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Land use as an effective factor on the occurrence of chromosomal diseases in Brazil. 土地利用是巴西染色体疾病发生的一个有效因素。
Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Marcos Roberto Cochak, Marília Melo Favalesso, Rose Meire Costa, Ana Tereza Bittencourt Guimarães, Lucinéia Fátima Chasko Ribeiro

Background: The occurrence of chromosomal diseases is a worldwide health problem. The use of agrochemicals, urbanization processes, and solar radiation can be predictive factors of the elevated risk of congenital malformations. In this sense, predicting the geographical potential of the distribution of chromosomal diseases has high relevance for public health.

Objectives: This study aimed to describe chromosomal prevalence in Brazil regions, from 2005 to 2015, to model a potential distribution of chromosomal disease occurrence probability associated with land use.

Methods: We used chromosomal prevalence to model a potential distribution of chromosomal diseases using machine learning algorithms. As the predictors of the models, we used the variables global forest canopy height, distance from the built-up area, and solar radiation. We characterized the predictive areas as potential occurrence of chromosomal diseases by land use and occupation.

Results: Georeferenced data of 43,672 karyotypes detected 7,237 cases of chromosomal diseases and used 5,362 to build the models. The models generated were accurate (TSS>0.5).

Discussion: The areas with greater occurrence of chromosomal diseases present a significant association with pasture areas, crops and agroforestry systems, and urbanized areas. This research is the first Brazilian study with this approach that seems promising in predicting the potential distribution of chromosomal diseases. Therefore, it can be an excellent management tool in public health.

背景:染色体疾病的发生是一个世界性的健康问题。农用化学品的使用、城市化进程和太阳辐射可能是先天性畸形风险升高的预测因素。从这个意义上说,预测染色体疾病分布的地理潜力对公共卫生具有高度相关性。目的:本研究旨在描述2005年至2015年巴西地区的染色体患病率,以模拟与土地利用相关的染色体疾病发生概率的潜在分布。方法:我们使用机器学习算法使用染色体患病率来模拟染色体疾病的潜在分布。我们使用全球森林冠层高度、与建成区的距离和太阳辐射作为模型的预测变量。我们将染色体疾病的预测区描述为土地利用和占用的潜在发生区域。结果:43,672个核型的地理参考数据检测到染色体疾病7,237例,并利用5,362例建立模型。生成的模型准确(TSS>0.5)。讨论:染色体疾病发生率较高的地区与牧区、作物和农林复合系统以及城市化地区存在显著关联。这项研究是巴西第一个采用这种方法的研究,似乎有希望预测染色体疾病的潜在分布。因此,它可以成为一个很好的公共卫生管理工具。
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引用次数: 0
Association of single nucleotide polymorphisms in ADIPOQ gene with risk of hypertension: a systematic review and meta-analysis. ADIPOQ基因单核苷酸多态性与高血压风险的关联:一项系统综述和荟萃分析
Pub Date : 2021-10-15 eCollection Date: 2021-01-01
Jiegen Yu, Ling Liu, Zhipeng Li, Yanqiu Wang, Wanjun Zhang, Yuelong Jin, Liangping He, Yan Chen, Yingshui Yao

Background: Hypertension has been continuing to be a major contributor to the global burden of disease and to the global mortality, leading to over 10 million deaths each year. The purpose of this study was to investigate the association between Adiponectin gene polymorphism with Essential hypertension (EH).

Methods: PubMed, EMbase, the Cochrane Library, and China National Knowledge Infrastructure (CNKI) were searched independently by two investigators. Pooled odds ratios and 95% confidence intervals were calculated to estimate the associations of Adiponectin polymorphism with EH.

Results: Thirteen studies with 3198 cases and 3076 controls for meta-analysis (MA) were included in present study. Pooled results showed that rs2241766 polymorphism is associated with the risk of EH in the allelic model (G vs. T: OR=1.10; 95% CI, 1.01-1.21). In the <40 years subgroup, rs2241766 polymorphism is associated with the risk of EH in allele model (G vs. T: OR=1.43; 95% CI, 1.06-1.94), recessive model (GG vs. GT + TT: OR=5.26, 95% CI=1.47-18.76), homozygous model of GG (GG vs.TT: OR=5.27, 95% CI=1.47-18.95), and rs266729 in recessive model (GG vs. GT + TT: OR=2.33, 95% CI=1.33-4.08).

