血管紧张素原基因7位点间交互作用对原发性高血压的影响

Interaction of angiotensinogen gene 7 loci on susceptibility to essential hypertension

  • 摘要: 目的研究血管紧张素原(AGT)7位点的分布及交互作用对原发性高血压(EH)的影响。方法纳入EH患者400例,正常对照组100例,采用多重高温链接酶检测反应技术(imLDR)检测AGT基因G152A、C+31T、C3889T、G217A、A20C、A6C、C4027T多态性。运用多因素降维分析法分析7位点交互作用对EH发病的影响。结果 EH组AGT基因G217A、A6C、C+31T、C4027T、C3889T位点基因型多态性频率与对照组差异有统计学意义(G217ACC基因型:EH组66.0%比对照组59.0%;A6C TT基因型:69.8%比57.0%;C+31T GG基因型:68.0%比57.0%;C4027TGG基因型:68.8%比58.0%;C3889T AA基因型:0.3%比4.0%;均P<0.05)。EH发病的最佳基因型模型是C3889T+A6C+G217A+C+31TOR=1.86(1.19~2.92),P<0.01。结论 AGT基因位点-位点交互作用对EH患者发病起协同作用。

     

    Abstract: Objective To investigate the interaction of angiotensinogen(AGT)gene 7loci on susceptibility to essential hypertension(EH). Methods A total of 400 EH patients and 100 controls were recruited. The genotypes of AGT gene 7loci were determined by improved multiple ligase detection reaction(imLDR). The interaction of 7loci for EH risk was analyzed by multifactor dimensionality reduction(MDR)method. Results There were significant differences in AGT gene G217A(CC:66.0%in EH patients vs 59.0%in controls),A6C(TT:69.8% vs 57.0%),C+31T(GG:68.0% vs 57.0%),C4027T(GG:68.8% vs 58.0%)and C3889T(AA:0.3% vs 4.0%)polymorphisms(all P<0.05). The best diagnostic model was the interaction of AGT gene C3889 T,A6C,G217 Aand C+31Tpolymorphisms(odds ratio,95%confidence interval:1.86,1.19-2.92,P<0.01). Conclusion The interaction of multiple loci in AGT gene played a synergistic role in the development of EH.

     

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