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基质金属蛋白酶-3基因多态性与无症状性颈动脉狭窄的相关性
黄小亚, 韩丽雅, 黄向东, 管朝红, 茅新蕾, 林彩丹
温州市中心医院(温州医科大学定理临床学院)神经内科
摘要:
目的探讨中国汉族人群基质金属蛋白酶-3(MMP-3)基因多态性与无症状性颈动脉狭窄的关系。方法选择2011年1月至2013年12月来院体检的425例年龄≥60岁健康者为研究对象,经颈动脉超声检测,其中颈动脉狭窄(≥50%)65例,无颈动脉狭窄360例;并采用聚合酶链反应-限制性酶切片段长度多态性方法,分析与比较两组人群MMP-3基因启动子区-1171位点的5A/6A多态性。结果颈动脉狭窄与无狭窄人群基因型分布均符合Hardy-Weinberg平衡(均P>0.05);两组人群MMP-35A/6A基因型和5A等位基因分布比较,差异均有统计学意义(均P<0.05)。经logistic回归模型分析,校正多项血管危险因素后,5A/6A或5A/5A基因型是无症状性颈动脉狭窄的独立危险因素(OR=1.98,95%CI:1.05~3.72)。结论MMP-3基因启动子区-1171位点的5A/6A多态性与无症状性颈动脉狭窄的发生可能相关。
关键词:  基质金属蛋白酶 -3 基因多态性 无症状性颈动脉狭窄
DOI:
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基金项目:浙江省温州市科技计划项目
Association between matrix metalloproteinase-3 5A/6A polymorphism and prevalence of asymptomatic carotid artery stenosis
HUANG Xiaoya, YAN Liya, HUANG Xiangdong, GUAN Chaohong, MAO Xinlei, LIN Caidan
Wenzhou Central Hospital and Dingli Clinical institute of Wenzhou Medical University
Abstract:
Objective To investigate the relationship between matrix metalloproteinase-3 (MMP-3) -1171 5A/6A polymorphism and the prevalence of asymptomatic carotid artery stenosis in Han Chinese population. Methods Total 425 healthy subjects aged ≥60 years were enrolled in this study from January 2011 to December 2013. The genotypes of MMP-3 promoter polymorphism (-1171 5A/6A) were determined using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Results Among 425 subjects 65 showed evidence of asymptomatic carotid artery stenosis. The genotype distributions of the asymptomatic carotid artery stenosis group and the non-stenosis group were both in Hardy-Weinberg equilibrium (P >0.05). The frequencies of MMP-3 5A/6A+5A/5A genotype and 5A allele in the asymptomatic carotid artery stenosis group was significantly higher than those in non-stenosis group(P<0.05). After adjustment for vascular risk factors, multivariate logistic regression analysis showed that the MMP-3 5A/6A+5A/5A genotype was an independent risk factor for asymptomatic carotid artery stenosis (OR=1.98, 95%CI: 1.05-3.72). Conclusion The MMP-3 (-1171 5A/6A) polymorphism may contribute to susceptibility of asymptomatic carotid artery stenosis.
Key words:  Matrix metalloproteinase-3 Polymorphism asymptomatic Asymptomatic carotid antery stenosis