Conclusions: Our meta-analysis results show that the rs2241766 polymorphism is associated with the risk of hypertension. There still need a larger sample with better design to verify.

背景:高血压一直是造成全球疾病负担和全球死亡率的一个主要因素,每年导致1000多万人死亡。本研究的目的是探讨脂联素基因多态性与原发性高血压(EH)的关系。方法:由两位研究者独立检索PubMed、EMbase、Cochrane图书馆和中国知网。计算合并比值比和95%置信区间来估计脂联素多态性与EH的关联。结果:本研究纳入13项研究3198例,对照3076例进行meta分析(MA)。汇总结果显示,rs2241766多态性与等位基因模型中EH的风险相关(G vs. T: OR=1.10;95% ci, 1.01-1.21)。在OR=5.26, 95% CI=1.47 ~ 18.76), GG纯合模型(GG vs.TT: OR=5.27, 95% CI=1.47 ~ 18.95), rs266729隐性模型(GG vs. GT + TT: OR=2.33, 95% CI=1.33 ~ 4.08)。结论:荟萃分析结果显示rs2241766多态性与高血压风险相关。还需要更大的样本和更好的设计来验证。
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引用次数: 0
A contemporary narrative review to guide molecular epidemiology of oral submucous fibrosis. 当代口腔黏膜下纤维化的分子流行病学研究综述。
Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Arjun Gurmeet Singh, Satadru Roy, Sarjak Oza, Hitesh Singhavi, Kinshuk Chatterjee, Pankaj Chaturvedi

Oral submucous Fibrosis (OSMF) is a chronic disease that mainly affects the upper part of the aerodigestive tract. Areca nut and betel quid chewing has been established as the most significant causative factor for this condition. While OSMF is a predominantly Asian disease, the migrant populations from the region have taken the disease across the globe. Additionally, areca nut is now easily accessible in flavors and aggressively marketed. Many research activities have been undertaken for decades to understand the etiopathogenesis and risk factors of OSMF. Although OSMF is a slowly progressing disease, it has the potential to transform to an oral malignancy. This article is an attempt to review the literature and provide an update on its prevalence, etiopthogenesis and its diagnosis. We also highlight certain clinical, histopathological and molecular features that aid in the diagnosis and prognostication of OSMF, highlighting the importance of identifying the possibly high risk OSMF that is prone to malignant transformation. Using this information, future directions can be developed to include treatmentof OSMF through a dynamic gene-specific approach.

口腔黏膜下纤维化(OSMF)是一种主要影响呼吸道上半部分的慢性疾病。槟榔果和槟榔液的咀嚼已被确定为这种情况的最重要的致病因素。虽然OSMF主要是一种亚洲疾病,但来自该地区的移民人口已将该疾病带到全球各地。此外,槟榔果现在很容易获得的口味和积极的营销。几十年来,人们开展了许多研究活动,以了解OSMF的发病机制和危险因素。虽然OSMF是一种进展缓慢的疾病,但它有可能转变为口腔恶性肿瘤。本文试图回顾文献,并提供其流行,发病机制和诊断的最新进展。我们还强调了有助于OSMF诊断和预后的某些临床、组织病理学和分子特征,强调了识别可能易发生恶性转化的高风险OSMF的重要性。利用这些信息,未来的方向可以发展到包括通过动态基因特异性方法治疗OSMF。
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引用次数: 0
Prevalence of the SNP rs10774671 of the OAS1 gene in Mexico as a possible predisposing factor for RNA virus disease. 墨西哥OAS1基因SNP rs10774671的流行可能是RNA病毒病的易感因素
Pub Date : 2021-06-15 eCollection Date: 2021-01-01
María Teresa Sánchez-González, Oscar Cienfuegos-Jiménez, Salomón Álvarez-Cuevas, Antonio Ali Pérez-Maya, Gissela Borrego-Soto, Iván Alberto Marino-Martínez

