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Associations Between Interleukin-10 Polymorphisms and Susceptibility to Sjögren's Syndrome: A Meta-Analysis. 白细胞介素-10 多态性与斯约格伦综合征易感性之间的关系:元分析。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-02-01 Epub Date: 2024-11-07 DOI: 10.1111/iji.12702
Young Ho Lee, Gwan Gyu Song

This study sought to investigate the association between interleukin-10 (IL10) polymorphisms and susceptibility to Sjögren's syndrome. A systematic search of the Medline, Embase and Web of Science databases was conducted to identify relevant articles from inception to April 2024. No restrictions were placed on race, ethnicity or geographic area, but only studies published in English were included. A meta-analysis was conducted to evaluate the association among the IL10-1082 G/A (rs1800896), -819 C/T (rs1800871) and -592 C/A (rs1800872) polymorphisms, as well as their haplotypes and the risk of developing Sjögren's syndrome. The included studies involved 998 Sjögren's syndrome patients and 1576 controls. Ten studies were included in the meta-analysis. Meta-analysis of the IL10-1082 G/A polymorphism revealed no significant association with Sjögren's syndrome (odds ratio [OR] = 1.115, 95% confidence interval [CI]: 0.888-1.401, p = 0.343), with stratification by ethnicity yielding consistent results for Europeans and Latin Americans. Similarly, the IL10-819 C/T polymorphism was not associated with Sjögren's syndrome in any study subjects (OR = 0.859, 95% CI: 0.648-1.138, p = 0.290). The IL10-592 C allele also exhibited no association with Sjögren's syndrome (OR = 1.131, 95% CI: 0.776-1.646, p = 0.522). However, the GCC carrier status demonstrated a significant association with Sjögren's syndrome across all study subjects (OR = 1.496, 95% CI: 1.200-1.865, p < 0.001), particularly in Europeans (OR = 1.444, 95% CI: 1.085-1.921, p = 0.012) and Latin Americans (OR = 1.324, 95% CI: 1.115-2.366, p = 0.012). A significant protective effect of the homozygous ATA/ATA haplotype on Sjögren's syndrome was found in Europeans (OR = 0.320, 95% CI: 0.121-0.846, p = 0.022). This meta-analysis indicates a significant link between carrying the GCC haplotype of the IL10-1082 G/A, -819 C/T and -592 C/A polymorphisms and an increased susceptibility to Sjögren's syndrome. Conversely, the homozygous ATA/ATA haplotype appears to confer protection against the risk of Sjögren's syndrome, particularly in European populations.

本研究旨在探讨白细胞介素-10(IL10)多态性与斯尤格林综合征易感性之间的关系。研究人员对 Medline、Embase 和 Web of Science 数据库进行了系统检索,以确定从开始到 2024 年 4 月期间的相关文章。对种族、民族或地理区域没有限制,但只纳入了用英语发表的研究。研究人员进行了一项荟萃分析,以评估 IL10-1082 G/A (rs1800896)、-819 C/T (rs1800871) 和 -592 C/A (rs1800872) 多态性及其单倍型与罹患斯琼综合征风险之间的关联。纳入的研究涉及 998 例斯约格伦综合征患者和 1576 例对照组。有十项研究被纳入了荟萃分析。对IL10-1082 G/A多态性的荟萃分析表明,IL10-1082 G/A多态性与Sjögren综合征无明显关联(几率比[OR] = 1.115,95%置信区间[CI]:0.888-1.401):欧洲人和拉丁美洲人的种族分层结果一致。同样,在任何研究对象中,IL10-819 C/T 多态性都与斯约格伦综合征无关(OR = 0.859,95% CI:0.648-1.138,p = 0.290)。IL10-592 C 等位基因也与斯约格伦综合征无关(OR = 1.131,95% CI:0.776-1.646,p = 0.522)。然而,在所有研究对象中,GCC 携带者状态与斯约格伦综合征有显著关联(OR = 1.496,95% CI:1.200-1.865,p = 0.522)。
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引用次数: 0
Association of PADI4 Gene Polymorphisms With Susceptibility to Rheumatoid Arthritis: Evidence From 24 Case-Control Studies. PADI4 基因多态性与类风湿关节炎易感性的关系:来自 24 项病例对照研究的证据。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-02-01 Epub Date: 2024-11-09 DOI: 10.1111/iji.12701
Mohammad Karimian, Fatemeh Zahra Mohammadzadeh

