
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1]Dillon MJ. Henoch-Sch-nlein purpura: recent advances[J]. Clin Exp Rheumatol, 2007, 25(1 Suppl 44): S66-S68.
[2]王艳侠,张爱平,张颖玮,张磊.紫癜性肾炎患者血和肾组织P-选择素的表达及意义[J]. 中华风湿病学杂志,2003,7(6):343-345.
[3]Gok F, Ugur Y, Ozen S, Dagdeviren A. Pathogenesis-related adhesion molecules in Henoch-Schonlein vasculitis[J]. Rheumatol Int, 2008, 28(4): 313-316.
[4]胡亚美,江载芳.诸福棠实用儿科学[M].第7版.上册.北京:人民卫生出版社,2002: 250-282.
[5]中华医学会儿科学分会肾脏病学组.小儿肾小球疾病的临床分类、诊断及治疗[J].中华儿科杂志,2001,39(12):748.
[6]明凯华,李艳,夏尊恩,熊小泉. 中国汉族人群P选择素基因多态性的研究[J]. 临床检验杂志,2006,24(4):285-288.
[7]McEver RP, Beckstead JH, Moore KL, Marshall-Carlson L, Bainton DF. GMP-140, a platelet alpha-granule membrane protein, is also synthesized by vascular endothelial cells and is localized in Weibel-Palade bodies[J].J Clin lnvest, 1989, 84(l): 92-99.
[8]Dole VS, Bergmeier W, Mitchell HA, Eichenberger SC, Wagner DD. Activated platelets induce Weibel-Palade-body secretion and leukocyte rolling in vivo: role of P-selectin[J].Blood, 2005, 106(7): 2334-2339.
[9]王朝晖,王伟铭,周同,陈晓农,潘晓霞,朱杰,等.P-选择素基因单核苷酸多态性与IgA肾病的相关性[J].中华内科杂志,2006,45(7):559-564.
[10]Turkoz Y, Evereklioglu C, Ozkiris A, Mistik S, Borlu M, Ozerol IH, et al. Serum levels of soluble P-selectin are increased and associated with disease activity in patients with Behcet's syndrome[J]. Mediators Inflamm, 2005(4): 237-241.
[11]Segawa C, Wada T, Takaeda M, Furuichi K, Matsuda I, Hisada Y,et al. In situ expression and soluble from of P-selectin in human glomerulone phriric[J]. Kidney Int, 1997, 52(4):1054-1063.
[12]Zingarelli B, Salzman AL, Szabo C. Genetic disruption of poly (ADP ribose) synthetase inhibits the expression of P-selectin and intercellular adhesion molecule-1 in myocardial ischemia/reperfusion injury[J].Circ Res, 1998, 83(l): 85-90.
[13]Davin JC, Weening JJ. Henoch-Sch-nlein purpura nephritis: an update[J]. Eur J Pediatr, 2001, 160(12): 689-695.
[14]陈述枚,莫樱.过敏性紫癜肾炎的病因和发病机制[J].中国实用儿科杂志,2001,16(4): 193-194.
[15]Amoli MM, Thomson W, Hajeer AH, Calvino MC, Garcia-porrua C, Ollier WE, et al. Interleukin 1 receptor antagonist gene polymorphism is associated with severe renal involvement and renal sequelae in Henoch-Sch-nlein purpura[J]. J Rheumatol, 2002, 29(7): l404-1407.
[16]杨军,李成荣,李永柏,黄惠君,王国兵.甘露糖结合凝集素基因多态性与中国汉族儿童过敏性紫癜的相关性研究[J]. 中国当代儿科杂志,2003,5(6):523-526.