The COVID-19 pandemic has revealed the susceptibility of certain populations to RNA virus infection. This variety of agents is currently the cause of severe respiratory diseases (SARS-CoV2 and Influenza), Hepatitis C, measles and of high prevalence tropical diseases that are detected throughout the year (Dengue and Zika). The rs10774671 polymorphism is a base change from G to A in the last nucleotide of intron-5 of the OAS1 gene. This change modifies a splicing site and generates isoforms of the OAS1 protein with a higher molecular weight and a demonstrated lower enzymatic activity. The low activity of these OAS1 isoforms makes the innate immune response against RNA virus infections less efficient, representing a previously unattended risk factor for certain populations.

Objective: Determine the distribution of rs10774671 in the open population of Mexico.

Methods: In 98 healthy volunteers, allelic and genotypic frequencies were determined by qPCR using allele specific labeled probes, and the Hardy-Weinberg equilibrium was determined.

Results: The A-allele turned out to be the most prevalent in the analyzed population.

Conclusions: Our population is genetically susceptible to RNA virus disease due to the predominant presence of the A allele of rs10774671 in the OAS1 gene.

新冠肺炎大流行揭示了某些人群对RNA病毒感染的易感性。这类病原体目前是严重呼吸道疾病(SARS-CoV2和流感)、丙型肝炎、麻疹和全年发现的高流行热带疾病(登革热和寨卡病毒)的病因。rs10774671多态性是OAS1基因5内含子最后一个核苷酸从G到a的碱基变化。这种改变改变了剪接位点,产生了分子量更高、酶活性较低的OAS1蛋白同工型。这些OAS1亚型的低活性使得针对RNA病毒感染的先天免疫反应效率较低,这代表了某些人群以前未被注意的风险因素。目的:确定rs10774671在墨西哥开放人群中的分布。方法:采用等位基因特异性标记探针,采用qPCR方法测定98名健康志愿者的等位基因和基因型频率,并测定Hardy-Weinberg平衡。结果:a等位基因在分析人群中最为普遍。结论:由于OAS1基因中rs10774671的A等位基因的显性存在,我们的人群对RNA病毒病具有遗传易感性。
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引用次数: 0
Measles, mumps, and rubella (MMR) vaccine and COVID-19: a systematic review. 麻疹、腮腺炎和风疹(MMR)疫苗与COVID-19:系统综述。
Pub Date : 2021-06-15 eCollection Date: 2021-01-01
Moslem Taheri Soodejani, Moslem Basti, Seyyed Mohammad Tabatabaei, Kourosh Rajabkhah

This study was performed to investigate published literature about the association between measles, mumps, and rubella (MMR) vaccine and COVID-19. This is a systematic review in which the databases of Chocrane, Pubmed, Scopus, Web of Science as well as reliable journals including Lancet, New England Journal of Medicine, Jama and also Centers for Disease Control and Prevention (CDC) publications were searched.Out of 169 documents discovered during the literature review, 56 ones were somehow related to the association between MMR vaccine and COVID-19, of which 11 ones mentioned the association between these two, and 8 of them contained a hypothesis about this relationship. A quasi-trial study reported the positive effect of the MMR vaccine on reducing the severity of COVID-19 symptoms among those who received it. Also, a cross-sectional study showed an association between the level of Immunoglobulin G (IgG) mumps and COVID-19. Moreover, a genomic data analysis study also reported the effect of Rubella Immunoglobulin G (IgG) level on COVID-19. It seems that due to the similarity of respiratory diseases including measles, rubella, and mumps to COVID-19, MMR vaccine should be investigated more deeply to see if it is effective in order to deal with this novel disease.

