ABCA1基因R1587K多态性在广西汉族与壮族人群中的分布

为探讨ABCA1基因R1587K单核苷酸多态性(SNP)在中国广西汉族与壮族人群中的多态性分布,采用聚合酶链-限制性片段长度多态性(PCR-RFLP)技术,对无血缘关系的健康汉族人100例和壮族人84例的ABCA1基因R1587K位点进行检测,分析基因型频率和等位基因频率在2组人群中的分布,并与其他种族相比较。结果表明,ABCA1基因R1587K等位基因频率在汉族分别为ηR=0.475和ηK=0.525,壮族中分别为ηR=0.411和ηK=0.589;基因型频率在汉族分别为:ηRR=0.19,ηRK=0.57,ηKK=0.24,壮族分别为:ηRR=0.25,ηRK=0.32,ηKK=0.43。2组人群的基因型频率分布无显著性差异(P>0.05),2组人群在等位基因频率分布上也无统计学差异(P>0.05)。可见,ABCA1基因R1587K位点多态性在中国广西汉族与壮族的基因型频率分布无统计学差异,与国外不同种族人群相比具显著性差异。

Relationship between R219K polymorphism of adenosine triphosphate-binding cassette transporter 1 gene and cerebral infarction: A case-controlled analysis

BACKGROUND： Studies have shown that adenosine triphosphate-binding cassette transporter 1 （ABCA1） gene influences atherosclerosis. Studies have also demonstrated that cerebral infarction does not occur often in pre-menopausal women. It has been, therefore, assumed that sex plays a role in R219K polymorphism of ABCA1 gene and cerebral infarction. OBJECTIVE： To explore the relationship between lipid metabolism-correlated R219K polymorphism of ABCA1 gene, risk factors of cerebral infarction and lipid level, and to determine whether there were significant differences in gender between R219K polymorphism of ABCA1 gene and cerebral infarction. DESIGN, TIME AND SETTING： A multicentral and non-randomized, controlled study based on gene polymorphism was performed at the Chinese National Human Genome Center, and lipid concentrations were measured at Beijing Xuanwu Hospital. Patients with cerebral infarction and healthy subjects were enrolled from eight hospitals of six provinces of China between October 2002 and December 2004. PARTICIPANTS： There were 177 patients in the cerebral infarction group, including 119 males and 58 females, with a mean age of （60 -＋ 13） years, and 234 healthy subjects in the normal control group, including 79 males and 155 females, with a mean age of （58 ± 12） years. METHODS： R219K polymorphism of the ABCA1 gene was detected using polymerase chain reaction-restriction fragment length polymorphism, and blood lipid concentrations were simultaneously measured. MAIN OUTCOME MEASURES： Genotype and allele frequency of R219K polymorphic site, and blood lipid concentrations. RESULTS： RR genotype and R allele frequency of males in the cerebral infarction were significantly greater than males in the normal control group [RR genotype： x2 = 5.305, OR （95% CO, 2.326 （1.120 4.828）, P〈 0.05; R allele： x2= 4.219, OR （95% CO, 1.528 （1.019 2.292）, P〈 0.05]. In addition, RR genotype and R allele frequency of males were significantly greater than females in the cerebral infarction group [RR genotype： x2= 5.172, OR （95% C/）, 2.604 （1.120-6.057）, P〈 0.05; R allele： x2= 4.818, OR （95% CO, 1.652 （1.053 2.589）, P〈 0.05]. There were no significant differences between genotype and lipid concentrations between the two groups （P〉 0.05）. CONCLUSION： The RR genotype of ABCA1 R219K might be associated with onset of cerebral infarction in males, but blood lipid concentrations do not relate to R219K polymorphism.

ATP结合盒转运蛋白A1与动脉粥样硬化

对Tangier病病因的研究,发现ATP结合盒转运蛋白A1(ATP binding cassette transport protein A1,ABCA1)在胆固醇逆向转运(reverse cholesterol transport,RCT)中起重要作用。ABCA1主要通过核受体PPARs途径发挥作用。ABCA1基因变异影响其功能。

ATP结合盒A1在胆固醇流出和动脉粥样硬化中的作用

ABCA 1是ATP结合盒 (ABC)转运子超家族成员。ABCA 1基因的表达受到多种代谢物的严格调控。ABCA 1基因的突变引起Tangier病 (TD)。胆固醇逆向转运清除组织过量的胆固醇 ,防止动脉粥样硬化(AS)的产生。而细胞内胆固醇的流出是胆固醇逆向转运的限速步骤 ,ABCA 1促进胆固醇的流出而参与胆固醇的逆向转运过程。TD杂合子和转ABCA 1基因的研究证实 ,ABCA 1具有防止早期AS的作用。ABCA 1激活剂已成为临床上预防和治疗AS的新靶点。