山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (3): 71-78.doi: 10.6040/j.issn.1673-3770.1.2019.006

• 论著 • 上一篇    下一篇

GCCYP27B1基因多态性与汉族人群尘螨致敏的持续性变应性鼻炎的关联研究

田慧琴1,2,吴中飞2,陆莹3,程雷2,4,5()   

  1. 1. 南京医科大学第一附属医院 江苏省人民医院妇幼分院儿童保健科,江苏 南京 210036
    2. 南京医科大学第一附属医院 江苏省人民医院耳鼻咽喉科,江苏 南京 210029
    3. 南京医科大学第一附属医院 江苏省人民医院妇幼分院群体保健科,江苏 南京 210036
    4. 南京医科大学国际变态反应研究中心,江苏 南京 210029
    5. 江苏省临床医学研究院过敏与自身免疫性疾病研究所,江苏 南京 210029
  • 收稿日期:2019-02-14 修回日期:2019-04-18 出版日期:2019-05-20 发布日期:2019-08-07
  • 通讯作者: 程雷 E-mail:chenglei@jsph.org.cn
  • 基金资助:
    国家自然科学基金(81300834)

Association of vitamin D binding protein geneand CYP27B1 gene polymorphisms with mite-sensitized persistent allergic rhinitis among Han Chinese population

Huiqin TIAN1,2,Zhongfei WU2,Ying LU3,Lei CHENG2,4,5()   

  1. 1. Department of Child Healthcare, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210036, Jiangsu, China
    2. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
    3. Department of Group Healthcare, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210036, Jiangsu, China
    4. International Centre for Allergy Research, Nanjing Medical University, Nanjing 210029, Jiangsu, China
    5. The Institute of Allergy and Autoimmune Disease, Jiangsu Clinical Medicine Research Institution, Nanjing 210029, Jiangsu, China
  • Received:2019-02-14 Revised:2019-04-18 Online:2019-05-20 Published:2019-08-07
  • Contact: Lei CHENG E-mail:chenglei@jsph.org.cn

摘要: 目的

探讨维生素D代谢相关的维生素D结合蛋白基因(GC)及1α?羟化酶基因(CYP27B1)的多态性与汉族人群变应性鼻炎(AR)易感性的关联。

方法

应用病例-对照研究,纳入苏皖汉族人群中尘螨致敏的持续性AR患者564例和健康对照583例。选取GCCYP27B1的单核苷酸多态性(SNPs)位点共8个,分别为GC的rs4588、rs7041、rs3733359、rs16847024、rs843008、rs1565572,rs11939173和CYP27B1的rs10877012。采用TaqMan法对两组研究对象的候选位点SNPs进行分析。

结果

GC的7个位点及CYP27B1的rs10877012位点与持续性AR的易感性均未发现有统计学关联。但对病例组进行年龄、性别、是否合并哮喘及总IgE水平的高低分层后发现,GC的rs16847024位点中,年龄≥17岁的基因型CT(调整OR=0.62, 95% CI=0.41~0.94)和CT/TT(调整OR=0.62,95% CI =0.42~0.90)、男性的基因型CT/TT(调整OR=0.68,95% CI = 0.48~0.96)、不伴哮喘的基因型CT(调整OR=0.70,95% CI =0.52~0.95)和CT/TT(调整OR=0.72,95% CI =0.54~0.97),以及总IgE水平较低者的基因型CT(调整OR=0.70,95% CI =0.52~0.95)和CT/TT(调整OR=0.71,95% CI =0.53~0.94)与野生基因型CC相比,均可降低持续性AR的发病风险。GCCYP27B1的基因交互作用分析发现,涉及GC基因两个位点(rs3733359和rs1565572)的模型具有统计学意义(P=0.001),而同时涉及两个基因位点的模型均未发现统计学意义。

结论

维生素D代谢相关基因GC的rs16847024位点与汉族人群尘螨致敏的持续性AR的易感性关联可能受患者年龄、性别、是否合并哮喘及总IgE水平的影响。GC基因rs3733359位点和rs1565572位点在持续性AR的遗传学发病机制中可能存在联合作用。

关键词: 变应性鼻炎, GC基因, CYP27B1基因, 单核苷酸多态性, 遗传学关联研究

Abstract: Objective

To evaluate whether polymorphisms in the vitamin D binding protein gene (GC) and CYP27B1 gene are associated with mite-sensitized persistent allergic rhinitis(AR) in this population.