This study aims to investigate the association of rs11203366, rs11203367, rs874881, rs2240340 and rs1748033 polymorphisms of protein-arginine deiminase type 4 (PADI4) gene with the risk of rheumatoid arthritis (RA) through a meta-analysis that was followed with a bioinformatics approach. The data were collected from reputable articles and underwent quantitative analysis, followed by in silico analysis using some bioinformatics tools. The results showed that rs874881 polymorphism in Latino (G vs. C: OR = 1.35, 95% CI = 1.11-1.65, p = 0.003; GG + CG vs. CC: OR = 2.02, 95% CI = 1.41-2.89, p = 0.0001; CG vs. CC + GG: OR = 1.38, 95% CI = 1.04-1.83, p = 0.027; GG vs. CC: OR = 2.09, 95% CI = 1.35-3.23, p = 0.001; CG vs. CC: OR = 1.98, 95% CI = 1.36-2.87, p = 0.00033) and rs1748033 in Caucasian population (T vs. C: OR = 1.25, 95% CI = 1.07-1.45, p = 0.005; TT vs. CT + CC: OR = 1.34, 95% CI = 1.09-1.64, p = 0.005, TT + CT vs. CC: OR = 1.26, 95% CI = 1.09-1.44, p = 0.001; TT vs. CC: OR = 1.59, 95% CI = 1.13-2.23, p = 0.007; CT vs. CC: OR = 1.20, 95% CI: 1.04-1.39, p = 0.015) are associated with increased risk of RA. Moreover, rs11203366 (G vs. A: OR = 1.46, 95% CI = 1.19-1.78, p = 0.0002, GG vs. AG + AA: OR = 1.42, 95% CI = 1.01-2.01, p = 0.043; GG + AG vs. AA: OR = 2.03, 95% CI = 1.45-2.86, p = 0.00004; GG vs. AA: OR = 2.29, 95% CI = 1.49-3.51, p = 0.0002; AG vs. AA: OR = 1.93, 95% CI = 1.35-2.76, p = 0.0003) and rs11203367 (T vs. C: OR = 1.50, 95% CI = 1.23-1.83, p = 0.00007; TT vs. CT + CC: OR = 1.56, 95% CI = 1.12-2.18, p = 0.009; TT + CT vs. CC: OR = 2.02, 95% CI = 1.43-2.84, p = 0.00007, TT vs. CC: OR = 2.43, 95% CI = 1.59-3.71, p = 0.0004; CT vs. CC: OR = 1.86, 95% CI = 1.30-2.68, p = 0.0007) had an impact in the Latino population. Bioinformatics tools showed the effect of these polymorphisms on gene function. These findings suggest that rs11203366, rs11203367, rs874881 and rs1748033 polymorphisms may be genetic risk factors for RA. Moreover, differences between populations suggest that ethnicity may play an important role in the effect of these polymorphisms on RA risk.

