基础医学与临床 ›› 2018, Vol. 38 ›› Issue (2): 145-152.

• 研究论文 •    下一篇

GNA11基因多态性与特发性甲状旁腺功能减退症及其并发症的关联

全婷婷1,聂敏2,王亚冰1,姜艳3,李梅4,夏维波1,王鸥5,邢小平3,6   

  1. 1. 中国医学科学院 北京协和医学院 北京协和医院
    2. 中国医学科学院北京协和医学院 北京协和医院内分泌科 卫生部内分泌重点实验室
    3. 北京协和医院内分泌科
    4. 中国医学科学院北京协和医学院北京协和医院内分泌科
    5. 中国医学科学院北京协和医学院 北京协和医院
    6.
  • 收稿日期:2017-10-13 修回日期:2017-12-15 出版日期:2018-02-05 发布日期:2018-01-24
  • 通讯作者: 王鸥 E-mail:wang_ou2010@126.com
  • 基金资助:
    家族性及散发性原发性甲状旁腺功能亢进症的分子遗传学研究;遗传及免疫因素在汉族人特发性甲状旁腺功能减退症发病机制中的作用;国家临床重点专科建设项目

Association of GNA11 gene polymorphisms with idiopathic hypoparathyroidism and its complications

  • Received:2017-10-13 Revised:2017-12-15 Online:2018-02-05 Published:2018-01-24
  • Contact: Ou -WANG E-mail:wang_ou2010@126.com

摘要: 目的 探索GNA11基因多态性与特发性甲状旁腺功能减退症(简称特发甲旁减)发病风险及慢性并发症发生的关联性。方法 纳入1987-2015年就诊于北京协和医院门诊的203例特发甲旁减为病例组,年龄、性别匹配的209名健康人员为对照。使用MassArray iPLEX平台进行基因多态性分型。结果 rs308060位点少见等位基因(T)在加性模型[OR=2.505 (1.005-6.245) ,P<0.05;OR=3.269 (1.264-8.458) ,P<0.05]、隐性模型[OR=2.727 (1.105-6.727),P<0.05]中可增加特发甲旁减发病风险,携带此等位基因的单体型亦会增加发病风险。携带各位点不同基因型或不同数目的单体型患者间颅内钙化及白内障的发生率无差异,但由rs308060位点T等位基因组成的单体型CTCGCT与患者治疗后24 h尿钙排泄相关(β=0.186,P<0.05)。结论 GNA11基因的rs308060位点少见基因T可能会增加特发性甲状旁腺功能减退症的发病风险,并且与患者接受钙剂及维生素D制剂治疗后的尿钙排泄水平呈正相关。

关键词: GNA11, 基因多态性, 特发性甲状旁腺功能减退症, 并发症

Abstract: Objective To investigate the association of GNA11 gene polymorphisms with idiopathic hypoparathyroidism (IHP) and its complications. Methods 203 patients with IHP and 209 healthy age- and sex-matched subjects were recruited at Peking Union Medical College Hospital from December 1987 to December 2015 as case group and control group, respectively. The GNA11 gene polymorphisms were selected and genotyped by Sequenom MassArray iPLEX System. Results The minor allele T of rs308060 was associated with an increased risk of IHP in the additive [OR=2.505 (1.005-6.245) , P<0.05; OR=3.269 (1.264-8.458) , P<0.05] and recessive model[OR=2.727 (1.105-6.727), P<0.05]. Although no significant difference was observed in the incidence of intracranial calcification and cataract in IHP patients, the haplotype CTCGCT consisting of minor allele T of rs308060 was correlated with their 24 hours urinary calcium levels (β=0.186,P<0.05). Conclusion The minor allele T of rs308060 in GNA11 gene might increase the risk of IHP, and was positively correlated with urinary calcium excretion in IHP patients after treatment with oral calcium and vitamin D analogs supplements.

Key words: GNA11, Gene polymorphism, Idiopathic hypoparathyroidism, Complications