Methods

An ongoing hospital-based case-control study consisting of 564 patients with mite-sensitized persistent AR and 583 healthy controls was conducted. Seven single nucleotide polymorphisms (SNPs) in GC and one SNP in CYP27B1 were selected for genotyping.

Results

The genotype and allele frequencies of rs4588,rs7041,rs3733359,rs16847024,rs843008,rs1565572,and rs11939173 in GC as well as rs10877012 in CYP27B1 were not significantly associated with susceptibility to mite-sensitized persistent AR. After stratification analyses, however, there are genotypes in different subgroups of rs16847024 in GC exhibited significantly decreased risk of mite-sensitized persistent AR, compared to wild CC genotype, and they are: CT (adjusted OR=0.62, 95% CI=0.41-0.94) and CT/TT (adjusted OR=0.62,95% CI =0.42-0.90)genotypes in the age subgroup of ≥17 years old, the CT/TT (adjusted OR=0.68,95% CI = 0.48-0.96) genotypes in the male subgroup, the CT (adjusted OR=0.70,95% CI =0.52-0.95) and CT/TT (adjusted OR=0.72,95% CI =0.54-0.97) genotypes in the subgroup of persistent AR without concomitant of asthma, and the CT (adjusted OR=0.70,95% CI =0.52-0.95) and CT/TT (adjusted OR=0.71,95% CI =0.53-0.94) genotypes in the subgroup of lower total IgE level. Analysis of the locus-locus interactions of GC and CYP27B1 revealed one model that involved two SNPs of only GC were statistically significant (P=0.001).

Conclusion

Our data suggest that ≥17 years old, male, no concomitant of asthma, and lower total IgE level may have an impact on the association of SNP rs16847024 in GC of the vitamin D pathway with the risk of mite-sensitized persistent AR in this Chinese population. Two variants of GC may be involved in genetic interactions in the pathogenesis of persistent AR.

Key words: Allergic rhinitis, GC gene, CYP27B1 gene, Single nucleotide polymorphism, Genetic association studies

中图分类号: 

  • R765.2

表1

病例组和对照组研究对象的临床特征"

变量病例组 (n=564)对照组( n=583)Z2bP
n%n%
年龄(岁), M (IQR)17.0 (11.0~29.0)19.0 (8.0~29.0)1.1780.239
性别
37466.337263.80.7910.386
19033.721136.2
合并哮喘a
12121.5
44378.5
血清总IgE (kU/L), M (IQR)248.0 (113.0~543.0)20.5(13.6~59.4)24.236<0.001
血清特异性IgE (kUA/L), M (IQR)
屋尘螨25.9(5.3~69.2)
粉尘螨21.4(5.5~61.3)

表2

GC和CYP27B1候选SNPs 位点及生物学信息"

SNPs位置等位基因a生物学效应MAF b
GC
rs4588外显子C>A错义突变0.278
rs7041外显子T >G错义突变0.289
rs37333595′UTRC>T上游调控序列0.360
rs168470245′NEARC>T上游调控序列0.116
rs8430085′NEART >G上游调控序列0.233
rs15655725′NEARA>C上游调控序列0.453
rs119391735′NEARG>A上游调控序列0.198
CYP27B1
rs108770125′NEART >G上游调控序列0.402

表3

GC和CYP27B1候选SNPs的引物和探针序列"