本研究旨在调查有关麻疹、腮腺炎和风疹(MMR)疫苗与COVID-19之间关系的已发表文献。这是一项系统综述,其中检索了Chocrane, Pubmed, Scopus, Web of Science数据库以及可靠的期刊,包括Lancet, New England Journal of Medicine, Jama以及疾病控制和预防中心(CDC)出版物。在文献综述中发现的169份文件中,有56份与MMR疫苗与COVID-19之间的关联有关,其中11份提到了两者之间的关联,其中8份包含了这种关系的假设。一项准试验研究报告了MMR疫苗对降低接种者COVID-19症状严重程度的积极作用。此外,一项横断面研究显示免疫球蛋白G (IgG)腮腺炎水平与COVID-19之间存在关联。此外,一项基因组数据分析研究也报道了风疹免疫球蛋白G (IgG)水平对COVID-19的影响。由于麻疹、风疹、腮腺炎等呼吸道疾病与COVID-19相似,为了应对这种新型疾病,应该更深入地研究MMR疫苗是否有效。
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引用次数: 0
Hypertension is associated with a variant in the RARRES2 gene in populations of Ouro Preto, Minas Gerais, Brazil: a cross-sectional study. 巴西米纳斯吉拉斯州欧鲁普雷图人群中高血压与RARRES2基因变异相关:一项横断面研究。
Pub Date : 2021-06-15 eCollection Date: 2021-01-01
Aline Priscila Batista, Keila Furbino Barbosa, Rafael Júnior de Azevedo, Valeska Natiely Vianna, Erica Maria de Queiroz, Carolina Coimbra Marinho, George Luiz Lins Machado-Coelho

Background: Arterial hypertension (AH) is implicated in vascular health and contributes significantly to cardiovascular morbidity and mortality. In addition to the contribution of usual risk factors for AH, elucidating the influence of genetic factors is a promising area of investigation. Therefore, we evaluated the association between AH and cardiovascular risk factors (CVRFs) and genetic polymorphisms in communities in Southeast Brazil.

Methods: A total of 515 adults aged 18-91 years, who were cross-sectionally assessed between 2015-2016, were included. Demographic, clinical, behavioral, anthropometric characteristics, and laboratory parameters and 12 single nucleotide polymorphisms in seven candidate genes involved in cardiovascular risk (RARRES2, AGT, NOS3, GNB3, APOE, APOB, APOC3, LDLR, and PPARG) were evaluated, with AH as the outcome. Sex, age, and laboratory parameters were considered the main confounding factors.

Results: There was a significant association between age >60 years (odds ratio [OR] =6.74), alcohol dependence (OR=3.84), smoking (OR=1.74), overweight (OR=1.74), high plasma triglyceride (TG) levels (OR=1.98) and low high-density lipoprotein (HDL-c) (OR=6.22), diabetes (OR=3.68), and insulin resistance (OR=2.40) and AH. A significant association was observed between rs4721 in RARRES2 and AH. The T allele in homozygosis was a potent chance modifier for AH. The highest chance gradients for AH were characterized by the presence of the TT genotype and DMT2 (OR=9.70), high TG (OR=6.26), low HDL-c (OR=8.20), and age more than 60 years (OR=9.96).

Conclusion: The interaction of the T allele of the rs4721 polymorphism in RARRES2 with CVRFs may predispose carriers to a higher cardiovascular risk.

