希腊克罗恩病人群中miR-146 rs2910164、miR-196a rs11614913、miR-221 rs113054794和miR-224 rs188519172多态性与抗tnf治疗反应的关联

Ioannis Papaconstantinou, Christina Kapizioni, Evangelia Legaki, Elena Xourgia, George Karamanolis, Antonios Gklavas, Maria Gazouli
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引用次数: 10

摘要

目的:探讨克罗恩病(CD)患者rs2910164、rs11614913、rs113054794和rs188519172基因多态性与抗tnf治疗反应的相关性。方法:根据标准临床、内镜、放射学和病理标准纳入107例CD患者。根据国际指南,他们都接受了标准诱导剂量的英夫利昔单抗或阿达木单抗静脉注射或皮下注射。分别采用Harvey-Bradshaw指数和CRP水平评估临床和生化反应。在治疗第12-20周通过回肠结肠镜检查评估内镜反应。与基线相比,内镜下外观的变化分为四类,患者分为有反应者和无反应者。提取全外周血,PCR分型。结果:107例患者纳入研究。72例(67.3%)患者为完全应答者,22例(20.5%)为部分应答者,13例(12.1%)为原发性无应答者。抗tnf药物的反应与患者的性别、年龄、病程等特征无相关性,而使用的临床及生化指标与内镜下的反应相关。关于miR-146、miR-196a和miR-224的rs2910164、rs11614913和rs188519172多态性的患病率,抗tnf治疗完全、部分和无应答者之间无统计学意义差异。实际上,在所有患者中均未检测到rs2910164的CC基因型。对于miR-221的rs113054794,正常CC基因型是所有研究患者中唯一检测到的基因型,表明这种多态性在研究人群中是非常罕见的。结论:所研究的多态性与患者对抗tnf治疗的反应无相关性。多态性rs113054794在我们的人群中未检测到。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of miR-146 rs2910164, miR-196a rs11614913, miR-221 rs113054794 and miR-224 rs188519172 polymorphisms with anti-TNF treatment response in a Greek population with Crohn's disease.

Aim: To investigate the correlation between rs2910164, rs11 614913, rs113054794, and rs188519172 polymorphisms and response to anti-TNF treatment in patients with Crohn's disease (CD).

Methods: One hundred seven patients with CD based on standard clinical, endoscopic, radiological, and pathological criteria were included in the study. They all received infliximab or adalimumab intravenously or subcutaneously at standard induction doses as per international guidelines. Clinical and biochemical response was assessed using the Harvey-Bradshaw index and CRP levels respectively. Endoscopic response was evaluated by ileocolonoscopy at week 12-20 of therapy. The changes in endoscopic appearance compared to baseline were classified into four categories, and patients were classified as responders and non-responders. Whole peripheral blood was extracted and genotyping was performed by PCR.

Results: One hundred and seven patients were included in the study. Seventy two (67.3%) patients were classified as complete responders, 22 (20.5%) as partial while 13 (12.1%) were primary non-responders. No correlation was detected between response to anti-TNF agents and patients' characteristics such as gender, age and disease duration while clinical and biochemical indexes used were associated with endoscopic response. Concerning prevalence of rs2910164, rs11614913, and rs188519172 polymorphisms of miR-146, miR-196a and miR-224 respectively no statistically important difference was found between complete, partial, and non-responders to anti-TNF treatment. Actually CC genotype of rs2910164 was not detected in any patient. Regarding rs113054794 of miR-221, normal CC genotype was the only one detected in all studied patients, suggesting this polymorphism is highly rare in the studied population.

Conclusion: No correlation is detected between studied polymorphisms and patients' response to anti-TNF treatment. Polymorphism rs113054794 is not detected in our population.

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