本研究旨在通过荟萃分析和生物信息学方法研究 4 型精氨酸脱氨酶(PADI4)基因 rs11203366、rs11203367、rs874881、rs2240340 和 rs1748033 多态性与类风湿性关节炎(RA)发病风险的关联。数据收集自知名文章,并进行了定量分析,随后使用一些生物信息学工具进行了硅分析。结果显示,拉丁裔的 rs874881 多态性(G vs. C:OR = 1.35,95% CI = 1.11-1.65,p = 0.003;GG + CG vs. CC:OR = 2.02,95% CI = 1.41-2.89,p = 0.0001; CG vs. CC + GG: OR = 1.38, 95% CI = 1.04-1.83, p = 0.027; GG vs. CC: OR = 2.09, 95% CI = 1.35-3.23, p = 0.001; CG vs. CC: OR = 1.98, 95% CI = 1.36-2.87, p = 0.00033)和高加索人群中的 rs1748033(T vs. C:OR = 1.25,95% CI = 1.07-1.45,p = 0.005;TT vs. CT + CC:OR = 1.34,95% CI = 1.09-1.64,p = 0.005,TT + CT vs. CC:OR = 1.26,95% CI = 1.09-1.44,p = 0.001;TT vs. CC:OR = 1.59,95% CI = 1.13-2.23,p = 0.007;CT vs. CC:OR = 1.20,95% CI:1.04-1.39,p = 0.015)与 RA 风险增加相关。此外,rs11203366(G vs. A:OR = 1.46,95% CI = 1.19-1.78,p = 0.0002;GG vs. AG + AA:OR = 1.42,95% CI = 1.01-2.01,p = 0.043;GG + AG vs. AA:OR = 2.03,95% CI = 1.45-2.86,p = 0.00004;GG vs. AA:OR = 2.29,95% CI = 1.49-3.51,p = 0.0002;AG vs. AA:OR = 1.93,95% CI = 1.35-2.76,p = 0.0003)和 rs11203367(T vs. C:OR = 1.50,95% CI = 1.45-2.86,p = 0.00004)。C:OR = 1.50,95% CI = 1.23-1.83,p = 0.00007;TT vs. CT + CC:OR = 1.56,95% CI = 1.12-2.18,p = 0.009;TT + CT vs. CC:OR = 2.02,95% CI = 1.43-2.84,p = 0.00007, TT vs. CC: OR = 2.43, 95% CI = 1.59-3.71, p = 0.0004; CT vs. CC: OR = 1.86, 95% CI = 1.30-2.68, p = 0.0007)对拉丁裔人群有影响。生物信息学工具显示了这些多态性对基因功能的影响。这些发现表明,rs11203366、rs11203367、rs874881 和 rs1748033 多态性可能是 RA 的遗传风险因素。此外,不同人群之间的差异表明,种族可能在这些多态性对 RA 风险的影响中扮演重要角色。
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引用次数: 0
Replication Study and Meta-Analysis of the Contribution of Seven Genetic Polymorphisms in Immune-Related Genes to the Risk of Gastric and Colorectal Cancers. 7种免疫相关基因多态性对胃癌和结直肠癌风险贡献的复制研究和荟萃分析。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-02-01 Epub Date: 2025-01-12 DOI: 10.1111/iji.12705
Weiguang Zhou, Siqi Yuan, Wenqiang Kang, Xiangyuan Deng, Hang Zhou, Jiangyi Ruan, Xianhong Feng, Meifang Qi, Bifeng Chen

Recently, it has been realized that immune processes participate in the pathogenesis of human cancers. A large number of genetic polymorphisms in immune-related genes have been extensively examined for their roles in the susceptibility of gastric cancer (GC) and colorectal cancer (CRC), including IL4 gene rs2070874, IL4RA gene rs1801275, IL18 gene rs187238, IL18RAP gene rs917997, IL17A gene rs8193036, IL23R gene rs1884444 and IL23R gene rs10889677. However, there is no consistent conclusion, which calls for further research. In this case-control study, these 7 genetic polymorphisms were genotyped by Sanger sequencing in a total of 1247 patients with cancer (GC/CRC: 460/787) and 800 healthy individuals. A total of 31 previous studies and our present study were included in this meta-analysis. The case-control study revealed that in Hubei Chinese population, rs2070874, rs187238 and rs10889677 were significantly associated with CRC risk, whereas only rs917997 was significantly associated with GC risk. The meta-analysis showed that rs2070874, rs917997, rs8193036 and rs1884444 were significantly associated with GC risk in Chinese population, whereas rs2070874 in total population, rs1801275 in Asian population and rs187238 in Chinese population were significantly associated with CRC risk. IL4 gene rs2070874, IL18RAP gene rs917997, IL17A gene rs8193036 and IL23R gene rs1884444 may serve as the susceptible factors for GC carcinogenesis in Chinese population. IL4 gene rs2070874 in total population, IL4RA gene rs1801275 in Asian population and IL18 gene rs187238 in Chinese population may be genetic biomarkers for CRC susceptibility.

