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The relationship between TSHR gene polymorphism and the prognosis of Graves′ disease in different clinical subtypes |
Zhang Ying1, Liu Lin1,2, Shen Min3, Li Rujiang4, Lu Hongwen2 |
1 The Graduate Department of Weifang Medical University, Weifang 261053,China; 2 Department of Endocrinology, Weifang People′s Hospital; 3 Department of Genetics, Shanghai-Ministry of Science and Technology (MOST) Key Laboratory of Health and Disease Genomics, Chinese National Human Genome Center, Xinhua Hospital; 4 College of Basic Medical Sciences,Weifang Medical University. |
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Abstract Objective To investigate the relationship between thyroid stimulating hormone receptor (TSHR) gene polymorphism and the prognosis of Graves′ disease (GD) after antithyroid drugs(ATD)treatment in Weifang Han Chinese population of Shandong province. Methods A total of 1 961 patients diagnosed GD who were referred to the Endocrinology Clinic and 533 controls were included in to study from January 2010 to January 2015. By case-control study, the SNP was genotyped by Taqman probe technique on ABI QuantStudioTM 5 real-time PCR system respectively. SPSS 24.0 was used to make statistical analysis. Results According to the study, the SNP site rs179247-A of the TSHR gene intron 1 region was demostrated significantly correlated with GD(PAllelic<0.001,OR=1.64,95% CI=1.42~1.89). Analysis of model of inheritance suggested that the dominant model should be preferred for rs179247(PDominant<0.001). However, there was no association between the SNP site rs179247 and different clinical subtypes of GD after antithyroid drugs treatment for at least 24 months(PGenotypic=0.553). Conclusion Our findings demonstrated that the SNP site rs179247 of the TSHR gene intron 1 region was associated with GD, rs179247-A was an independent pathogenic site.However,there was no association between the SNP site rs179247 and different clinical subtypes of GD.
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Received: 14 March 2018
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[1] MCLEOD DS, COOPER DS. The incidence and prevalence of thyroid autoimmunity[J]. Endocrine, 2012,42(2):252-265. [2] 刘泽林,王玉磷,徐丹,等.抗甲状腺药物对Graves′病患者血中细胞因子的影响[J].中国全科医学,2008,11(10):857-858. [3] EFFRAIMIDIS G, WIERSINGA W M. Mechanisms in endocrinology: autoimmune thyroid disease: old and new players[J]. Eur J Endocrinol,2014,170(6):241-52. [4] LI FM, LIU L, PANG LN, et al. Association of 4p14 and 6q27 variation with Graves′ disease: a case-control study and a meta-analysis of available evidence[J]. BMC Med Genet,2017,18(1):56. [5] 李发梅,柳林,逄力男,等.染色体4p14与6q27区域基因多态性与山东潍坊地区汉族人Graves′病的相关性[J].中华临床医师杂志:电子版,2017,11(1):1-5. [6] 卢洪文,张银环,刘长山,等.甲状腺球蛋白基因外显子33单核苷酸多态性与Graves′病停药后复发的相关性分析[J].中国病理生理杂志,2017,33(1):143-148. [7] LIU L, LU H, LIU Y, et al. Predicting relapse of Graves′ disease following treatment with antithyroid drugs[J]. Exp Ther Med,2016,11(4):1453-1458. [8] 柳林,卢洪文,刘长山,等.抗甲状腺药物治疗格雷夫斯病复发情况及相关因素分析[J].中华全科医师杂志,2012,11(6):437-440. [9] 柳林,逄力男,刘长山,等.山东汉族女性ERα基因多态性与自身免疫性甲状腺疾病的关系[J].中国实用医药杂志,2007,2(24):7-9. [10]王冉,张晓梅,刘炳丽,等.TSHR基因内含子1区域多态性及其与Graves′病的关系[J].中华内分泌代谢杂志,2012,28(4):306-310. [11]杨邵英,刘威,薛丽琼,等.TSHR基因内含子1区域多态性与Graves′病的关联研究[J].中华内分泌代谢杂志,2011,27(6):478-481. [12]LIU BL, YANG SY, LIU W, et al. Refined association of TSH receptor susceptibility locus to Graves′ disease in the Chinese Han population[J]. Eur J Endocrinol,2014,170(1):109-119. [13]PLOSKI, BRAND OJ, JURECKA-LUBIENIECKA B, et al. Thyroid stimulating hormone receptor (TSHR) intron 1 variants are major risk factors for Graves′ disease in three European Caucasian cohorts[J]. PLoS One,2010,5(11):e15512. [14]CHUNG HR. Iodine and thyroid function[J]. Ann Pediatr Endocrinol Metab,2014,19(1):8-12. [15]LAURBERG P. Remission of Grave′ disease during anti-thyroid drug therapy. Time to reconsider the mechanism[J]. Eur J Endocrinol, 2006, 155(6): 783-786. [16]王海丽,杨丽华,贾兆通,等.TSHR基因多态性与山东沿海地区汉族人Graves'病的相关性[J].中华内分泌代谢杂志,2013,29(2):108-111. [17]吴静,孙卫华,张晓梅,等.TSHR内含子1区段与4p14区段单核苷酸多态性及基因交互作用与Graves'病相关性研究[J].中华内分泌代谢杂志,2016,32(4):292-297. [18]COLOBRAN R, ARMENGOL MDEL P, FANER R, et al. Association of an SNP with intrathymic transcription of TSHR and Graves′ disease: a role for defective thymic tolerance[J]. Hum Mol Genet,2011,20(17):3415-3423. [19]BUFALO NE,DOS SANTOS RB,MARCELLO MA,et al.TSHR intronic polymorphisms (rs179247 and rs12885526) and their role in the susceptibility of the Brazilian population to Graves′ disease and Graves′ ophthalmopathy[J]. J Endocrinol Invest,2015,38(5):555-561. |
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