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Association analysis of a chemo-response signature identified within The Cancer Genome Atlas aimed at predicting genetic risk for chemo-response in ovarian cancer. 癌症基因组图谱中确定的化学反应特征的关联分析,旨在预测卵巢癌化学反应的遗传风险。
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Erin A Salinas, Andreea M Newtson, Kimberly K Leslie, Jesus Gonzalez-Bosquet

Background: A gene signature associated with chemo-response in ovarian cancer was created through integration of biological data in The Cancer Genome Atlas (TCGA) and validated in five independent microarray experiments. Our study aimed to determine if single nucleotide polymorphisms (SNPs) within the 422-gene signature were associated with a genetic predisposition to platinum-based chemotherapy response in serous ovarian cancer.

Methods: An association analysis between SNPs within the 422-gene signature and chemo-response in serous ovarian cancer was performed under the log-additive genetic model using the 'SNPassoc' package within the R environment (p<0.0001). Subsequent validation of statistically significant SNPs was done in the Ovarian Cancer Association Consortium (OCAC) database.

Results: 19 SNPs were found to be associated with chemo-response with statistical significance. None of the SNPs found significant in TCGA were validated within OCAC for the outcome of interest, chemo-response.

Conclusions: SNPs associated with chemo-response in ovarian cancer within TGCA database were not validated in a larger database of patients and controls from OCAC. New strategies integrating somatic and germline information may help to characterize genetic predictors for treatment response in ovarian cancer.

背景:通过整合癌症基因组图谱(TCGA)中的生物学数据,创建了与卵巢癌化疗反应相关的基因标记,并在五个独立的微阵列实验中得到验证。我们的研究旨在确定422个基因标记中的单核苷酸多态性(SNPs)是否与浆液性卵巢癌中铂基化疗反应的遗传易感性相关。方法:使用R环境中的“SNPassoc”软件包,在对数加性遗传模型下,分析浆液性卵巢癌422个基因标记中的snp与化疗反应之间的关联(结果:发现19个snp与化疗反应相关,具有统计学意义)。在TCGA中发现的显著snp均未在OCAC中得到验证,以获得感兴趣的结果,即化学反应。结论:TGCA数据库中与卵巢癌化疗反应相关的snp未在OCAC患者和对照组的更大数据库中得到验证。整合体细胞和种系信息的新策略可能有助于表征卵巢癌治疗反应的遗传预测因子。
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引用次数: 0
Placental genetic variations in circadian clock-related genes increase the risk of placental abruption. 胎盘生物钟相关基因的遗传变异增加了胎盘早剥的风险。
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Chunfang Qiu, Bizu Gelaye, Marie Denis, Mahlet G Tadesse, Daniel A Enquobahrie, Cande V Ananth, Percy N Pacora, Manuel Salazar, Sixto E Sanchez, Michelle A Williams

The genetic architecture of placental abruption (PA) remains poorly understood. We examined variations in SNPs of circadian clock-related genes in placenta with PA risk. We also explored placental and maternal genomic contributions to PA risk. Placental genomic DNA samples were isolated from 280 PA cases and 244 controls. Genotyping was performed using the Illumina Cardio-MetaboChip. We examined 116 SNPs in 13 genes known to moderate circadian rhythms. Logistic regression models were fit to estimate odds ratios (ORs). The combined effect of multiple SNPs on PA risk was estimated using a weighted genetic risk score. We examined independent and joint associations of wGRS derived from placental and maternal genomes with PA. Seven SNPs in five genes (ARNTL2, CRY2, DEC1, PER3 and RORA), in the placental genome, were associated with PA risk. Each copy of the minor allele (G) of a SNP in the RORA gene (rs2899663) was associated with a 30% reduced odds of PA (95% CI 0.52-0.95). The odds of PA increased with increasing placental-wGRS (Ptrend<0.001). The ORs were 1.00, 2.16, 3.24 and 4.48 across quartiles. Associations persisted after the maternal-wGRS was included in the model. There was evidence of an additive contribution of placental and maternal genetic contributions to PA risk. Participants with placental- and maternal-wGRS in the highest quartile, compared with those in the lowest quartile, had a 15.57-fold (95% CI 3.34-72.60) increased odds of PA. Placental variants in circadian clock-related genes are associated with PA risk; and the association persists after control of genetic variants in the maternal genome.