SNPs引物(5′-3′)探针
GC
rs4588

F:CAGACTGGCAGAGCGACTAAAA

R:GCAGTTGGAGGCAAAGTCTGA

C: FAM-TGCCACACCCACGG-MGB

A: HEX-TGCCACACCCAAGG-MGB

rs7041

F:CAGACTGGCAGAGCGACTAAAA

R:GCAGTTGGAGGCAAAGTCTGA

G: FAM-AAAATTGCCTGAGGCC-MGB

T: HEX-CAAAATTGCCTGATGC-MGB

rs3733359

F:CTACCAGAGAGTCTTGCAGCACCT

R:GCTTCTGTTTAATAATAATTCTGTGTTGC

A: FAM-CTCTCTCCTATAGGTGAC-MGB

G: HEX-TCTCTCCTGTAGGTGAC-MGB

rs16847024F: AAAAACCAGGAGTGGAACTCATCTG: FAM-ATTCCAATGAATGATCTACCTA-MGB
R: CACTGGGTAAATTCTGTGACTTGTCTA: HEX-TTCCAATAAATGATCTACC-MGB
rs843008F: CAAAACCAATTATAGCAATAAGAACATTAAACAA: FAM-TGAACTAAACAATCCAAG-MGB
R: GAACCATTCAAACATCTTGCTTGTTC: HEX-TGAACTAAACACTCCAAG-MGB
rs1565572F: GGGCATGGTTAGAGGTTGTATATTAACC: FAM-AGCATTGCAGCCTT-MGB
R: GAATCAATTGGCTGGCAAAACA: HEX-TGGAGCATTGAAGCC-MGB
rs11939173

F:CAACCCAGTACCAAAAATAAAGGAA

R:CCGAGGAAGCTGCATCATCT

T: FAM-CCCTGTAGGACCC-MGB

C: HEX-TAACCCTGCAGGACC-MGB

CYP27B1
rs10877012

F:GGGAGTAAGGAGCAGAGAGGTAAA

R:AAGGCTGCAGTGAGTTATGATTGT

C: FAM-TGTGGGAGATTCTTTTA-MGB

A: HEX-TGTGGGAGATTATTT-MGB

表4

GC和CYP27B1基因多态性在病例组和对照组人群中的分布"

基因型病例组对照组

OR

(95%CI)

调整OR

(95%CI)b,c

n%n%
GC
rs4588n = 561n = 577
CC26447.125844.71.001.00
CA24543.726946.61.12 (0.88~1.43)1.13 (0.88~1.44)
AA529.3508.70.98 (0.64~1.50)0.98 (0.64~1.50)
CA/AA29752.931955.31.10 (0.87~1.39)1.10 (0.87~1.39)
A等位基因a1.04 (0.87~1.24)1.04 (0.87~1.24)
rs7041n = 563n = 583
TT30454.032155.11.001.00
TG21638.422338.30.98 (0.77~1.25)0.98 (0.77~1.25)
GG437.6396.70.86 (0.54~1.36)0.86 (0.54~1.37)
TG/GG25946.026244.90.96 (0.76~1.21)0.96 (0.76~1.21)
G等位基因a0.95 (0.79~1.14)0.95 (0.79~1.15)
rs3733359n = 562n= 576
CC24243.127446.71.001.00
CT25745.723941.50.82 (0.64~1.05)0.82 (0.64~1.05)
TT6311.26310.90.88 (0.60~1.30)0.88 (0.60~1.31)
CT/TT32056.930252.40.83 (0.66~1.05)0.83 (0.66~1.05)
T等位基因a0.90 (0.75~1.07)0.90 (0.75~1.07)
rs16847024n = 564n= 582
CC41473.445578.21.001.00
CT13223.410918.70.75 (0.56~1.00)0.75 (0.56~1.00)
TT183.2183.10.91 (0.47~1.77)0.91 (0.47~1.77)
CT/TT15026.612721.80.77 (0.59~1.01)0.77 (0.59~1.01)
T等位基因a0.81 (0.64~1.03)0.81 (0.64~1.03)
rs843008n= 564n= 582
TT34961.936462.51.001.00
TG19434.418732.10.92 (0.72~1.19)0.92 (0.72~1.18)
GG213.7315.31.42 (0.80~2.51)1.42 (0.80~2.52)
TG/GG21538.121837.50.97 (0.77~1.23)0.97 (0.77~1.23)
G等位基因a1.03 (0.84~1.26)1.03 (0.84~1.26)
rs1565572n= 560n = 574
AA18132.316729.11.001.00
AC26146.628449.51.18 (0.90~1.54)1.18 (0.90~1.54)
CC11821.112321.41.13 (0.81~1.57)1.14 (0.82~1.58)
AC/CC37967.740770.91.16 (0.90~1.50)1.16 (0.91~1.50)
C等位基因a1.08 (0.91~1.27)1.08 (0.91~1.27)
rs11939173n= 564n = 582
GG39469.940970.31.001.00
GA14926.415927.31.03 (0.79~1.34)1.03 (0.79~1.34)
AA213.7142.40.64 (0.32~1.28)0.65 (0.33~1.30)
GA/AA17030.117329.70.98 (0.76~1.26)0.99 (0.76~1.27)
A等位基因a0.94 (0.75~1.17)0.94 (0.76~1.18)
CYP27B1
rs10877012n = 561n = 578
TT23141.226145.21.001.00
TG25345.124742.70.86 (0.67~1.11)0.86 (0.67~1.10)
GG7713.77012.10.81 (0.57~1.16)0.80 (0.56~1.16)
TG/GG33058.831754.80.85 (0.67~1.08)0.85 (0.67~1.07)
G等位基因a0.88 (0.74~1.05)0.88 (0.74~1.05)

