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FcγR-IIIA基因多态性与系统性红斑狼疮
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摘要
背景系统性红斑狼疮和狼疮肾炎的发生与抗原抗体复合物的产生和清除密切相关,FcγR-ⅢA结合的IgG亚型与狼疮肾炎关系密切。FcγR-ⅢA的基因多态性可能会使免疫细胞清除抗原抗体复合物能力的改变,使个体易感红斑狼疮或狼疮肾炎。目的研究亚洲人群中,FCγRⅢA-F158V基因多态性对系统性红斑狼疮(SLE)、狼疮肾炎(LN)、早发狼疮肾炎的影响。方法收集中国系统性红斑狼疮患者100例(其中狼疮肾炎患者76例)、对照组127例进行病例对照研究。采用多聚酶链反应(PCR)和单链构象多态性-聚丙烯酰胺凝胶电泳(SSCP-PAGE)检测FCγRⅢA-F158V基因型。进一步对亚洲关于FcγRⅢA与系统性红斑狼疮的相关性研究进行meta分析,数据基于Medline、Embase和CNKI数据库(最后检索时间2008年6月),阅读入选文献或相关综述的参考文献。结果病例对照研究结果:未发现FcγRⅢA-F158V的基因多态性与系统性红斑狼疮、狼疮肾炎和早发狼疮肾炎有显著相关性。Meta分析结果显示:FcγRⅢA-F158V的纯合基因型FF、及其等位基因F可能是系统性红斑狼疮发病的危险因素(基因型FF,OR=1.26[1.06-1.56],P=0.03;等位基因F,OR=1.26[1.01-1.43],P=0.04),未发现该基因多态性与狼疮肾炎的发生相关。结论FcγRⅢA-F158V的纯合子基因型FF、及其等位基因F是系统性红斑狼疮发生的危险因素。未发现FcγRⅢA基因多态性与狼疮肾炎及早发狼疮肾炎相关。
Background.Patients with systemic lupus erythematosus(SLE) and lupus nephritis(LN) exhibit defect of phagocytosis in immune complex(IC) processing.IgG Fcγreceptor is important in the clearance of IC.FcγR-ⅢA has higher affinity for certain IgG subtype which plays a major role in the pathogenesis of lupus nephritis. The polymorphism of FcγRⅢA predicts different ability of IC clearance.Objective To study whether the FcγRⅢA polymorphism is a risk factor for systemic lupus erythematosus(SLE),lupus nephritis(LN) and early onset lupus nephritis in Asian. Methods.We genotype 100 Chinese SLE patients(76 patients with LN) and 127 normal controls for FcγRⅢA polymorphism,then perform a meta analysis based on the Medline,Embase and CNKI databases(lase retrieval June 2008),as well as assessment of pertinent articles and references.Result.No association is found between FcγRⅢA polymorphism and SLE or LN in case-control research,neither is association between FcγRⅢA polymorphism or course of lupus nephritis.But in meta analysis,skewing is found between genotype FF and SLE(OR=1.26[1.06-1.56], P=0.03),so is between allele F and SLE(OR=1.26[1.01-1.43],P=0.04).Conclusion. The homozygous FF genotype and F allele of FcγRⅢA may be the risk factors for systemic lupus erythematosus.No association is found for LN and early onset lupus nephritis.
引文
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