Detection of Major Mutations in CFTR, SERPINA1, HFE Genes in Benign Unconjugated Hyperbilirubinemia Phenotype.

Sovremennye tekhnologii v meditsine Pub Date : 2024-01-01 Epub Date: 2024-08-30 DOI:10.17691/stm2024.16.4.04
A A Ivanova, N E Apartseva, A P Kashirina, E G Nemtsova, Y V Ivanova, M V Kruchinina, S A Kurilovich, V N Maksimov
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Abstract

The aim of the study was to search for the associations of benign unconjugated hyperbilirubinemia phenotype with rs1799945 (H63D), rs1800562 (C282Y), rs1800730 (S65C) mutations of HFE gene, rs113993960 (ΔF508) of CFTR gene, rs28929474 (PIZ), rs17580 (PIS) mutations of SERPINA1 gene.

Material and methods: The study design is case-control. The group with Gilbert's syndrome (GS) phenotype (n=414; mean age - 36.7±15.9 years; 49.8% men) was formed by gastroenterologists, and included the individuals with unconjugated hyperbilirubinemia who underwent a standard clinical examination. The individuals with known causes of unconjugated hyperbilirubinemia were excluded from the group. The control group (n=429; mean age - 38.5±14.3 years; 52.2% men) was a random sampling from DNA banks of MONICA project participants, the screening of young people aged 25-44 and a one-time study of schoolchildren in Novosibirsk (Russia). DNA was isolated by phenol-chloroform extraction or by the express method (PROBA-RAPID-GENETIKA; DNA-Technology, Moscow, Russia) from venous blood. Genotyping of groups by nucleotide sequence rs1799945 (H63D), rs1800562 (C282Y), rs1800730 (S65C) of HFE gene, rs113993960 (ΔF508) of CFTR gene, rs28929474 (PIZ), rs17580 (PIS) of SERPINA1 gene was performed by polymerase chain reaction followed by the analysis of fragment length polymorphism on a polyacrylamide gel.

Results: According to the genotypes and alleles of the variants rs1799945 (H63D), rs1800562 (C282Y), rs1800730 (S65C) of HFE gene, rs113993960 (ΔF508) of CFTR gene, rs28929474 (PIZ), rs17580 (PIS) of SERPINA1 gene, no statistically significant differences were found between the GS group and the control group (p>0.05).

Conclusion: Nucleotide sequence variants rs1799945 (H63D), rs1800562 (C282Y), rs1800730 (S65C) of HFE gene, rs113993960 (ΔF508) of CFTR gene, rs28929474 (PIZ), rs17580 (PIS) of SERPINA1 gene, or their combinations with rs3064744 of UGT1A1 gene were found to have no association with GS.

该研究旨在寻找良性非结合性高胆红素血症表型与HFE基因rs1799945(H63D)、rs1800562(C282Y)、rs1800730(S65C)突变,CFTR基因rs113993960(ΔF508),SERPINA1基因rs28929474(PIZ)、rs17580(PIS)突变的相关性:研究设计为病例对照。吉尔伯特综合征(GS)表型组(n=414;平均年龄(36.7±15.9)岁;49.8%为男性)由消化科医生组成,包括接受标准临床检查的未结合高胆红素血症患者。未结合高胆红素血症患者不包括已知病因的患者。对照组(n=429;平均年龄(38.5±14.3)岁;52.2%为男性)从MONICA项目参与者的DNA库中随机抽样,对25-44岁的年轻人进行筛查,并对新西伯利亚(俄罗斯)的学龄儿童进行一次性研究。通过酚-氯仿提取法或快速法(PROBA-RAPID-GENETIKA;DNA-Technology,俄罗斯莫斯科)从静脉血中分离 DNA。根据 HFE 基因 rs1799945 (H63D)、rs1800562 (C282Y)、rs1800730 (S65C),CFTR 基因 rs113993960 (ΔF508),SERPINA1 基因 rs28929474 (PIZ)、rs17580 (PIS) 的核苷酸序列,通过聚合酶链式反应进行群体基因分型,然后在聚丙烯酰胺凝胶上进行片段长度多态性分析:结果:根据HFE基因rs1799945 (H63D)、rs1800562 (C282Y)、rs1800730 (S65C),CFTR基因rs113993960 (ΔF508), SERPINA1基因rs28929474 (PIZ)、rs17580 (PIS)变异体的基因型和等位基因,GS组与对照组的差异无统计学意义(P>0.05):结论:HFE基因的rs1799945 (H63D)、rs1800562 (C282Y)、rs1800730 (S65C)、CFTR基因的rs113993960 (ΔF508) 、SERPINA1基因的rs28929474 (PIZ)、rs17580 (PIS)核苷酸序列变异或它们与UGT1A1基因的rs3064744的组合与GS没有关联。
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