表5

分层分析GC基因rs16847024位点多态性在病例组和对照组人群中的分布"

SNPs分层变量亚组N (病例/对照) b调整OR (95%CI) c, d
XY eYY eXY/YY e
GC
rs16847024
年龄 (岁)<17278/2800.91(0.61~1.36)1.77(0.52~6.03)0.96(0.65~1.42)
≥17286/3030.62(0.41~0.94)0.60(0.26~1.38)0.62(0.42~0.90)
性别374/3720.72(0.50~1.02)0.46(0.18~1.19)0.68(0.48~0.96)
190/2110.83(0.51~1.35)2.00(0.67~5.96)0.94(0.60~1.49)
合并哮喘121/5830.95(0.58~1.57)1.18(0.34~4.15)0.98(0.61~1.58)
443/5830.70(0.52~0.95)0.88(0.44~1.79)0.72(0.54~0.97)
总IgE水平a450/5830.70(0.52~0.95)0.72(0.37~1.41)0.71(0.53~0.94)
114/5830.95(0.57~1.58)1.11(0.67~1.82)

表6

多因子降维法(MDR)分析GC和CYP27B1基因的交互作用"

模型 a训练样本检验样本交叉一致性P
A40.52750.49076/100.8281
A3 A60.56360.558810/100.0010
A1 A3 A60.58070.50156/100.6320
1 LooEXL, ThamEH, PhangKW, et al. Associations between maternal vitamin D levels during pregnancy and allergic outcomes in the offspring in the first 5 years of life[J]. Pediatr Allergy Immunol, 2019, 30(1): 117-122. doi:10.1111/pai.12995.
doi: 10.1111/pai.12995
2 ÁHennessy , HourihaneJO, MalvisiL, et al. Antenatal vitamin D exposure and childhood eczema, food allergy, asthma and allergic rhinitis at 2 and 5 years of age in the atopic disease-specific Cork BASELINE Birth Cohort Study[J]. Allergy, 2018, 73(11): 2182-2191. doi:10.1111/all.13590.
doi: 10.1111/all.13590
3 TianHQ, ChengL. The role of vitamin D in allergic rhinitis[J]. Asia Pac Allergy, 2017, 7(2): 65-73. doi:10.5415/apallergy.2017.7.2.65.
doi: 10.5415/apallergy.2017.7.2.65
4 MoraJR, IwataM, von AndrianUH. Vitamin effects on the immune system: vitamins A and D take centre stage[J]. Nat Rev Immunol, 2008, 8(9): 685-698. doi:10.1038/nri2378.
doi: 10.1038/nri2378
5 JerzyńskaJ, StelmachW, RychlikB, et al. Clinical and immunological effects of vitamin D supplementation during the pollen season in children with allergic rhinitis[J]. Arch Med Sci, 2018, 14(1): 122-131. doi:10.5114/aoms.2016.61978.
doi: 10.5114/aoms.2016.61978
6 WuHY, ChenJX, TianHQ, et al. Serum 25-hydroxyvitamin D inversely associated with blood eosinophils in patients with persistent allergic rhinitis[J]. Asia Pac Allergy, 2017, 7(4): 213-220. doi:10.5415/apallergy.2017. 7.4.213.
doi: 10.5415/apallergy.2017. 7.4.213
7 KutluğS, KılıçM, BilgiciB, et al. An evaluation of vitamin D levels in children with seasonal allergic rhinitis during pollen season[J]. Pediatr Allergy Immunol, 2017, 28(5): 446-451. doi:10.1111/pai.12728.
doi: 10.1111/pai.12728
8 檀静怡, 刘涛, 张丽霞. 中-重度变应性鼻炎患者血清25(OH)D水平的相关临床研究[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(3): 217-219. doi:10.13201/j.issn.1001-1781.2018.03.015.
doi: 10.13201/j.issn.1001-1781.2018.03.015