胎盘早剥(PA)的遗传结构仍然知之甚少。我们检测了PA风险胎盘中生物钟相关基因的snp变异。我们还探讨了胎盘和母体基因组对PA风险的影响。从280例PA病例和244例对照组中分离胎盘基因组DNA样本。使用Illumina Cardio-MetaboChip进行基因分型。我们检查了13个已知调节昼夜节律的基因中的116个snp。拟合逻辑回归模型来估计比值比(or)。使用加权遗传风险评分估计多个snp对PA风险的综合影响。我们研究了来自胎盘和母体基因组的wGRS与PA的独立和联合关联。胎盘基因组中5个基因(ARNTL2、CRY2、DEC1、PER3和RORA)的7个snp与PA风险相关。RORA基因(rs2899663)中一个SNP的小等位基因(G)的每个拷贝与PA的几率降低30%相关(95% CI 0.52-0.95)。PA的几率随胎盘- wgrs的增加而增加(p趋势)
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引用次数: 0
Prevalence of common vitamin D receptor gene polymorphisms in HIV-infected and uninfected South Africans. 南非hiv感染者和未感染者常见维生素D受体基因多态性的流行情况
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Lynne McNamara, Simbarashe Takuva, Tobias Chirwa, Patrick MacPhail

Background: Host genetic factors may a play role in susceptibility to infection. Vitamin-D is an immunomodulator that may play a role in HIV infection. Vitamin-D action is mediated by the vitamin-D receptor. We establish prevalence of ApaI, BsmI, FokI and TaqI polymorphisms (VDRPs) amongst a black southern African HIV+ve population and investigate polymorphic differences between HIV+ve and -ve people.

Methods: Seventy-nine sex and age-group matched HIV+ve patients of African origin initiating antiretroviral therapy (ART) and 79 HIV-ve participants, also of African origin, were recruited from a public sector HIV testing and treatment clinic and investigated for the 4 polymorphisms. The genotype frequencies were compared, odds ratios and 95% confidence intervals of the association of HIV status and each genotype were calculated. Both dominant, co-dominant, recessive and allele models were tested.

Results: We found no evidence of difference in distribution and association between HIV infection and the genotypes of the BsmI, FokI and TaqI VDR polymorphisms. The genotype distributions were consistent with Hardy-Weinberg equilibrium for these genotypes. The ApaI genotype showed differences in distribution by HIV status in the dominant and co-dominant models. However this finding is cautiously stated as the ApaI genotype violated the Hardy-Weinberg equilibrium and frequency of the minor variant was unexpectedly low in this population.

Conclusion: We do not show convincing differences in distribution of the VDR genotypes among HIV+ve and HIV-ve black southern African persons. Future studies need to be replicated in larger study populations as understanding polymorphic differences and similarities may offer insights into the different susceptibility and progression of HIV in southern African populations.

背景:宿主遗传因素可能在感染易感性中起作用。维生素d是一种免疫调节剂,可能在HIV感染中发挥作用。维生素d的作用是由维生素d受体介导的。我们建立了ApaI、BsmI、FokI和TaqI多态性(VDRPs)在南非黑人HIV+ve人群中的流行情况,并调查了HIV+ve和-ve人群之间的多态性差异。方法:从一家公共艾滋病检测和治疗诊所招募了79名性别和年龄组匹配的非洲裔HIV+ve患者,开始抗逆转录病毒治疗(ART),并调查了79名非洲裔HIV-ve参与者的4种多态性。比较基因型频率,计算HIV状态与各基因型相关性的比值比和95%置信区间。检测了显性、共显性、隐性和等位基因模型。结果:BsmI、FokI和TaqI基因型的VDR多态性与HIV感染的分布和相关性无明显差异。基因型分布符合Hardy-Weinberg平衡。在显性和共显性模型中,ApaI基因型在HIV感染状态下的分布存在差异。然而,这一发现是谨慎的,因为ApaI基因型违反了Hardy-Weinberg平衡,并且在该人群中,小变异的频率出乎意料地低。结论:我们没有显示出令人信服的VDR基因型在HIV+ve和HIV-ve黑人南部非洲人中分布的差异。未来的研究需要在更大的研究人群中进行复制,因为了解多态性差异和相似性可能为了解南部非洲人群中HIV的不同易感性和进展提供见解。
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引用次数: 0
Telomere length measurement by a novel Luminex-based assay: a blinded comparison to Southern blot. 端粒长度测量通过一种新的基于luminex的分析:盲法比较南方印迹。
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Brandon L Pierce, Farzana Jasmine, Shantanu Roy, Chenan Zhang, Abraham Aviv, Steven C Hunt, Habibul Ahsan, Muhammad G Kibriya

