IL-10基因多态性与急性肾损伤的关系及其相关机制

Relationship between IL-10 gene polymorphisms and acute kidney injury and its related mechanisms

目的探讨白细胞介素-10(IL-10)基因多态性与急性肾损伤(AKI)的关系及其相关机制。方法前瞻性选取2021年3月至2023年3月我院收治的100例AKI患者作为研究组,遵循1∶1配对原则,纳入同期100例健康体检者作为对照组。比较2组一般资料、IL-10基因型及基因频率分布,采用logistic回归方程分析AKI发病影响因素,采用多因子降维法(MDR)分析IL-10基因多态性与常规危险因素交互作用。结果研究组血肌酐(sCr)、尿素氮(BUN)、尿蛋白定量均高于对照组,IL-10-1082位点GG基因型比例低于对照组,AA基因型及A等位基因比例高于对照组(P<0.05)。logistic回归分析显示,BUN(OR=4.487)、尿蛋白定量(OR=5.905)、sCr(OR=3.573)、1082位点AA基因型(OR=4.823)、A等位基因(OR=4.479)是AKI发病的危险因素(P<0.05)。交互作用显示,IL-10-1082位点多态性×sCr、IL-10-1082位点多态性×BUN、IL-10-1082位点多态性×尿蛋白定量、IL-10-1082位点多态性×sCr×BUN×尿蛋白定量模型检验准确度、交叉一致性较好(P<0.05)。结论IL-10基因多态性与AKI的发生密切相关。

Objective To investigate the relationship between interlukin-10(IL-10)gene polymorphisms and acute kidney injury(AKI)and its related mechanisms.Methods A prospective study was conducted on 100 patients with AKI admitted to our hospital from March 2021 to March 2023,who were selected as the study group.Following the 1∶1 pairing principle,100 healthy individuals who underwent physical examinations during the same period were included as the control group.General data,IL-10 genotypes,and gene frequency distributions of the two groups were compared.The factors influencing AKI were assessed using a logistic regression analysis,and the interaction between IL-10 gene polymorphisms and conventional risk factors was analyzed using multifactor dimension reduction(MDR).Results The quantitative values of serum creatinine(sCr),blood urea nitrogen(BUN),and urine protein in the study group were higher than those in the control group.The proportion of the GG genotype at IL-10-1082 was lower than that in the control group,and the proportions of the AA genotype and A allele were higher than those in the control group(P<0.05).Logistic regression analysis showed that BUN(OR=4.487),urinary protein quantitation(OR=5.905),sCr(OR=3.573),AA genotype at position 1082(OR=4.823),and the A allele(OR=4.479)were risk factors for AKI(P<0.05).Interaction display,IL-10-1082 polymorphism×sCr,IL-10-1082 polymorphism×BUN,IL-10-1082 polymorphism×urinary protein quantification,and IL-10-1082 polymorphism×sCr×BUN×urinary protein quantification models exhibited good accuracy and cross-consistency(P<0.05).Conclusion IL-10 gene polymorphisms are strongly associated with the development of AKI.