最近,人们认识到免疫过程参与了人类癌症的发病机制。大量免疫相关基因的遗传多态性已被广泛研究其在胃癌(GC)和结直肠癌(CRC)易感性中的作用,包括IL4基因rs2070874、IL4RA基因rs1801275、IL18基因rs187238、IL18RAP基因rs917997、IL17A基因rs8193036、IL23R基因rs1884444和IL23R基因rs10889677。然而,没有一致的结论,这需要进一步的研究。在本病例对照研究中,通过Sanger测序对1247例癌症患者(GC/CRC: 460/787)和800例健康个体进行了这7种遗传多态性的基因分型。本荟萃分析共纳入了31项既往研究和本研究。病例对照研究显示,在湖北省人群中,rs2070874、rs187238和rs10889677与CRC风险显著相关,而只有rs917997与GC风险显著相关。荟萃分析显示,rs2070874、rs917997、rs8193036和rs1884444与中国人群的CRC风险显著相关,而rs2070874在总人口中、rs1801275在亚洲人群中和rs187238在中国人群中与CRC风险显著相关。IL4基因rs2070874、IL18RAP基因rs917997、IL17A基因rs8193036和IL23R基因rs1884444可能是中国人群胃癌发生的易感因素。总体人群中IL4基因rs2070874、亚洲人群中IL4RA基因rs1801275、中国人群中IL18基因rs187238可能是结直肠癌易感性的遗传生物标志物。
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引用次数: 0
Association of C4 Null Alleles and Persistently Low C4 in Asian Indian Patients With Systemic Lupus Erythematosus. 亚洲印度系统性红斑狼疮患者C4空等位基因与持续低C4的关系
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-02-01 Epub Date: 2025-01-12 DOI: 10.1111/iji.12704
Sachin R Jeevanagi, Pankti Mehta, Rekha Aaron, Debashish Danda, Sumita Danda, Jayakanthan Kabeerdoss

The association between heterozygous C4 deficiency and systemic lupus erythematosus (SLE) is unclear. There is a lack of data in South Asian Indians on any possible association of C4A and C4B null alleles with lupus. We aimed to study the prevalence of C4A and C4B null alleles in a cohort of SLE patients with persistently low C4 levels compared to healthy controls (HC). Patients with SLE and HC were recruited for this prospective observational study. C4 (C4AQ and C4BQ) polymorphisms were tested using a touch-down polymerase chain reaction protocol. One hundred and three SLE patients and 103 HC were included in the study. Persistently low C4 levels were observed in 25 (23.6%) of SLE. The frequency of C4A and C4B null alleles was similarly distributed across SLE and HC (4% and 3.8%, respectively). Univariate analysis showed a low age, higher proportion of elevated dsDNA, and higher positive anti-SSA (Sjogren's syndrome-related antigen A) antibodies at presentation were associated in SLE patients with the null allele group on comparison without the null allele group. However, these associations did not persist in the multivariate analysis. In conclusion, C4 null allele frequency was similar in SLE and HC. No characteristic associations were observed in SLE with C4 null alleles was observed. Therefore, C4 null allele is an unlikely explanation for persistently low C4 in South Indian Asian patients with lupus.

杂合子C4缺乏与系统性红斑狼疮(SLE)之间的关系尚不清楚。缺乏南亚印度人C4A和C4B零等位基因与狼疮的任何可能关联的数据。我们的目的是研究与健康对照(HC)相比,C4水平持续较低的SLE患者队列中C4A和C4B空等位基因的患病率。SLE和HC患者被纳入这项前瞻性观察研究。采用触地聚合酶链反应检测C4 (C4AQ和C4BQ)多态性。103例SLE患者和103例HC患者被纳入研究。25例(23.6%)SLE患者C4水平持续低。C4A和C4B零等位基因的频率在SLE和HC中分布相似(分别为4%和3.8%)。单因素分析显示,与无空等位基因组相比,有空等位基因组的SLE患者在出现症状时年龄低、dsDNA升高比例较高、抗ssa(干燥综合征相关抗原a)抗体阳性较高。然而,这些关联在多变量分析中并未持续存在。综上所述,C4空等位基因频率在SLE和HC中相似。未观察到C4空等位基因与SLE的特征性关联。因此,C4空等位基因不太可能解释南印度亚洲狼疮患者持续低C4。
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引用次数: 0
Nomenclature for Factors of the HLA System, Update October, November and December 2024.
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-01-28 DOI: 10.1111/iji.12707
Steven G E Marsh
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引用次数: 0
Influence of HLA-B Leader (-21M/T) Dimorphism With Bw4/Bw6 Epitopes on Graft Versus Host Disease After Allogenic Haematopoietic Stem Cell Transplantation in North Indians.
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-01-26 DOI: 10.1111/iji.12706
Disha Agarwal, Gaurav Sharma, Alka Khadwal, Pankaj Malhotra

