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CTLA-4基因多态性与炎症性肠病的相关性研究
引用本文:蒋益,高劲松,夏冰.CTLA-4基因多态性与炎症性肠病的相关性研究[J].长沙医学院学报,2008(1).
作者姓名:蒋益  高劲松  夏冰
作者单位:武汉大学中南医院内科;长沙医学院基础医学系;
基金项目:国家自然科学基金资助项目(项目编号:30070350)
摘    要:目的炎症性肠病(IBD)的发病机制与T细胞免疫应答过度有关。细胞毒T淋巴细胞相关抗原-4(CTLA-4)主要在已激活的T细胞上表达,通过与CD28竞争与B7结合,抑制T细胞激活,维持免疫系统内环境稳定。CTLA-4基因多态性与一些自身免疫性疾病相关,但未见与炎症性肠病的研究。本文研究CTLA-4基因多态性与炎症性肠病的相关性,旨在阐明炎症性肠病的遗传易感性。方法对68例无血缘关系的湖北汉族炎症性肠病患者(54例溃疡性结肠炎,14例克罗恩病)以及140例正常对照者,采用序列特异性引物PCR方法检测CTLA-4外显子4的3'非转录区包含AT重复序列的特异性等位基因。扩增产物用12%非变性聚丙烯酰胺凝胶电泳,硝酸银染色,部分样品经测序以确定片段长度。结果共发现CTLA-4基因有18种等位基因,其中122bp等位基因与正常对照组比较,在溃疡性结肠炎患者中显著增高(7.4%vs0.3%,P=0.0002/Pc=Sig,OR=22.320,95%CI:2.755~180.80)。结论CTLA-4基因微卫星多态性与溃疡性结肠炎显著相关。

关 键 词:细胞毒T淋巴细胞相关抗原-4(CTLA-4)  基因多态性  炎症性肠病  溃疡性结肠炎  克罗恩病  

Association between the CTLA-4 gene microsatellite polymorphism and Chinese patients with inflammatory bowel diseases
Jiang Yi,Gao jinsong,Xia Bing..Association between the CTLA-4 gene microsatellite polymorphism and Chinese patients with inflammatory bowel diseases[J].Journal of Changsha Medical College,2008(1).
Authors:Jiang Yi  Gao jinsong  Xia Bing
Institution:Jiang Yi1,Gao jinsong2,Xia Bing1.1. Department of Internal Medicine,Wuhan University Zhongnan Hospital,Wuhan 430071,PR China2.Changsha Medical College,Changsha 410219,PR China
Abstract:Objective Inflammatory bowel disease (IBD) is characterized by chronic intestinal inflammation as a result of an exaggerated T -cell response. Cytotoxic T lymphocyte antigen-4 (CTLA-4) expressed mainly on activated T cells inhibits T cell activation by combining B7 through competing CD28 and maintains immune system homeostasis. Polymorphisms in the CTLA-4 gene are known to be associated with several autoimmune diseases, but no studies related to IBD. The aim of the study is to investigate an association bet...
Keywords:Cytotoxic T lymphocyte antigen-4 (CTLA-4)  gene polymorphism  inflammatory bowel disease  ulcerative colitis  Crohn\'s disease  
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