ADRB2基因多态性与aSAH迟发性脑血管痉挛的 关联性研究

董发达;马晓虎 ;田冰锋

神经损伤与功能重建 ›› 2018, Vol. 13 ›› Issue (1) : 6-8.

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神经损伤与功能重建 ›› 2018, Vol. 13 ›› Issue (1) : 6-8.
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ADRB2基因多态性与aSAH迟发性脑血管痉挛的 关联性研究

  • 董发达1 ,马晓虎1 ,田冰锋2
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Association between Polymorphism of Beta-2 Adrenergic Receptor and Delayed Cerebral Va? sospasm in Patients with Aneurysmal Subarachnoid Hemorrhage

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摘要

目的:探讨中国北方汉族人群中,动脉瘤性蛛网膜下腔出血(aSAH)后迟发性脑血管痉挛(DCVS)与 β2肾上腺素能受体(ADRB2)基因多态性的关系。方法:aSAH患者206例纳入研究,按照是否合并DCVS分 为DCVS组128例和无DCVS组78例,采用聚合酶链反应-限制性片段长度多态性法检测ADRB2基因A46G 位点和C79G位点多态性。结果:单因素分析结果显示ADRB2基因A46G位点等位基因模型(A vs. G)和显 性基因模型(A/A vs. A/G + G/G)均与DCVS发生相关;多因素Logistics回归分析结果显示ADRB2基因+46 位点等位基因 G 和基因型(A/G + G/G)与 aSAH 患者发生 DCVS 的危险因素(OR=1.414,95%CI:1.142~ 4.817,P=0.039;OR=1.337,95%CI:1.076~3.191,P=0.045);C79G位点各基因模型与DCVS相关性均无统计 学意义。结论:对于中国北方汉族aSAH患者,ADRB2基因A46G位点多态性与DCVS发生相关。

Abstract

To investigate the genetic association between Beta-2 Adrenergic Receptor (ADRB2) gene polymorphism and delayed cerebral vasospasm (DCVS) in patients with aneurysmal subarachnoid hemorrhage (aSAH) in the Han descent population in North of China. Methods: Two hundred and six aSAH patients were recruited. According to whether DCVS occurred, cases were divided into the DCVS group (n=128) and the non-DCVS group (n=78). Polymerase chain reaction-restriction fragment length polymorphism combined with DNA direct sequencing technique were used to determine the polymorphism of the ADRB2 gene. Results: Univariate analysis showed independent association between allele model (A vs. G) and the dominant model (A/A vs. A/G + G/G) of ADRB2 gene A46G polymorphism and DCVS. Multivariate Logistic regression analysis showed that ADRB2 gene +46 position allele G and genotype (A/G + G/G) were risk factors of DCVS for aSAH patients (OR=1.414, 95%CI: 1.142~4.817, P=0.039; OR=1.337, 95%CI: 1.076~3.191, P=0.045). However, there was no significant difference in the frequencies of genotype and allele of C79G polymorphism between the DCVS group and the non-DCVS group. Conclusion: For aSAH patients in the Han descent population in the North of China, A46G polymorphism ofADRB2 gene may closely related to DCVS.

关键词

β2肾上腺素能受体 / 动脉瘤性蛛网膜下腔出血 / 迟发性脑血管痉挛 / 基因多态性

Key words

Beta-2 adrenergic receptor

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董发达;马晓虎 ;田冰锋. ADRB2基因多态性与aSAH迟发性脑血管痉挛的 关联性研究[J]. 神经损伤与功能重建. 2018, 13(1): 6-8
Association between Polymorphism of Beta-2 Adrenergic Receptor and Delayed Cerebral Va? sospasm in Patients with Aneurysmal Subarachnoid Hemorrhage[J]. Neural Injury and Functional Reconstruction. 2018, 13(1): 6-8

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