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HLA-DRB1等位基因分型与类风湿关节炎相关性研究
引用本文:蒋真,李向培,钱龙,厉小梅,汪国生. HLA-DRB1等位基因分型与类风湿关节炎相关性研究[J]. 安徽医药, 2010, 14(11): 1299-1302. DOI: 10.3969/j.issn.1009-6469.2010.11.024
作者姓名:蒋真  李向培  钱龙  厉小梅  汪国生
作者单位:南京医科大学附属淮安市第一人民医院免疫风湿科,江苏,淮安,223300;安徽医科大学附属省立医院风湿科,安徽,合肥,230022
基金项目:安徽省自然科学基金资助项目 
摘    要:目的探讨HLA-DRB1等位基因在皖籍江淮地区类风湿关节炎患者的分布及意义。方法采用SSP(序列特异性引物)多重PCR技术扩增106例RA患者和340例正常对照HLA-DRB1等位基因,先对HLA-DRB1位点进行低分辨率分型,再进一步对低分亚型HLA-DRB1*04,DRB1*10,DRB1*01和DRB1*14做高分辨率分型。计算并比较两组等位基因携带率。结果低分结果共13个亚型,其中HLA-DRB1*04,DRB1*09和DRB1*10在RA组的频率显著高于正常对照组(P=0.005,0.039,0.000)HLA-DRB1*11,DRB1*15和DRB1*07的频率显著低于对照组(P=0.005,0.036,0.001)。HLA-DRB1*01,DRB1*14在两组差别无显著意义(P=0.432和P=0.359)。高分结果HLA-DRB1*0405和DRB1*1001在RA组的频率显著高于正常对照组(P=0.001和P=0.000)。结论 HLA-DRB1位点在皖籍江淮地区类风湿关节炎患者中的分布具有丰富的多态性,共同表位等位基因(SE等位基因)HLA-DRB1*0405、DRB1*1001及非SE等位基因HLA-DRB1*09可能是皖籍江淮地区类风湿关节炎患者的易感基因,HLA-DRB1*11,DRB1*15和DRB1*07可能是保护性等位基因。

关 键 词:关节炎  类风湿  HLA-DRB1基因  等位基因  共同表位

Different effects of HLA-DRB1 alleles on RA
JIANG Zhen,LI Xiang-pei,QIAN Long,LI Xiao-mei,WANG Guo-sheng. Different effects of HLA-DRB1 alleles on RA[J]. Anhui Medical and Pharmaceutical Journal, 2010, 14(11): 1299-1302. DOI: 10.3969/j.issn.1009-6469.2010.11.024
Authors:JIANG Zhen  LI Xiang-pei  QIAN Long  LI Xiao-mei  WANG Guo-sheng
Affiliation:JIANG Zhen1,LI Xiang-pei2,QIAN Long2,LI Xiao-mei2,WANG Guo-sheng2(1.Department of Rheumatology ﹠ Immunology,The First Affiliated People’s Hospital of Huaian,Nanjing Medical University,Huaian 223300,China;2.Provincial Hospital,Anhui Medical University,Hefei,Anhui 230022,China)
Abstract:Aim To explore the distribution of HLA-DRB1 alleles in RA(rheumatoid arthritis) patients of Anhui province and to investigate the association between HLA-DRB1 alleles and RA patients.Methods Multiple sequence specific primer PCR(SSP-PCR) was used to amplify HLA-DRB1 alleles.First,the method of low resolution SSP-PCR was used to amplify HLA-DRB1 alleles;second,the method of high resolution SSP-PCR was used to amplify HLA-DRB1*04,DRB1*10,DRB1*01 and DRB1*14 subtypes;next,allele carriage rates between RA patie...
Keywords:arthritis  rheumatoid  HLA-DRB1 gene  allele  shared epitope  
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