背景:动脉高血压(AH)与血管健康有关,并对心血管疾病的发病率和死亡率有重要影响。除了AH的常见危险因素外,阐明遗传因素的影响是一个有前途的研究领域。因此,我们评估了巴西东南部社区AH与心血管危险因素(cvrf)和遗传多态性之间的关系。方法:在2015-2016年间对515名18-91岁的成年人进行横断面评估。我们评估了7个与心血管风险相关的候选基因(RARRES2、AGT、NOS3、GNB3、APOE、APOB、APOC3、LDLR和PPARG)的人口统计学、临床、行为、人体测量学特征、实验室参数和12个单核苷酸多态性,并将AH作为结果。性别、年龄和实验室参数被认为是主要的混杂因素。结果:年龄>60岁(比值比[OR] =6.74)、酒精依赖(OR=3.84)、吸烟(OR=1.74)、超重(OR=1.74)、高血浆甘油三酯(TG)水平(OR=1.98)、低高密度脂蛋白(HDL-c) (OR=6.22)、糖尿病(OR=3.68)、胰岛素抵抗(OR=2.40)和AH之间存在显著相关性。RARRES2中的rs4721与AH之间存在显著关联。纯合子中的T等位基因是AH的一个有效的机会修饰因子。AH的最高概率梯度为TT基因型和DMT2 (OR=9.70)、高TG (OR=6.26)、低HDL-c (OR=8.20)和年龄大于60岁(OR=9.96)。结论:RARRES2中rs4721多态性的T等位基因与CVRFs的相互作用可能使携带者具有更高的心血管风险。
{"title":"Hypertension is associated with a variant in the <i>RARRES2</i> gene in populations of Ouro Preto, Minas Gerais, Brazil: a cross-sectional study.","authors":"Aline Priscila Batista,&nbsp;Keila Furbino Barbosa,&nbsp;Rafael Júnior de Azevedo,&nbsp;Valeska Natiely Vianna,&nbsp;Erica Maria de Queiroz,&nbsp;Carolina Coimbra Marinho,&nbsp;George Luiz Lins Machado-Coelho","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Arterial hypertension (AH) is implicated in vascular health and contributes significantly to cardiovascular morbidity and mortality. In addition to the contribution of usual risk factors for AH, elucidating the influence of genetic factors is a promising area of investigation. Therefore, we evaluated the association between AH and cardiovascular risk factors (CVRFs) and genetic polymorphisms in communities in Southeast Brazil.</p><p><strong>Methods: </strong>A total of 515 adults aged 18-91 years, who were cross-sectionally assessed between 2015-2016, were included. Demographic, clinical, behavioral, anthropometric characteristics, and laboratory parameters and 12 single nucleotide polymorphisms in seven candidate genes involved in cardiovascular risk (<i>RARRES2</i>, <i>AGT</i>, <i>NOS3</i>, <i>GNB3</i>, <i>APOE</i>, <i>APOB</i>, <i>APOC3</i>, <i>LDLR</i>, and <i>PPARG</i>) were evaluated, with AH as the outcome. Sex, age, and laboratory parameters were considered the main confounding factors.</p><p><strong>Results: </strong>There was a significant association between age >60 years (odds ratio [OR] =6.74), alcohol dependence (OR=3.84), smoking (OR=1.74), overweight (OR=1.74), high plasma triglyceride (TG) levels (OR=1.98) and low high-density lipoprotein (HDL-c) (OR=6.22), diabetes (OR=3.68), and insulin resistance (OR=2.40) and AH. A significant association was observed between rs4721 in <i>RARRES2</i> and AH. The T allele in homozygosis was a potent chance modifier for AH. The highest chance gradients for AH were characterized by the presence of the TT genotype and DMT2 (OR=9.70), high TG (OR=6.26), low HDL-c (OR=8.20), and age more than 60 years (OR=9.96).</p><p><strong>Conclusion: </strong>The interaction of the T allele of the rs4721 polymorphism in <i>RARRES2</i> with CVRFs may predispose carriers to a higher cardiovascular risk.</p>","PeriodicalId":73460,"journal":{"name":"International journal of molecular epidemiology and genetics","volume":"12 3","pages":"40-51"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8310885/pdf/ijmeg0012-0040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of vitamin D receptor gene polymorphisms in North Indian children with asthma: a case-control study. 北印度哮喘儿童维生素D受体基因多态性的相关性:一项病例对照研究。
Pub Date : 2021-04-15 eCollection Date: 2021-01-01
Nidhi Awasthi, Shally Awasthi, Shivani Pandey, Sarika Gupta

Asthma is a complex genetic disease. Vitamin D and vitamin D receptor (VDR) gene polymorphisms are involved in asthma pathogenesis. However, accurate inflammatory mechanisms and their role in VDR gene polymorphisms are unclear. The objective of this study was to investigate the association of VDR gene polymorphisms, ApaI, FokI, TaqI, and BsmI with asthma as compared to controls. Children (age 5-15 years) with a history of respiratory symptoms (wheeze, shortness of breath and chest tightness) were recruited as cases. Age matched children admitted with central nervous system disorders (encephalitis/seizures) without any respiratory complaints were recruited as controls after parental consent. Children with a clinical diagnosis of cystic fibrosis, congenital heart disease and whose parents did not consent for participation in the study were excluded. VDR gene polymorphisms were genotyped using PCR-RFLP method. One hundred and sixty asthmatics and one hundred controls were enrolled in this study. Mean age of the cases was 103.29±32.7 months and controls 94.24±30.52 months. Children with heterozygous (AC) genotype [OR=1.83, 95% CI=1.01-3.32, p=0.046] of ApaI polymorphism were found to be associated with the risk of asthma. Our findings suggest that ApaI polymorphism of VDR gene may contribute to asthma susceptibility among children.

