高分辨率熔解技术检测冠心病关联基因标签单核苷酸多态性
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教育部春晖计划项目(Z2010085);甘肃省技术研究与开发专项(1105TCYA002)。


High resolution melting genotyping for genetic polymorphisms of tag single nucleotide polymorphisms in coronary artery disease
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    摘要:目的:建立高分辨率熔解(HRM)技术检测冠心病关联基因的标签单核苷酸多态性(SNPs)的方法;并探讨其与兰州地区汉族人群冠心病(CHD)易感性及血脂指标的相关性。 方法:建立CHD 5个关联基因CRP、ACE、NOS3、ENPP1、IQSEC1的7个SNPs位点(rs1205C>T、rs4305A>G、rs4353 G>A、rs7830 C>A、rs12528076C>T、rs939899G>A、rs1108640G>C)的PCR-HRM检测方法,并用260例CHD患者和238例体检健康者进行验证。 结果:标本经PCR扩增后均能进行基因分型,经直接测序验证,其分型正确率达100%。病例-对照分析显示rs4353 G>A和 rs12528076 C>T等位基因频率在CHD组和对照组间差异有统计学意义(χ2=3.998,P=0.045;χ2=3.918,P=0.047),rs7830 C>A基因型频率在两组间差异亦有统计学意义(χ2=6.369,P=0.041)。血脂水平分析显示,CHD患者与rs1205位点高密度脂蛋白胆固醇(HDL-C)水平存在相关性(F=14.067,P=0.001)。 结论: PCR-HRM检测是一种快速、准确的基因分型方法。ACE、NOS3和ENPP1与兰州地区汉族人群CHD易感性相关,其中rs1205 C>T联合HDL-C血清水平检测可预警CHD发生。

    Abstract:

    Abstract: Objective:To establish a molecular diagnosis method for the tag single nucleotide polymorphisms (SNPs) associated with coronary heart disease (CHD) using high resolution melting (HRM) technology, and discuss the association of serum lipids index and susceptibility of CHD in Han population in Lanzhou. Methods:PCR-HRM assays were performed to detect seven SNPs (rs1205 C>T, rs4305 A>G, rs4353 G>A, rs7830 C>A, rs12528076 C>T, rs939899 A>G and rs1108640 C>G) at five CHD associated genes CRP, ACE, NOS3, ENPP1 and IQSEC1. A case control study was performed in 260 CHD patients and 238 matched healthy controls to verify the availability of the method. Results:All samples were successfully genotyped by high resolution melting curve analysis after PCR amplification and correct rate of 100 percent was verified by direct sequencing. Case control analysis showed that the allele frequencies of rs4353 G>A and rs12528076 C>T in CHD group were significantly different from control groups (χ2=3.998, P=0.045;χ2=3.918,P=0.047), and the frequencies of rs7830 C>A genotype between the two groups were significantly different (χ2=6.369,P=0.041), The analysis of serum lipid levels showed that rs1205 locus in the CHD patients was correlated with high density lipoprotein cholesterol (HDL-C) levels (F=14.067, P=0.001). Conclusion:The PCR-HRM assay should be a rapid and accurate genotyping method. The ACE, NOS3 and ENPP1 genes were associated with the susceptibility of CHD in Han population of Lanzhou. The detection of rs1205 C>T combined with HDL-C level may predict the occurrence of CHD.

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齐晓明,尤崇革,卢明华,李倩男,石磊,郭心灵.高分辨率熔解技术检测冠心病关联基因标签单核苷酸多态性[J].临床检验杂志,2015,(1):1-5

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  • 收稿日期:2014-10-21
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  • 在线发布日期: 2015-02-12
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