文章摘要
张效林,梁振洋,孙 莹,刘滕飞,蔡文芝,闫承慧.趋化因子CX3CL1与冠心病合并2 型糖尿病发病的相关关系[J].,2017,17(4):645-648
趋化因子CX3CL1与冠心病合并2 型糖尿病发病的相关关系
The Association between the Chemokine CX3CL1 and Coronary Artery Disease in Type 2 Diabetes Mellitus
投稿时间:2016-04-28  修订日期:2016-05-22
DOI:10.13241/j.cnki.pmb.2017.04.011
中文关键词: 冠心病  2 型糖尿病  CX3CL1基因  单核苷酸多态性  基因型
英文关键词: Coronary Artery Disease  Type 2 Diabetes Mellitus  CX3CL1  Single nucleotide polymorphism  Genotype
基金项目:国家自然科学基金项目(81100135)
作者单位E-mail
张效林 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840 xiaolindianyu75@163.com 
梁振洋 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840  
孙 莹 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840  
刘滕飞 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840  
蔡文芝 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840  
闫承慧 中国人民解放军沈阳军区总医院心内科 辽宁 沈阳110840  
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中文摘要:
      摘要 目的:探讨趋化因子CX3CL1与冠心病合并2 型糖尿病发病的相关关系。方法:采用病例-对照的研究方法,收集冠心病合并2型糖尿病患者400例,收集对照组400例,利用免疫组化检测冠心病合并2 型糖尿病患者颈外动脉旋切术后斑块组织中CX3CL1表达水平,分别检测上述2组不同人群血清中的CX3CL1表达水平,同时采用直接测序方法检测CX3CL1基因rs170364位点基因型及等位基因的分布频率在对照组和冠心病合并2 型糖尿病人群的分布差异。结果:冠心病合并2 型糖尿病患者颈外动脉斑块组织中CX3CL1表达明显增高,冠心病合并2 型糖尿病患者血清中CX3CL1的表达水平明显高于对照人群中CX3CL1的表达。CX3CL1基因rs170364单核苷酸多态位点的三种基因型分布频率(GG型,GT型和TT型)在冠心病合并2 型糖尿病患者的分布频率为42.7%,40.0%和17.2%,在对照组分布频率为50.2%,39.6%和10.2%,CX3CL1基因rs170364位点T等位基因是冠心病合并2 型糖尿病发病的一个独立危险因素(P<0.05)。Logistic回归校正性别、年龄、体重指数、吸烟、高血压、高脂血症等冠心病合并2 型糖尿病的易患因素后,CX3CL1基因rs170364 T等位基因仍是冠心病合并2型糖尿病发病的一个独立的危险因素。结论:CX3CL1在冠心病合并2 型糖尿病的患者血清和颈外动脉动脉血管组织中表达明显增高,CX3CL1基因rs170364 T等位基因可能是冠心病合并2 型糖尿病患者发病的独立危险因素。
英文摘要:
      ABSTRACT Objective: CX3CL1 played an important role in atherosclerosis recently. We investigated the association between the chemokine CX3CL1 with coronary artery disease in type 2 diabetes mellitus. Methods: CX3CL1 expression in carotid artery specimens was analysed by immunohistochemistry. The study was conducted in 400 coronary artery disease in type 2 diabetes mellitus and 400 control subjects in a case-control study.CX3CL1 gene rs170364 variant was detected by the directing sequencing technology. Results: CX3CL1 expressions were increased markedly in carotid artery plaque than in normal carotid artery. CX3CL1 gene rs170364 genotype (GG,GT and TT) frequency in coronary artery disease in type 2 diabetes mellitus is 42.7%, 40.0% and 17.2%, and 50.2%, 39.6% and 10.2% in the control group. CX3CL1 gene rs170364 variant is a genetic risk factor for coronary artery disease in type 2 diabetes mellitus (P<0.05). Logistic regression analysis with adjustments for other risk factors showed that the CX3CL1 gene rs170364 T allele significantly increases the risk of coronary artery disease in type 2 diabetes mellitus compared with the control subjects (P<0.05). Conclusion: Our study shows that the CX3CL1 expression increased in the carotid plaques and serum of the coronary artery disease in type 2 diabetes mellitus.CX3CL1 gene rs170364 variant may be considered a genetic risk factor for coronary artery disease in type 2 diabetes mellitus.
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