哮喘是一种复杂的遗传疾病。维生素D和维生素D受体(VDR)基因多态性与哮喘发病有关。然而,准确的炎症机制及其在VDR基因多态性中的作用尚不清楚。本研究的目的是研究与对照组相比,VDR基因多态性、ApaI、FokI、TaqI和BsmI与哮喘的关系。有呼吸系统症状(喘息、呼吸短促和胸闷)病史的儿童(5-15岁)被招募为病例。经父母同意后,招募年龄匹配的无任何呼吸系统疾病的中枢神经系统疾病(脑炎/癫痫发作)儿童作为对照组。临床诊断为囊性纤维化、先天性心脏病且父母不同意参与研究的儿童被排除在外。采用PCR-RFLP方法对VDR基因多态性进行基因分型。160名哮喘患者和100名对照者参加了这项研究。患者平均年龄103.29±32.7个月,对照组平均年龄94.24±30.52个月。ApaI基因多态性为杂合型(AC)的儿童[OR=1.83, 95% CI=1.01-3.32, p=0.046]与哮喘发病风险相关。本研究提示,VDR基因ApaI多态性可能与儿童哮喘易感性有关。
{"title":"Association of vitamin D receptor gene polymorphisms in North Indian children with asthma: a case-control study.","authors":"Nidhi Awasthi,&nbsp;Shally Awasthi,&nbsp;Shivani Pandey,&nbsp;Sarika Gupta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is a complex genetic disease. Vitamin D and vitamin D receptor (<i>VDR</i>) gene polymorphisms are involved in asthma pathogenesis. However, accurate inflammatory mechanisms and their role in <i>VDR</i> gene polymorphisms are unclear. The objective of this study was to investigate the association of <i>VDR</i> gene polymorphisms, <i>ApaI</i>, <i>FokI</i>, <i>TaqI</i>, and <i>BsmI</i> with asthma as compared to controls. Children (age 5-15 years) with a history of respiratory symptoms (wheeze, shortness of breath and chest tightness) were recruited as cases. Age matched children admitted with central nervous system disorders (encephalitis/seizures) without any respiratory complaints were recruited as controls after parental consent. Children with a clinical diagnosis of cystic fibrosis, congenital heart disease and whose parents did not consent for participation in the study were excluded. <i>VDR</i> gene polymorphisms were genotyped using PCR-RFLP method. One hundred and sixty asthmatics and one hundred controls were enrolled in this study. Mean age of the cases was 103.29±32.7 months and controls 94.24±30.52 months. Children with heterozygous (AC) genotype [OR=1.83, 95% CI=1.01-3.32, p=0.046] of ApaI polymorphism were found to be associated with the risk of asthma. Our findings suggest that <i>ApaI</i> polymorphism of <i>VDR</i> gene may contribute to asthma susceptibility among children.</p>","PeriodicalId":73460,"journal":{"name":"International journal of molecular epidemiology and genetics","volume":"12 2","pages":"24-34"},"PeriodicalIF":0.0,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166730/pdf/ijmeg0012-0024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38998816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular prevalence of eight different sexually transmitted infections in a Lebanese major tertiary care center: impact on public health. 黎巴嫩一家主要三级保健中心八种不同性传播感染的分子流行率:对公共卫生的影响。
Pub Date : 2021-04-15 eCollection Date: 2021-01-01
Nancy El Beayni, Lina Hamad, Christine Nakad, Sose Keleshian, Soha N Yazbek, Rami Mahfouz

Background: Sexually transmitted diseases (STD) are caused by a variety of pathogens transmitted by sexual activity. Untreated infections can cause major complications with a substantial high cost on health sector. With the development of molecular techniques, STD screening became easier with a high sensitivity and specificity.

