GABRA5基因启动子-754C/T多态性与耐药性癫痫的相关性分析
Association between the polymorphisms of GABRA5 gene promoter 754C/T and drug-- resistant epilepsy
摘要
目的探讨GABRA5基因启动子-754C/T突变和癫痫耐药的相关性。方法收集125例诊断明确、治疗合理的汉族癫痫患者。根据是否符合DRE(耐药性癫痫)诊断标准将其分为耐药组(63例)和非耐药组(62例)。采用聚合酶链反应限制性片段长度多态性方法检测患者外周血GABRA5基因启动子-754c/T多态性。结果耐药组CC、CT、TT基因型分别占23.8%、41.2%、35.0%,非耐药组分别占16.1%、50.0%、33.9%,总体差异无统计学意义(x^2=1.454,P=0.483)。耐药组等位基因C、T频率分别为44.4%、55.6%,非耐药组患者分别为41.1%、58.9%,差异也无统计学意义(x^2=0.281,P=0.596)。结论本研究未发现GABRA5基因启动子-754C/T多态性与汉族DRE有关。
出处
《神经疾病与精神卫生》
2013年第1期69-71,共3页
Journal of Neuroscience and Mental Health
参考文献11
-
1Schmidt D, Loscher W. New developments in antiepileptic drug resistance: an integrative view[J]. Epilepsy Curr, 2009, 9(2) :47-52.
-
2Rogawski MA, Loscher W. The neurobiology of antiepileptic drugs[J]. Nature Reviews Neuroscience, 2004,5 (7) : 553 - 564.
-
3Arion D,Sabatini M ,Unger T, et al. Correlation of transcrip- tome profile with electrical activity in temporal lobe epilepsy [J]. Neurobiol Dis,2006,22(2):374-387.
-
4Bethmann K, Fritschy JM, Brandt C, et al. Antiepileptic drug resistant rats differ from drug responsive rats in GABA A receptor subunit expression in a model of temporal lobe epi- lepsy[J]. Neurobiol Dis, 2008,31 (2) : 169.
-
5洪桢,洪震,周东.耐药性癫痫的定义:国际抗癫痫联盟治疗策略委员会专项工作组统一提案[J].中华神经科杂志,2010,43(7):487-492. 被引量:21
-
6王秀坤,Nielsen M.GABA_A受体药理学研究进展[J].国外医学(药学分册),2001,28(1):29-34. 被引量:17
-
7Brooks-Kayal AR, Shumate MD, Jin H, et al. Selective changes in single cell GABAA receptor subunit expression and function in temporal lobe epilepsy[J]. Nature Medicine, 1998,4(10) :1 166-1 172.
-
8Mariotti V, Melissari E, Amar S. Effect of prolonged pheny- toin administration on rat brain gene expression assessed by DNA microarrays[J]. Exp Biol Med(Maywood), 2010,235 (3) :300-310.
-
9Almgren M, Nyengaard JR, Persson B, et al. Carbamazepine protects against neuronal hyperplasia and abnormal gene ex- pression in the megeneephaly mouse[J]. Neurobiol Dis,2008, 32(3) :364-376.
-
10Atack JR,Bayley PJ, Fletcher SR, et al. The proconvulsant effects of the GABA A a5 subtype-selective compound RY- 080 may not be a5- mediated[J]. Eur J Pharmacol, 2006,548 (1/3) :77-82.
二级参考文献40
-
1Perucca E.Pharmacoresistance in epilepsy.How should it be defined? CNS Drugs,1998,10:171-179.
-
2Tanganelli P,Regesta G.Clinical aspects and biological bases of drug-resistant epilepsy.Epilepsy Res,1999,34:109-122.
-
3Berg AT,Vickrey BG,Testa FM,et al.How long does it take for epilepsy to become intractable? A prospective investigation.Ann Neurol,2006,60:73-79.
-
4Kwan P,Brodie MJ.Issues of medical intractability for surgicalcandidacy//Wyllie E.The treatment of epilepsy:principles and Practice.4th ed.Philadelphia:Lippincott Williams & Wilkins,2006:983-991.
-
5Arzimanoglou A,Ryvlin P.Towards a clinically meaningful definition of drug-resistance//Kahane P,Berg A,L(o)scher W,et al.Progress in Epileptic Disorder.Vol.7.Drug-resiatant eplilepsies.Montrouge:John Libbey Eurotext,2008:1-6.
-
6Kahane P,Berg A,L(o)scher W,et al.Drug-resistant Epilepsies.Progress in Epileptic Disorders.Vol.7.Montrouge:John Libbey Eurotext,2008.
-
7World Health Organization.Collaborating Centre for Drug Statistics Methodology.About the ATC/DDD system.Accessed December 1,2008 at http://www.whocc.no/atcddd/.