Telomere length (TL) is a potential biomarker of aging and age-related disease risk. We recently published a novel Luminex-based method for high-throughput, low-cost TL measurement. Here we describe a blinded comparison of the Luminex method to Southern blot, the most precise TL measurement method. Luminex and Southern blot measurements for the same 50 DNA samples were taken in two independent laboratories; each sample was measured twice, several months apart. The inter-assay CV for Luminex ranged from 5.5 to 9.1 (depending on CV estimation method), and Southern blot CV from 1.0 to 1.7. Both measures were inversely associated with age. The correlation between the repeated measurements was 0.66 for Luminex and 0.97 for Southern blot. The correlation between Southern blot and Luminex was 0.65 in round 1 and 0.75 in round 2, and the relationship showed no evidence of non-linearity. Our results demonstrate that the Luminex assay is a valid and reproducible method for high-throughput TL measurement. The Luminex assay involves no DNA amplification, which may make Luminex an attractive alternative to PCR-based TL measurement.

端粒长度(TL)是衰老和年龄相关疾病风险的潜在生物标志物。我们最近发表了一种新的基于luminex的高通量、低成本TL测量方法。在这里,我们描述了Luminex方法与最精确的TL测量方法Southern blot的盲法比较。在两个独立的实验室对相同的50个DNA样本进行了Luminex和Southern blot测量;每个样本测量两次,间隔几个月。Luminex的检测间CV范围为5.5至9.1(取决于CV估计方法),而Southern blot的CV范围为1.0至1.7。这两项指标都与年龄呈负相关。Luminex重复测量的相关性为0.66,Southern blot的相关性为0.97。在第1轮和第2轮中,Southern blot与Luminex的相关系数分别为0.65和0.75,两者之间没有非线性关系。我们的结果表明,Luminex法是一种有效的、可重复的高通量TL测量方法。Luminex检测不涉及DNA扩增,这可能使Luminex成为基于pcr的TL测量的有吸引力的替代方案。
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引用次数: 0
Genetic polymorphism at codon 546 of the human RAD17 contributes to the risk for esophageal squamous cell carcinoma. 人类RAD17基因密码子546基因多态性与食管鳞状细胞癌发病风险相关。
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Yukiko Yasuda, Akiko Sakai, Sachio Ito, Yuichiro Mita, Takayuki Sonoyama, Shunsuke Tanabe, Yasuhiro Shirakawa, Yoshio Naomoto, Hiroshi Katayama, Kenji Shimizu

Human RAD17, a human homolog of the Schizosaccharomyces pombe cell cycle checkpoint gene RAD17, plays a significant role in activating checkpoint signals in response to DNA damage. We evaluated the association of hRAD17 Leu546Arg (rs1045051), a missense single nucleotide polymorphism, with the risk of esophageal squamous cell carcinoma in relation to smoking and alcohol consumption history in 154 esophageal squamous cell carcinoma male patients and 695 cancer-free male controls by a case-control study conducted in Japan. The results showed that the hRAD17 Arg/Arg genotype compared to the Leu/Leu and Leu/Arg genotypes was significantly associated with the risk of the esophageal squamous cell carcinoma with an adjusted odds ratios of 2.22 (95% CI: 1.19-4.16 P=0.013). In stratified studies, the risk of esophageal squamous cell carcinoma was markedly higher in light drinkers (less than 23 g ethanol/day) with the Arg/Arg genotype than in heavy drinkers (excess of 23 g ethanol/day) with the Arg/Arg genotype (OR=2.83, 95% CI: 1.05-7.61, P=0.04). We concluded that the genetic variant of hRAD17 Leu546Arg polymorphism exerts a significant effect on esophageal squamous cell carcinoma risk among Japanese men.