High degree of variability in human leukocyte antigens (HLAs) system restricts availability of histocompatible HLA-matched-related donors, thus increasing reliance on worldwide bone marrow registries network. Nevertheless, due to limited coverage/accessibility/affordability of some ethnicities in these registries, haploidentical haematopoietic stem cell transplantation (HSCT) emerged as an alternative option, though with allorecognition-mediated graft versus host disease (GvHD) (>40% cases). A dimorphism [-21 methionine (M) or threonine (T)] in HLA-B leader peptide (exon 1) which differentially influences its HLA-E binding, plausibly regulates natural killer cell functionality, affecting GvHD vulnerability and clinically in practice for donor selection. Here, we analysed population-specific influence of this functionally relevant dimorphism on post HSCT GvHD occurrence and clinical utility (if any) towards defining donor permissibility. High resolution HLA-B genotyping data were analysed in 178 study participants, including 89 HSCT patient-donor pairs, for the frequency distribution of -21 leader dimorphism. Distribution of HLA-Bw4/Bw6 was deduced with killer cell immunoglobulin receptor ligand calculator tool in IPD-IMGT/HLA database. Though -21T (∼85%) was over represented in the study participants, no significant influence is observed for this variant between HLA-identical v/s haplo HSCT either with or without GvHD, at allelic and genotypic levels as well as in BLEAT (HLA-B Leader Assessment Tool)-based donor-recipient matching. Stratified analysis of -21 M/T into Bw4/Bw6 groups revealed a higher frequency of -21T + Bw4 in GvHD (+) group compared to GvHD (-) (p < 0.05), plausibly linking this haplotype with occurrence of GvHD post HSCT and importance of HLA class I-mediated NK cell functionality in GvHD.

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引用次数: 0
Nomenclature for factors of the HLA system, update July, August and September 2024 HLA 系统因子命名法,2024 年 7 月、8 月和 9 月更新。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-10-25 DOI: 10.1111/iji.12699
Steven G. E. Marsh, for the WHO Nomenclature Committee for Factors of the HLA System

The following sequences have been submitted to the Nomenclature Committee since the April, May and June 2024 nomenclature update (Marsh, 2024) and, following agreed policy, have been assigned official allele designations (Marsh et al., 2010). Full details of all sequences will be published in a forthcoming report.

Below are listed the newly assigned sequences (Table 1) and confirmations of previously reported sequences (Table 2). The accession number of each sequence is given, and these can be used to retrieve the sequence files from the EMBL, GenBank or DDBJ data libraries. Although accession numbers have been assigned by the data libraries and most sequences are already available, there is still the possibility that an author may not yet have allowed the sequence to be released; in such a case, you will have to contact the submitting author directly. Additional information pertaining to new sequences is often included in the publications describing these alleles; a listing of recent publications that describe new HLA sequences is given in Table 3. An additional 221 alleles were recently published but have not been included in Table 3 due to space considerations (French et al., 2024; Lucas et al, 2024).

All new and confirmatory sequences should now be submitted directly to the WHO Nomenclature Committee for Factors of the HLA System via the IPD-IMGT/HLA Database using the sequence submission tool provided (Barker et al., 2023; Robinson et al., 2024). The IPD-IMGT/HLA Database may be accessed via the World Wide Web at www.ebi.ac.uk/ipd/imgt/hla.