-
8Perucca E,Dulac O,Shorvon S,et al.Harnessing the clinical potential of antiepileptic drug therapy:dosage optimisation.CNS Drugs,2001,15:609-621.
-
9Sillanp(a)(a) M,Haataja L,Shinnar S.Perceived impact of childhood-onset epilepsy on quality of life as an adult.Epitepsia,2004,45:971-977.
-
10Vickrey BG,Hays RD,Bausch R,et al.Outcomes in 248 patients who had diagnostic evaluations for epilepsy surgery.Lancet,1995,346:1445-1449.
共引文献36
-
1刘琛俐,廖祥萍,刘南海.难治性癫痫的诊治进展[J].世界最新医学信息文摘,2019,0(99):129-130. 被引量:5
-
2侯新琳,周丛乐,李建国,汤泽中,姜毅.新生儿破伤风治疗中止痉药物的应用探讨[J].中国儿童保健杂志,2005,13(1):68-69. 被引量:1
-
3李漫松,寇正涌,黄民,赵华.孕烷醇酮对大鼠缰核痛神经元单位放电活动的影响[J].中国应用生理学杂志,2005,21(3):323-323. 被引量:1
-
4姚扬,杨洋,张涛,杨卓.γ-氨基丁酸治疗脑缺血的研究进展[J].继续医学教育,2005,19(12):59-63. 被引量:2
-
5郝艳丽,巨修练.GABA_AR研究进展[J].武汉化工学院学报,2006,28(2):12-16. 被引量:19
-
6赵晓民,高允生,刘卫,夏作理,张继国,王德才.中枢γ-氨基丁酸对清醒活动高血压大鼠血压的影响[J].泰山医学院学报,2006,27(5):380-383. 被引量:4
-
7范志勇,邓近平,贺建华,沈维军,吴明夏,姜洁凌.γ-氨基丁酸及其在母猪养殖中的应用[J].饲料工业,2007,28(18):58-61. 被引量:7
-
8王立平,赵华,黄敏.PGN对大鼠侧脑室内AngⅡ升压反应的影响[J].齐齐哈尔医学院学报,2008,29(22):2707-2708.
-
9袁海波,黄民,张昌明,丛延丽,赵华,华树成.神经甾体激素PGN对大鼠脑片SCN神经元电生理学的影响[J].吉林大学学报(医学版),2010,36(3):446-449.
-
10李军.难治性癫痫125例分析[J].吉林医学,2011,32(19):3992-3993. 被引量:2
-
1王德娟,邱剑光,张晓阳,袁晓旭.盐酸坦索罗辛对TURP术后效果的影响[J].临床泌尿外科杂志,2009,24(2):157-157. 被引量:3
-
2冯丽梅,任榕娜,杨朋范.再次手术治疗儿童耐药性癫痫4例疗效分析[J].中华实用儿科临床杂志,2014,29(16):1267-1272. 被引量:1
-
3柯贤军,郭珍立,王学峰,席志芹,汪炳华.铁调节转运体1 mRNA与耐药性癫痫[J].中国临床神经外科杂志,2007,12(6):354-357. 被引量:4
-
4石艳军,沈轶,蔡立清,胡峰,杨艳燕.维生素D受体基因多态性与糖尿病的相关性[J].中国糖尿病杂志,2007,15(4):219-221. 被引量:19
-
5彭希,王亮.癫痫患者脑脊液及血清中CXCL13水平变化及其临床意义[J].四川医学,2015,36(5):662-664.
-
6陈克非,董吉荣,蔡学见,王玉海,时忠华,施栋良,徐勤义,金东.重型颅脑损伤术中持续脑灌注压监测的意义[J].中华神经外科杂志,2013,29(2):153-156. 被引量:4
-
7张国忠,冯文峰,黄理金,刘晓军,王浩,郭志旺,漆松涛.汉族人白细胞介素-6-174G/C基因多态性与颅内动脉瘤的关联性研究[J].中国神经精神疾病杂志,2009,35(4):254-256. 被引量:4
-
8刘洁辉,廖海球.癃闭舒胶囊联合盐酸坦索罗辛治疗慢性非细菌性前列腺炎105例[J].中外医疗,2007(24):29-30. 被引量:1
-
9姚东伟,刘成,刘多,刘雪军,穆家贵,朱东生,范利,宋群.经尿道半导体激光剥橘式前列腺切除术治疗良性前列腺增生[J].中国实用医刊,2016,43(22):81-84. 被引量:2
-
10李培林,王五永,李四明,白卫云.前列腺增生切除术后前列腺癌13例分析[J].中国误诊学杂志,2002,2(8):1247-1247.