Objectives: In Lebanon, official data regarding STD trends are scarce. This study elucidates the STD molecular profile at a tertiary care center, American University of Beirut Medical Center (AUBMC), its distribution among gender and age groups, with a comparison to international studies.

Methods: A retrospective data analysis was conducted on all STD panels performed at AUBMC from January 2017 till December 2019 to determine the molecular prevalence of eight different sexually transmitted organisms.

Results: Our samples belonged to 248 females (41.5%) and 349 males (58.5%). Only 53.5% of the samples tested positive for one or more organisms. Ureaplasma urealyticum/parvum was found to be the most common pathogen (49.3%), followed by Gardenerella vaginalis (33.5%), Chlamydia trachomatis (5.36%), Mycoplasma genitalium (5.16%), Neisseria gonorrhea (2.5%), Herpes simplex virus (2.5%), and Trichomonas vaginalis (1.39%). Age was distributed between 5 and 80 years old. Regarding the pathogen's distribution among gender, Ureaplasma urealyticum/parvum, Herpes simplex virus, and Gardenerella vaginalis were more common in females, the rest was more detected in males.

Conclusion: Data will be of great importance for clinicians, in terms of diagnosis and treatment. It will help adopting an evidence based STI control programs in Lebanon, and it is essential for future larger studies and sexual health awareness programs.

背景:性传播疾病(STD)是由性行为传播的多种病原体引起的。未经治疗的感染可导致严重并发症,给卫生部门带来高昂的成本。随着分子技术的发展,性病筛查变得更加容易,具有较高的灵敏度和特异性。目的:在黎巴嫩,关于性病趋势的官方数据很少。本研究阐明了三级医疗中心,美国贝鲁特大学医学中心(AUBMC)的性病分子特征,其在性别和年龄组中的分布,并与国际研究进行了比较。方法:回顾性分析2017年1月至2019年12月在AUBMC进行的所有性病检查数据,以确定8种不同性传播生物的分子流行情况。结果:女性248例(41.5%),男性349例(58.5%)。只有53.5%的样本检测出一种或多种生物呈阳性。解脲支原体/细小体是最常见的病原体(49.3%),其次是阴道栀子菌(33.5%)、沙眼衣原体(5.36%)、生殖支原体(5.16%)、淋病奈瑟菌(2.5%)、单纯疱疹病毒(2.5%)和阴道毛滴虫(1.39%)。年龄分布在5 - 80岁之间。从病原菌的性别分布来看,解脲支原体/细小体、单纯疱疹病毒和阴道栀子杆菌在女性中多见,其余在男性中多见。结论:数据对临床医生的诊断和治疗具有重要意义。它将有助于在黎巴嫩实施以证据为基础的性传播感染控制规划,对今后更大规模的研究和性健康意识规划至关重要。
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引用次数: 0
Reconstruction of Plasmodium vivax outbreaks in a low malaria endemic setting utilizing conventional restriction fragment length polymorphism. 利用常规限制性片段长度多态性重建低疟疾流行环境中的间日疟原虫暴发。
Pub Date : 2021-02-15 eCollection Date: 2021-01-01
Mergiory Y Labadie-Bracho, Malti R Adhin

Suriname is on track to eliminate local malaria transmission. P. vivax malaria reemerged in March and September 2019 in the Amerindian village Palumeu, free of malaria for two years and concurrently, a case was reported in another village Alalaparoe. The outbreaks were contained through targeted interventions including Mass Drug Administration (MDA). Molecular outbreak analysis was performed on 23 dried blood spots (DBS) using combined polymerase chain reaction/restriction fragment length polymorphism (PCR-RFLP) with Pvmsp-1 F2 and Pvmsp-3α as polymorphic marker genes. Independent controls substantiated the discriminating capacities of the utilized PCR-RFLP method. All isolates from the first and second Palumeu outbreak shared a distinctive haplotype presuming single clonal lineage. An imported case probably triggered the first outbreak, while a delayed episode, prompted by withdrawal of drug pressure at the end of the prophylactic MDA, was suggested as source of the second outbreak. A diverging variant was demonstrated in Alalaparoe, implicating an infection from a different source. PCR-RFLP proved to be a useful molecular tool for P. vivax outbreak management in low endemic malaria settings.