TANJingyi, LIUTao, ZHANGLixia. Clinical study on serum 25(OH)D level in patients with moderate to severe allergic rhinitis[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2018, 32(3): 217-219. doi:10.13201/j.issn.1001-1781.2018.03.015.
doi: 10.13201/j.issn.1001-1781.2018.03.015
9 程雷, 钱俊俊, 田慧琴. 变应性鼻炎研究的若干进展[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 1-3. doi:10.6040/j.issn.1673-3770.1.2017.021.
doi: 10.6040/j.issn.1673-3770.1.2017.021
CHENGLei, QIANJunjun, TIANHuiqin. Research progress on allergic rhinitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(3): 1-3. doi:10.6040/j.issn.1673-3770.1.2017.021.
doi: 10.6040/j.issn.1673-3770.1.2017.021
10 BousquetJ, KhaltaevN, CruzAA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)[J]. Allergy, 2008, 63(Suppl 86): 8-160. doi:10.1111/j.1398-9995.2007.01620.x.
doi: 10.1111/j.1398-9995.2007.01620.x
11 TianHQ, ChenXY, LuY, et al. Association of VDR and CYP2R1 polymorphisms with mite-sensitized persistent allergic rhinitis in a Chinese population[J]. PLoS One, 2015, 10(7): e0133162. doi:10.1371/journal.pone. 0133162.
doi: 10.1371/journal.pone. 0133162
12 KongsbakM, von EssenMR, LevringTB, et al. Vitamin D-binding protein controls T cell responses to vitamin D[J]. BMC Immunol, 2014, 15: 35. doi:10.1186/s12865-014-0035-2.
doi: 10.1186/s12865-014-0035-2
13 Jeffery LE, WoodAM, QureshiOS, et al. Availability of 25-hydroxyvitamin D(3) to APCs controls the balance between regulatory and inflammatory T cell responses[J]. J Immunol, 2012, 189(11): 5155-5164. doi:10.4049/jimmunol.1200786.
doi: 10.4049/jimmunol.1200786
14 ArikogluT, KuyucuS, KaraismailogluE, et al. The association of vitamin D, cathelicidin, and vitamin D binding protein with acute asthma attacks in children[J]. Allergy Asthma Proc, 2015, 36(4): 51-58. doi:10.2500/aap.2015. 36.3848.
doi: 10.2500/aap.2015. 36.3848
15 BratkeK, WendtA, GarbeK, et al. Vitamin D binding protein and vitamin D in human allergen-induced endobronchial inflammation[J]. Clin Exp Immunol, 2014, 177(1): 366-372. doi:10.1111/cei.12346.
doi: 10.1111/cei.12346
16 JiangHJ, ChiXY, ZhangX, et al. Increased serum VDBP as a risk predictor for steroid resistance in asthma patients[J]. Respir Med, 2016, 114: 111-116. doi:10.1016/j.rmed.2016.03.011.
doi: 10.1016/j.rmed.2016.03.011
17 LeungTF, WangSS, TangMF, et al. Childhood asthma and spirometric indices are associated with polymorphic markers of two vitamin D 25-hydroxylase genes[J]. Pediatr Allergy Immunol, 2015, 26(4): 375-382. doi:10.1111/pai.12392.
doi: 10.1111/pai.12392
