Interaction study of the effects of environmental exposure and gene polymorphisms of inflammatory and immune-active factors on chronic obstructive pulmonary disease.
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引用次数: 0
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease, influenced by both environmental and genetic factors. Single nucleotide polymorphism (SNP) in the human genome may influence the risk of developing COPD and the response to treatment. We assessed the effects of gene polymorphism of inflammatory and immune-active factors and gene-environment interaction on risk of COPD in middle-aged and older Chinese individuals.
Methods: In this community-based case-control study, 471 patients with COPD and 485 controls aged 40-76 years in Heilongjiang Province, China were included. Face-to-face interviews, lung function tests, and multiplex polymerase chain reaction were used to obtain data. Logistic regression model, generalized multifactor dimensionality reduction and crossover analysis were used to analyse the effects of SNPs, gene-gene interactions, and gene-environment interactions on COPD.
Results: CRP gene[rs1130864-A allele (OR, 1.77; 95% CI 1.11-2.81); G/A + A/A genotype (OR, 1.75; 95% CI 1.07-2.84)], FCAR gene[rs4806606-G (OR, 0.72; 95% CI 0.53-0.98); rs8112766-G (OR, 0.79; 95% CI 0.64-0.98)] and FCGR2A gene[rs4656308-C (OR, 0.74; 95% CI 0.55-1.00); rs4656309-T (OR, 0.81; 95% CI 0.66-0.99)] are independent influential factors for COPD. Rs1205 [RERI: 0.15 (0.07-1.00)] and rs1130864 [RERI: 2.45 (0.73-4.18)] of CRP gene, rs11084376 [OR: 0.54 (0.29-0.97)] of FCAR gene, rs844 of FCGR2B [SI: 0.30 (0.11-0.77); OR: 0.46 (0.24-0.90)] gene, rs4656308-rs4656309-rs2165088 haplotype [SI: 0.48 (0.26-0.89)] of FCGR2A gene and exposure to smoking index > 200, indoor coal/wood/straw use, and outdoor straw burning play synergistic or antagonistic roles in the development of COPD.
Conclusions: Alleles and genotypes of the CRP/FCAR/FCGR2A gene can increase the susceptibility to COPD in the northern Chinese population. For the first time, environmental exposure to the CRP/FCAR/FCGR2A/FCGR2B genes has been shown to have synergistic or antagonistic effects on COPD susceptibility on genotypes or haplotypes.
背景:慢性阻塞性肺疾病(COPD)是一种异质性疾病,受环境和遗传因素的影响。人类基因组中的单核苷酸多态性(SNP)可能影响COPD的发病风险和对治疗的反应。我们评估了炎症和免疫活性因子基因多态性以及基因-环境相互作用对中国中老年人COPD风险的影响。方法:在以社区为基础的病例对照研究中,纳入了中国黑龙江省年龄40-76岁的471例COPD患者和485例对照组。采用面对面访谈、肺功能测试和多重聚合酶链反应获得数据。采用Logistic回归模型、广义多因素降维和交叉分析分析snp、基因-基因相互作用和基因-环境相互作用对COPD的影响。结果:CRP基因rs1130864-A等位基因(OR, 1.77;95% ci 1.11-2.81);G/A + A/A基因型(OR, 1.75;95% CI 1.07-2.84)], FCAR基因[rs4806606-G] (OR, 0.72;95% ci 0.53-0.98);rs8112766-G (OR, 0.79;95% CI 0.64-0.98)]和FCGR2A基因[rs4656308-C] (OR, 0.74;95% ci 0.55-1.00);rs4656309-T (OR, 0.81;(95% CI 0.66-0.99)]是COPD的独立影响因素。CRP基因Rs1205[比值比值:0.15(0.07-1.00)]、rs1130864[比值比值:2.45(0.73-4.18)]、FCAR基因rs11084376[比值比值:0.54(0.29-0.97)]、FCGR2B基因rs844[比值比值:0.30 (0.11-0.77)];OR: 0.46(0.24-0.90)]基因、rs4656308-rs4656309-rs2165088单倍型[SI: 0.48(0.26-0.89)]与暴露于吸烟指数bbb200、室内煤/木材/秸秆使用、室外秸秆焚烧在COPD发生中发挥协同或拮抗作用。结论:CRP/FCAR/FCGR2A基因的等位基因和基因型可增加中国北方人群对COPD的易感性。研究首次表明,环境暴露于CRP/FCAR/FCGR2A/FCGR2B基因对基因型或单倍型COPD易感性具有协同或拮抗作用。
期刊介绍:
Respiratory Research publishes high-quality clinical and basic research, review and commentary articles on all aspects of respiratory medicine and related diseases.
As the leading fully open access journal in the field, Respiratory Research provides an essential resource for pulmonologists, allergists, immunologists and other physicians, researchers, healthcare workers and medical students with worldwide dissemination of articles resulting in high visibility and generating international discussion.
Topics of specific interest include asthma, chronic obstructive pulmonary disease, cystic fibrosis, genetics, infectious diseases, interstitial lung diseases, lung development, lung tumors, occupational and environmental factors, pulmonary circulation, pulmonary pharmacology and therapeutics, respiratory immunology, respiratory physiology, and sleep-related respiratory problems.