苏里南正在努力消除当地的疟疾传播。间日疟于2019年3月和9月在美洲印第安人村庄Palumeu重新出现,该村庄已有两年无疟疾,同时在另一个村庄Alalaparoe报告了一例病例。通过包括大规模药物管理在内的有针对性的干预措施,疫情得到了控制。以Pvmsp-1 F2和Pvmsp-3α为多态性标记基因,采用聚合酶链反应/限制性片段长度多态性(PCR-RFLP)对23株干血斑(DBS)进行分子爆发分析。独立对照证实了PCR-RFLP方法的鉴别能力。从第一次和第二次Palumeu暴发的所有分离株都有一个独特的单倍型,假设是单克隆谱系。可能是一个输入病例引发了第一次暴发,而在预防性大剂量药物治疗结束时停用药物压力所导致的延迟发作被认为是第二次暴发的来源。在Alalaparoe中发现了一种分化的变异,暗示感染来自不同的来源。事实证明,PCR-RFLP是在低疟疾流行环境中管理间日疟原虫暴发的一种有用的分子工具。
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引用次数: 0
Role of VDR gene polymorphisms with community acquired pneumonia in North Indian children: a case-control study. VDR基因多态性在北印度儿童社区获得性肺炎中的作用:一项病例对照研究
Pub Date : 2021-02-15 eCollection Date: 2021-01-01
Nidhi Awasthi, Shally Awasthi, Shivani Pandey

Community-acquired pneumonia (CAP) is a leading cause of death in children under five years of age globally. Currently, the vitamin D receptor (VDR) gene is an emerging factor that regulates inflammatory pathways that may alter the response to infections and possibly modify the outcome of CAP. The objective of this study was to investigate the association of VDR gene polymorphisms ApaI, FokI, TaqI, BsmI with CAP in children aged 2-59 months. Hospitalized children aged (2-59 months) with WHO-defined CAP were included as cases after parental consent. Age-matched healthy controls were recruited from the immunization clinic of the hospital within one week of the recruitment of the case. Children with a clinical diagnosis of cystic fibrosis and congenital heart disease were excluded. Four VDR gene polymorphisms, ApaI, FokI, TaqI, BsmI were genotyped by using PCR-RFLP. From Oct-2016 to Oct-2019, 160 cases (34.37% females) and 160 controls (47.5% females) were recruited. Mean age of the cases was 26.30±23.10 months and controls 25.93±15.99 months. In FokI (rs2228570 polymorphism, heterozygous genotype (CT) [OR=2.06, 95% CI=1.25-3.39, P=0.00] and mutant allele (T) [OR=1.45, 95% CI=1.06-2.00, P=0.02] were found to be associated with the risk of CAP. In VDR gene, FokI polymorphism predisposes to CAP in Indian children.

社区获得性肺炎(CAP)是全球五岁以下儿童死亡的主要原因。目前,维生素D受体(VDR)基因是一个新兴的调节炎症途径的因子,可能会改变对感染的反应,并可能改变CAP的结果。本研究的目的是研究2-59个月儿童VDR基因多态性ApaI, FokI, TaqI, BsmI与CAP的关系。经父母同意,患有世卫组织定义的CAP的住院儿童(2-59个月)被纳入病例。招募病例后一周内从医院免疫门诊招募年龄匹配的健康对照。排除临床诊断为囊性纤维化和先天性心脏病的儿童。采用PCR-RFLP方法对4个VDR基因多态性ApaI、FokI、TaqI、BsmI进行分型。2016年10月至2019年10月,共招募160例(女性占34.37%)和160例对照组(女性占47.5%)。患者平均年龄26.30±23.10个月,对照组25.93±15.99个月。在FokI (rs2228570)多态性中,杂合子基因型(CT) [OR=2.06, 95% CI=1.25 ~ 3.39, P=0.00]和突变等位基因(T) [OR=1.45, 95% CI=1.06 ~ 2.00, P=0.02]与CAP风险相关。在VDR基因中,FokI多态性易患印度儿童CAP。
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International journal of molecular epidemiology and genetics
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