18 LahmarO, SalhiM, KaabachiW, et al. Association between vitamin d metabolism gene polymorphisms and risk of tunisian adults′ asthma[J]. Lung, 2018, 196(3): 285-295. doi:10.1007/s00408-018-0101-2.
doi: 10.1007/s00408-018-0101-2
19 WangSS, HonKL, KongAP, et al. Eczema phenotypes are associated with multiple vitamin D pathway genes in Chinese children[J]. Allergy, 2014, 69(1): 118-124. doi:10. 1111/all.12337.
doi: 10. 1111/all.12337
20 ShahijanianF, ParnellGP, McKayFC, et al. The CYP27B1 variant associated with an increased risk of autoimmune disease is underexpressed in tolerizing dendritic cells[J]. Hum Mol Genet, 2014, 23(6): 1425-1434. doi:10.1093/hmg/ddt529.
doi: 10.1093/hmg/ddt529
21 YipKH, KolesnikoffN, YuCP, et al. Mechanisms of vitamin D₃ metabolite repression of IgE-dependent mast cell activation[J]. J Allergy Clin Immunol, 2014, 133(5): 1356-1364, 1364.e1-14. doi:10.1016/j.jaci.2013.11.030.
doi: 10.1016/j.jaci.2013.11.030
22 HyppönenE, BerryDJ, WjstM, et al. Serum 25-hydroxyvitamin D and IgE - a significant but nonlinear relationship[J]. Allergy, 2009, 64(4): 613-620. doi:10.1111/j. 1398-9995.2008.01865.x.
doi: 10.1111/j. 1398-9995.2008.01865.x
23 JiangT, LiLZ, WangY, et al. The association between genetic polymorphism rs703842 in CYP27B1 and multiple sclerosis: a meta-analysis[J]. Medicine (Baltimore), 2016, 95(19): e3612. doi:10.1097/MD. 000000000000-3612.
doi: 10.1097/MD. 000000000000-3612
24 ZhuangJC, HuangZY, ZhaoGX, et al. Variants of CYP27B1 are associated with both multiple sclerosis and neuromyelitis optica patients in Han Chinese population[J]. Gene, 2015, 557(2): 236-239. doi:10.1016/j.gene. 2014. 12.045.
doi: 10.1016/j.gene. 2014. 12.045
25 MaiXM, ChenY, CamargoCA Jr , et al. Serum 25-hydroxyvitamin D levels and self-reported allergic rhinitis in Norwegian adults-The HUNT Study[J]. Allergy, 2014, 69(4): 488-493. doi:10.1111/all.12365.
doi: 10.1111/all.12365
26 WjstM, HyppönenE. Vitamin D serum levels and allergic rhinitis[J]. Allergy, 2007, 62(9): 1085-1086. doi:10. 1111/j.1398-9995.2007.01437.x.
doi: 10. 1111/j.1398-9995.2007.01437.x
27 BenerA, EhlayelMS, BenerHZ, et al. The impact of Vitamin D deficiency on asthma, allergic rhinitis and wheezing in children: an emerging public health problem[J]. J Family Community Med, 2014, 21(3): 154-161. doi:10.4103/2230-8229.142967.
doi: 10.4103/2230-8229.142967
28 DemirM. Comparison of 1α-25-dihydroxyvitamin D3 and IgE levels between allergic rhinitis patients and healthy people[J]. Int Arch Otorhinolaryngol, 2018, 22(4): 428-431. doi:10.1055/s-0038-1649492.
doi: 10.1055/s-0038-1649492
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