人类RAD17是Schizosaccharomyces pombe细胞周期检查点基因RAD17的人类同源基因,在DNA损伤激活检查点信号中起重要作用。我们通过在日本进行的一项病例对照研究,评估了hRAD17 Leu546Arg (rs1045051),一种错义单核苷酸多态性,与154名食管鳞状细胞癌男性患者和695名无癌男性对照的吸烟和饮酒史与食管鳞状细胞癌风险的关系。结果显示,与Leu/Leu和Leu/Arg基因型相比,hRAD17 Arg/Arg基因型与食管鳞状细胞癌的风险显著相关,校正优势比为2.22 (95% CI: 1.19 ~ 4.16 P=0.013)。在分层研究中,Arg/Arg基因型的轻度饮酒者(少于23 g乙醇/天)患食管鳞状细胞癌的风险明显高于Arg/Arg基因型的重度饮酒者(超过23 g乙醇/天)(OR=2.83, 95% CI: 1.05-7.61, P=0.04)。我们得出结论,hRAD17 Leu546Arg多态性的遗传变异对日本男性食管鳞状细胞癌的风险有显著影响。
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引用次数: 0
Dyslipidemia, insulin resistance and dietary fat intake in obese and normal weight adolescents: the role of uncoupling protein 2 -866G/A gene polymorphism. 肥胖和正常体重青少年血脂异常、胰岛素抵抗和膳食脂肪摄入:解偶联蛋白2 -866G/A基因多态性的作用
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Emy Huriyati, Harry F Luglio, Prima D Ratrikaningtyas, Ahmad Fa Tsani, Ahmad H Sadewa, Mohammad Juffrie

Obesity in adolescents has been associated with increased cardiovascular risk factors such as dyslipidemia and insulin resistance. Several factors have been proposed to be associated with cardiovascular risk factors in adolescents including dietary habit, physical activity and genetic. This study was aimed to evaluate the interaction between genetic variation and dietary intake on cardiovascular metabolic risk factors in obese and normal weight adolescents. The UCP2 gene was chosen because it was previously correlated with dietary intake and cardiovascular risk factors. This study is a case control study done in 10 senior high school in Yogyakarta. Subjects were obese and normal weight adolescents taken from an obesity screening with age ranged between 16 and 18 years old. Dyslipidemia was observed by measuring total cholesterol, triglyceride, LDL dan HDL level while insulin resistance was determined by calculating fasting glucose and insulin level. Lipid profile, glucose and insulin level were measured after 8 hours of fasting. UCP2 -866G/A gene polymorphism were determined using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). The results show that obese adolescents had significantly higher blood pressure, total cholesterol, LDL, triglyceride, insulin level and lower HDL level than their normal weight counterparts (all p<0.001). In obese adolescents, UCP2 -866G/A was associated with blood pressure (p=0.025), total cholesterol level (p=0.025), LDL (p=0.024) level and HOMA IR (p<0.001) but not with dietary fat intake (p=0.386). Additionally, subjects with UCP2 -866G/A gene polymorphism and high dietary fat intake had lower risk on obesity compared to those without UCP2 -866G/A gene polymorphism and low dietary fat intake. We conclude that the UCP2 -866G/A was associated with dyslipidemia, insulin resistance in obese adolescents. Additionally, we also observed the interaction between UCP2 -866G/A gene polymorphism and dietary intake on the risk of obesity.

青少年肥胖与血脂异常和胰岛素抵抗等心血管危险因素增加有关。有几个因素被认为与青少年心血管风险因素有关,包括饮食习惯、身体活动和遗传。本研究旨在评估肥胖和正常体重青少年心血管代谢危险因素的遗传变异和膳食摄入量之间的相互作用。之所以选择UCP2基因,是因为它之前与饮食摄入和心血管风险因素有关。本研究是在日惹市10所高中进行的个案对照研究。研究对象是肥胖和正常体重的青少年,年龄在16到18岁之间。通过测定总胆固醇、甘油三酯、LDL和HDL水平观察血脂异常,通过计算空腹血糖和胰岛素水平测定胰岛素抵抗。空腹8小时后测定血脂、血糖和胰岛素水平。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)检测UCP2 -866G/A基因多态性。结果显示,肥胖青少年的血压、总胆固醇、低密度脂蛋白、甘油三酯、胰岛素水平和高密度脂蛋白水平明显高于正常体重的同龄人
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引用次数: 0
GNAS gene mutation may be present only transiently during colorectal tumorigenesis. 在结直肠肿瘤发生过程中,GNAS基因突变可能只是短暂的。
Pub Date : 2016-03-23 eCollection Date: 2016-01-01
Peter Zauber, Stephen P Marotta, Marlene Sabbath-Solitare