自 2024 年 4 月、5 月和 6 月命名法更新(Marsh,2024 年)以来,以下序列已提交给命名法委员会,并按照商定的政策,被指定为正式等位基因(Marsh 等人,2010 年)。下面列出了新分配的序列(表 1)和先前报告序列的确认(表 2)。下面列出了新分配的序列(表 1)和以前报告的序列确认(表 2),并给出了每个序列的登录号,这些登录号可用于从 EMBL、GenBank 或 DDBJ 数据库中检索序列文件。虽然数据文库已经分配了登录号,而且大多数序列都已经可用,但仍有可能存在作者尚未允许发布序列的情况;在这种情况下,您必须直接联系提交序列的作者。与新序列有关的其他信息通常包含在描述这些等位基因的出版物中;表 3 列出了最近发表的描述新 HLA 序列的出版物。所有新序列和确证序列现在都应使用提供的序列提交工具(Barker 等,2023;Robinson 等,2024),通过 IPD-IMGT/HLA 数据库直接提交给世界卫生组织 HLA 系统因子命名委员会。IPD-IMGT/HLA 数据库可通过万维网访问:www.ebi.ac.uk/ipd/imgt/hla。
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引用次数: 0
Role of C–C chemokine receptor type 5 in pathogenesis of malaria and its severe forms C-C 趋化因子受体 5 型在疟疾及其严重病症的发病机制中的作用。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-10-25 DOI: 10.1111/iji.12700
Marina Ziliotto, Joel Henrique Ellwanger, Bruna Kulmann-Leal, Alessandra Pontillo, José Artur Bogo Chies

Malaria is a mosquito-borne disease caused by Plasmodium parasites, responsible for a significant impact on public health in several tropical and sub-tropical countries. The majority of infection cases are classified as uncomplicated malaria, causing mild symptoms such as fever and headache. However, the disease may progress to severe malaria and death if the infection is not properly treated. Furthermore, malaria poses a major concern for children, pregnant women and immunosuppressed individuals. Exacerbated inflammation is characteristic of severe malaria cases. The C–C chemokine receptor type 5 (CCR5) is an important molecule for leukocyte migration and regulation of inflammation. Although widely known as an HIV-1 co-receptor, CCR5 also affects the susceptibility and progression of autoimmune and inflammatory diseases. There is evidence supporting the participation of CCR5 in malaria manifestations, with the evaluation of CCR5 gene expression levels suggested as a marker to monitor malaria severity. Certain genetic variants in the CCR5 gene affect CCR5 expression, potentially altering CCR5-mediated inflammatory responses during malaria infection. However, the complex influences of CCR5 on malaria remain underexplored. Therefore, this review examines and updates the role of CCR5 in various contexts of malaria infection, including uncomplicated malaria, Plasmodium/HIV co-infection, pregnancy and severe (cerebral) malaria.

疟疾是一种由疟原虫引起的蚊媒疾病,对一些热带和亚热带国家的公共卫生造成严重影响。大多数感染病例被归类为无并发症疟疾,会引起发烧和头痛等轻微症状。但是,如果感染得不到适当治疗,病情可能会发展为重症疟疾并导致死亡。此外,疟疾也是儿童、孕妇和免疫抑制患者的一大隐患。炎症加剧是重症疟疾病例的特征。C-C 趋化因子受体 5 型(CCR5)是白细胞迁移和调节炎症的重要分子。虽然 CCR5 作为 HIV-1 共受体而广为人知,但它也会影响自身免疫性疾病和炎症性疾病的易感性和发展。有证据支持 CCR5 参与疟疾的表现,并建议将评估 CCR5 基因表达水平作为监测疟疾严重程度的标志物。CCR5 基因的某些遗传变异会影响 CCR5 的表达,从而可能改变疟疾感染期间 CCR5 介导的炎症反应。然而,CCR5 对疟疾的复杂影响仍未得到充分探索。因此,本综述研究并更新了 CCR5 在各种疟疾感染情况下的作用,包括无并发症疟疾、疟原虫/艾滋病毒合并感染、妊娠和重症(脑型)疟疾。
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引用次数: 0
Does HLA-DQA1*05 carriage have a greater impact on the outcome of infliximab therapy for isolated small-bowel Crohn's disease? HLA-DQA1*05携带是否会对英夫利西单抗治疗孤立性小肠克罗恩病的结果产生更大影响?
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-10-10 DOI: 10.1111/iji.12696
Juan Wu, Nannan Zhu, Jing Hu, Chenyu Zhang, Yuanyuan Fang, Yumei Wu, Yongrong Shi, Qiuyuan Liu, Hao Ding, Qiao Mei, Bingqing Bai, Wei Han

