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维生素D受体基因FokI位点单核苷酸多态性与糖尿病肾病的相关性
向 茜1,2
1.(1)昆明医科大学第五附属医院内分泌科,云南 个旧 661000;2)昆明医科大学第一附属医院检验科, 云南 昆明 650032)
摘要:
[摘要]目的 探讨VDR基因FokI位点单核苷酸多态性与2型糖尿病肾病的相关性.方法  应用TaqMan 荧光探针技术,对235例2型糖尿病患者其中正常白蛋白尿(DKD0)组82例,微量白蛋白组(DKD1)组66例,大量白蛋白尿组(DKD2)组 87例和86例健康对照者(NGT)组的VDR基因FokI位点SNP进行检测,比较和分析各组间基因型频率和等位基因频率以及相关临床资料.结果 (1)总体人群FokI位点CC、TC、TT基因型频率分别为25.23%、53.27%、21.50%,等位基因C和T频率分别为51.87%及48.13%;(2)NGT组、DM组及DKD各组间基因型频率及等位基因频率未显示统计学差异(P>0.05);(3)Logistic回归分析提示FokI位点C等位基因可能与T2DKD 发生无关(OR=2.040,P=0.05),但与T2DKD进展有关(OR=4.741,P=0.004).结论  VDR基因 FokI位点C等位基因可能是T2DKD 进展的危险因素.
关键词:  [关键词]维生素D受体基因  单核苷酸多态性  2型糖尿病  糖尿病肾病  慢性肾脏病  25羟维生素D
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基金项目:[基金项目]云南省科技厅-昆明医科大学联合专项基金资助项目(2012FB085);云南省教育厅科学研究基金资助项目(2012C020)
The Correlation between Vitamin D Receptor Gene FokI Single Nucleotide Polymorphism and Diabetic Kidney Disease
XIANG Qian1,2
1.(1)Dept. of Endocrine,The Fifth Affiliated Hospital of Kunming Medical University/ Yunnan Honghe Diannan Central Hospital,Gejiu Yunnan 661000;2)Dept. of Clinical Laboratory,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)
Abstract:
[Abstract]Objetive To investgate the correlation of Vitamin D receptor gene FokI single nucleotide polymorphism with diabetic kidney disease in type 2 diabetic patients.Methods The single nucleotide polymorphism of VDR gene in 235 type 2 diabetes, [including 82 normal albuminuria(DKD0 group),66 microalbuminuria(DKDl group )and 87 macroalbuminuria(DKD2 group)]and 86 normal controls were detected by TaqMan real-time polymerase chain reaction. The genotype frequency and allele frequency and relative clinical data were compared among groups. Results(1)FokI CC,TC,TT genotype frequencies were 25.23%, 53.27%,21.50%,allele C and allele T frequencies were 51.87% and 48.13% in overall populations. (2)The genotype frequency and allele frequency among groups had no statistically significant difference(P<0.05). (3) Logistic multiple regression analysis showed that FokI C allele was not related to T2DKD occurrence(OR=2.040,P=0.05),but was related to T2DKD development(OR=4.741,P=0.004). Conclusion VDR gene FokI C allele is associated with the risk of T2DKD development.
Key words:  [Key words]Vitamin D receptor gene  Single nucleotide polymorphism  Type 2 diabetes mellitus  Diabetic kidney disease  Chronic kidney disease  25-hydroxy-vitamin D