Mutations of the gene GNAS have been shown to activate the adenylate cyclase gene and lead to constitutive cAMP signaling. Several preliminary reports have suggested a role for GNAS gene mutations during colorectal carcinogenesis, particularly mucinous carcinomas. The aim of this study was to clarify the incidence of GNAS mutations in adenomas (tubular, tubulovillous, and villous), carcinomas with residual adenoma, and carcinomas, and to relate these findings to mutations of the KRAS gene and to the mucinous status of the tumors. We used standard PCR techniques and direct gene sequencing to evaluate tumors for gene mutations. No GNAS mutations were identified in 25 tubular adenomas, but were present in 6.4% of tubulovillous adenomas and 11.2% of villous adenomas. A GNAS mutation was found in 9.7% of the benign portion of carcinoma with residual adenoma, but in none of 86 carcinomas. A similar trend was seen for KRAS mutation across the five groups of tumors. GNAS mutations may function as an important driver mutation during certain phases of colorectal carcinogenesis, but may then be lost once the biological advantage gained by the mutated gene is no longer necessary to sustain or advance tumor development.

基因GNAS的突变已被证明可以激活腺苷酸环化酶基因并导致构成cAMP信号传导。一些初步报告表明,GNAS基因突变在结直肠癌,特别是黏液癌的发生过程中起作用。本研究的目的是阐明GNAS突变在腺瘤(管状、管状绒毛状和绒毛状)、残留腺瘤癌和癌中的发生率,并将这些发现与KRAS基因突变和肿瘤的粘液状态联系起来。我们使用标准PCR技术和直接基因测序来评估肿瘤的基因突变。在25例管状腺瘤中未发现GNAS突变,但在6.4%的管状绒毛腺瘤和11.2%的绒毛腺瘤中存在GNAS突变。在残留腺瘤的癌的良性部分中发现了9.7%的GNAS突变,但在86例癌中没有发现。KRAS突变在五组肿瘤中也有类似的趋势。在结直肠癌发生的某些阶段,GNAS突变可能是一个重要的驱动突变,但一旦突变基因获得的生物学优势不再需要维持或推进肿瘤发展,那么GNAS突变可能会丢失。
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引用次数: 0
Epidemiology of colorectal cancer. 结直肠癌流行病学。
Pub Date : 2016-01-01 DOI: 10.1007/978-3-319-35153-7_21
A. Marley, H. Nan
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引用次数: 56
Evaluation of genetic risk scores for prediction of dichotomous outcomes. 评估遗传风险评分对二分类结果的预测。
Pub Date : 2015-09-09 eCollection Date: 2015-01-01
Wonsuk Yoo, Selina A Smith, Steven S Coughlin

Substantial uncertainty exists as to whether combining multiple disease-associated single nucleotide polymorphisms (SNPs) into a genotype risk score (GRS) can improve the ability to predict the risk of disease in a clinically relevant way. We calculated the ability of a simple count GRS to predict the risk of a dichotomous outcome under both multiplicative and additive models of combined effects. We then compared the results of these simulations with the observed results of published GRS measured within multiple epidemiologic cohorts. If the combined effect of each disease-associated SNP included in a GRS is multiplicative on the risk scale, then a count GRS score should be useful for risk prediction with as few as 10-20 SNPs. Adding additional SNPs to the GRS under this model dramatically improves risk prediction. By contrast, if the combined effect of each SNP included in a GRS is linearly additive on the risk scale, a simple count GRS is unlikely to provide clinically useful risk prediction. Adding additional SNPs to the GRS under this model does not improve risk prediction. The combined effect of SNPs included in several published GRS measured in several well-phenotyped epidemiologic cohort studies appears to be more consistent with a linearly additive effect. A simple count GRS is unlikely to be clinically useful for predicting the risk of a dichotomous outcome. Alternative methods for constructing GRS that attempt to identify and include SNPs that demonstrate multiplicative gene-gene or gene-environment interactive effects are needed.