Carriage of HLA-DQA1*05 is thought to increase the formation of anti-tumour necrosis factor alpha (TNF-α) antibodies, reducing the drug efficacy in Crohn's disease (CD) patients. However, little data are currently available for small-bowel Crohn's disease (SB-CD). A specific assessment of the impact of HLA-DQA1*05 on the clinical response to treatment with infliximab (IFX), a TNF-α antagonists, in SB-CD patients is necessary. We conducted a single-center retrospective study that included 106 SB-CD patients treated with IFX. The serum samples were collected for antibodies to infliximab (ATI) testing and HLA-DQA1*05 genotyping. Double-balloon enteroscopy (DBE) was performed following the IFX treatment, with endoscopic outcomes evaluated using the partial simple endoscopic score for CD (pSES-CD), whereas the clinical response was assessed with the Crohn's disease activity index (CDAI). Multivariate logistic regression and multivariate COX regression analyses were employed to analyze the correlation of the HLA-DQA1*05 genotypes with other clinical variables. In this study, 30.2% of SB-CD patients carried the HLA-DQA1*05 allele, which significantly increased their risk of ATI generation (odds ratio [OR] = 2.337, p = .043), but it was not associated with the clinical response to IFX and drug persistence (OR = 2.356, p = .145; OR = 0.457, p = .249). The endoscopic remission rates were 40.6% (13/32) and 55.4% (41/74) in HLA-DQA1*05 carriers and non-carriers, respectively. HLA-DQA1*05 was not associated with endoscopic remission (OR = 0.684, p = .414). The HLA-DQA1*05 variant is identified as a significant risk factor of ATI formation in Chinese patients with SB-CD, but is not associated with the clinical response of IFX treatment and endoscopic remission of SB lesions.

HLA-DQA1*05携带者被认为会增加抗肿瘤坏死因子α(TNF-α)抗体的形成,从而降低克罗恩病(CD)患者的药物疗效。然而,目前几乎没有关于小肠克罗恩病(SB-CD)的数据。有必要具体评估HLA-DQA1*05对SB-CD患者使用TNF-α拮抗剂英夫利昔单抗(IFX)治疗的临床反应的影响。我们开展了一项单中心回顾性研究,纳入了106名接受IFX治疗的SB-CD患者。采集的血清样本用于英夫利西单抗(ATI)抗体检测和 HLA-DQA1*05 基因分型。IFX治疗后进行了双气囊肠镜(DBE)检查,内镜结果采用CD部分简单内镜评分(pSES-CD)进行评估,临床反应则采用克罗恩病活动指数(CDAI)进行评估。多变量逻辑回归和多变量 COX 回归分析用于分析 HLA-DQA1*05 基因型与其他临床变量的相关性。在这项研究中,30.2%的SB-CD患者携带HLA-DQA1*05等位基因,这显著增加了他们产生ATI的风险(几率比[OR] = 2.337,p = .043),但与IFX的临床反应和药物持续性无关(OR = 2.356,p = .145;OR = 0.457,p = .249)。HLA-DQA1*05携带者和非携带者的内镜缓解率分别为40.6%(13/32)和55.4%(41/74)。HLA-DQA1*05与内镜缓解无关(OR = 0.684,p = .414)。HLA-DQA1*05变异被认为是中国SB-CD患者形成ATI的重要危险因素,但与IFX治疗的临床反应和SB病变的内镜缓解无关。
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引用次数: 0
Investigations of associations between TNF-α promoter polymorphisms and genetic susceptibility to type 2 diabetes mellitus: A cross-sectional study in Chinese Han population TNF-α启动子多态性与2型糖尿病遗传易感性的关联调查:中国汉族人群横断面研究。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-10-10 DOI: 10.1111/iji.12698
Wenyu Tao, Xiaoling Wang, Man Yang, Xing Zhou, Mingliu Yin, Ying Yang, Yiping Li