将多种疾病相关的单核苷酸多态性(snp)组合成基因型风险评分(GRS)是否能以临床相关的方式提高预测疾病风险的能力,存在很大的不确定性。我们计算了简单计数GRS在组合效应的乘法和加性模型下预测二分类结果风险的能力。然后,我们将这些模拟结果与在多个流行病学队列中测量的已发表的GRS观察结果进行了比较。如果GRS中包含的每个疾病相关SNP的综合效应在风险量表上是相乘的,那么计数GRS评分应该对只有10-20个SNP的风险预测有用。在该模型下,向GRS中添加额外的snp显著提高了风险预测。相比之下,如果GRS中包含的每个SNP的综合效应在风险量表上是线性相加的,那么简单的GRS计数不太可能提供临床有用的风险预测。在该模型下,向GRS中添加额外的snp并不能改善风险预测。在几个表型良好的流行病学队列研究中测量的几个已发表的GRS中包含的snp的综合效应似乎更符合线性加性效应。简单的GRS计数在临床上不太可能用于预测二分类结果的风险。构建GRS的替代方法是需要的,这些方法试图识别和包括证明增殖基因-基因或基因-环境相互作用的snp。
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引用次数: 0
Evaluations of life style factors and the severity of Gastroesophageal reflux disease; a case-control study. 生活方式因素与胃食管反流病严重程度的评价病例对照研究。
Pub Date : 2015-09-09 eCollection Date: 2015-01-01
Saba Fakhrieh Asl, Fariborz Mansour-Ghanaei, Hooman Samadi, Farahnaz Joukar

The incidence of Gastroesophageal reflux disease (GERD) has increased remarkably worldwide. This study focuses on the background features of these patients and evaluates the two GERD sub types; none erosive (NERD) and erosive (ERD). In a case-control study, patients with reflux symptoms who had obtained a total score of 8-18 of the GERD questionnaire were included. Control group consisted of their families with lower scores and no reflux presentations. All demographic features were recorded. Then upper GI endoscopy performed and the cases divided into two sub groups: NERD and ERD. In the next step, all demographic data analyzed for these two subgroups. The data were analyzed using the SPSS software version 21. A number of 210 subjects included in each group (210 patients with GERD and 210 control group) with normal statistical distribution of age and gender. There was a significant relationship between GERD and BMI (P=0.001), eating fatty foods (P=0.0001), lying after meal (P=0.0001), drinking beverages with meal (0.0001), eating spicy food (0.006) and NSAIDs use (P=0.0001). Then the cases divided into two subgroups; NERD (n=146) and ERD (n=64). There were a significant relationship with eating salty-smoky food (P=0.005) and eating spicy food (P=0.011). The difference of BMI between NERD and ERD was remarkable but was not statistically significant. Our results showed that obesity is an important risk factor for GERD. Other possible risk factors such as NSAIDs use and certain foods and wrong habits like lying after meal should be addressed in future longitudinal surveys.

胃食管反流病(GERD)的发病率在世界范围内显著增加。本研究关注这些患者的背景特征,并评估两种GERD亚型;无腐蚀(NERD)和腐蚀(ERD)。在一项病例对照研究中,纳入了GERD问卷总分在8-18分的有反流症状的患者。对照组由得分较低且无反流表现的家属组成。记录所有人口统计学特征。然后进行上消化道内镜检查,并将病例分为两组:NERD和ERD。在下一步中,对这两个子组的所有人口统计数据进行分析。采用SPSS软件21版对数据进行分析。每组入组210例(GERD组210例,对照组210例),年龄、性别呈正态统计分布。胃食管反流与BMI (P=0.001)、进食高脂肪食物(P=0.0001)、餐后躺卧(P=0.0001)、用餐时饮用饮料(0.0001)、进食辛辣食物(0.006)和使用非甾体抗炎药(P=0.0001)有显著相关。然后将这些病例分成两个亚组;NERD (n=146)和ERD (n=64)。吃咸烟熏食物(P=0.005)和吃辛辣食物(P=0.011)有显著关系。NERD组与ERD组BMI差异有统计学意义,但无统计学意义。我们的研究结果表明,肥胖是胃反流的一个重要危险因素。其他可能的风险因素,如非甾体抗炎药的使用,某些食物和错误的习惯,如饭后躺在床上,应该在未来的纵向调查中加以解决。
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引用次数: 0
期刊
International journal of molecular epidemiology and genetics
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