Type 2 diabetes (T2DM) is characterised by insulin resistance and a relative shortage of insulin secretion. Tumour necrosis factor-α (TNF-α) plays an important role in insulin resistance by impairing insulin signal transduction. The variants of the TNF-α promoter region are considered to influence its transcription and are associated with the TNF-α level. Therefore, it is worth detecting the association of the variants in the TNF-α gene with the development of T2DM. The aim of this study was to investigate the association of five variants (rs1799964, rs1800630, rs1799724, rs1800629 and rs361525) in the TNF-α gene promoter region with T2DM in a Chinese Han population. A total of 713 subjects with T2DM and 751 nondiabetic subjects were genotyped using the TaqMan method. The associations of the five variants with the development of T2DM were evaluated. The associations of the five variant genotypes with metabolic traits in nondiabetic subjects were analysed. Our data showed that the A allele of rs1800629 could increase the risk of developing T2DM (p = .002, OR = 1.563; 95% CI: 1.18–2.08). According to inheritance mode analysis, compared with the G/G genotype, the G/A+2A/A genotype of rs1800629 showed a risk effect on T2DM in the log-additive mode (p = .002, OR = 1.56; 95% CI: 1.17–2.07). The haplotypes analysis identified that the rs1799724-rs1800629CA was associated with high risk of the development of T2DM (p = .002, OR = 1.559, 95% CI: 1.173–2.072). Conversely, the rs1799724-rs1800629CG was a protective haplotype of T2DM (p = .001, OR = 0.732, 95% CI: 0.607–0.884). Moreover, compared with the rs1799964 (T/T+C/T) genotype, the rs1799964 C/C genotype was associated with higher glycosylated haemoglobin (HbA1c) levels in nondiabetic subjects (p = .017). Our results revealed that the rs1800629 in the TNF-α gene promoter region was associated with T2DM in a Chinese Han population.

2 型糖尿病(T2DM)的特点是胰岛素抵抗和胰岛素分泌相对不足。肿瘤坏死因子-α(TNF-α)通过损害胰岛素信号转导,在胰岛素抵抗中发挥着重要作用。TNF-α 启动子区域的变异被认为会影响其转录,并与 TNF-α 水平相关。因此,值得检测 TNF-α 基因变异与 T2DM 发病的关联。本研究旨在调查中国汉族人群中TNF-α基因启动子区5个变异(rs1799964、rs1800630、rs1799724、rs1800629和rs361525)与T2DM的相关性。采用 TaqMan 方法对 713 名 T2DM 受试者和 751 名非糖尿病受试者进行了基因分型。评估了五个变异基因与 T2DM 发病的相关性。分析了五个变异基因型与非糖尿病受试者代谢特征的关系。我们的数据显示,rs1800629 的 A 等位基因会增加患 T2DM 的风险(p = .002,OR = 1.563;95% CI:1.18-2.08)。根据遗传模式分析,与 G/G 基因型相比,rs1800629 的 G/A+2A/A 基因型在对数加成模式下对 T2DM 有风险影响(p = .002,OR = 1.56;95% CI:1.17-2.07)。单倍型分析发现,rs1799724-rs1800629CA 与 T2DM 的高发病风险相关(p = .002,OR = 1.559,95% CI:1.173-2.072)。相反,rs1799724-rs1800629CG 是 T2DM 的保护性单倍型(p = .001,OR = 0.732,95% CI:0.607-0.884)。此外,与 rs1799964 (T/T+C/T) 基因型相比,rs1799964 C/C 基因型与非糖尿病受试者较高的糖化血红蛋白(HbA1c)水平相关(p = .017)。我们的研究结果表明,在中国汉族人群中,TNF-α基因启动子区的rs1800629与T2DM有关。
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引用次数: 0
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International Journal of Immunogenetics
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