文章摘要
丁磊,许月萍,陆海娟,等.阴虚体质原发性高血压的基因多态性研究[J].浙江中医药大学学报,2022,46(2):133-137.
阴虚体质原发性高血压的基因多态性研究
Study on Genetic Polymorphism of Corporeity Differences in Patients with Essential Hypertension
DOI:10.16466/j.issn1005-5509.2022.02.004
中文关键词: 原发性高血压  肾素-血管紧张素系统  阴虚体质  单核苷酸多态性  血管紧张素Ⅱ-1型受体  基因测序  中医体质学  药物基因组学
英文关键词: essential hypertension  renin-angiotensin system  Yin deficiency constitution  single nucleotide polymorphism  AT1R  gene sequencing  traditional Chinese medical constitution  pharmacogenomics
基金项目:
作者单位
丁磊 浙江中医药大学 杭州 310053
嘉兴市中医医院 
许月萍 嘉兴市中医医院 
陆海娟 嘉兴市中医医院 
沈翠珍 浙江中医药大学 杭州 310053 
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中文摘要:
      [目的] 探究阴虚质与平和质原发性高血压(essential hypertension,EH)患者血管紧张素转化酶(angiotensin-converting enzyme, ACE)、血管紧张素Ⅱ-1型受体(angiotensin Ⅱ-type 1 receptor,AT1R)、血管紧张素Ⅱ-2型受体(angiotensin Ⅱ-type 2 receptor,AT2R)、Mas受体(Mas receptor,MasR)4个基因下的13个单核苷酸多态性(single nucleotide polymorphism,SNP)的位点差异。[方法] 纳入符合标准的70例阴虚质及30例平和质EH患者,采集静脉血,对ACE、AT1R、AT2R、MasR 4个基因下13个SNP位点进行测序分型。[结果] 13个SNP位点均符合哈迪-温伯格平衡定律(P>0.05),样本代表性良好。AT1R基因rs5182基因型CC、CT和TT在平和质EH患者中的频率分布分别为16.7%、36.7%和46.7%,在阴虚质EH患者中频率分布分别为2.9%、58.6%和38.6%,两组之间差异有统计学意义(P<0.05);基因型CC与CT+TT在平和质EH患者中频率分布分别为16.7%和83.3%,在阴虚质EH患者中频率分布分别为2.9%和97.1%,两组之间差异有统计学意义(P<0.05)。[结论] EH患者AT1R基因rs5182位点的多态性可能与阴虚质存在关联,T等位基因可能是EH患者阴虚质的易感基因。
英文摘要:
      [Objective] To explore the differences between the two corporeities from the genetic level by comparing the locus polymorphism of the 13 single nucleotide polymorphism(SNP) under four genes including angiotensin converting enzyme(ACE), angiotensin Ⅱ-type 1 receptor(AT1R), angiotensin Ⅱ-type 2 receptor(AT2R) and Mas receptor(MasR) in Yin deficiency constitution and normal constitution of essential hypertension(EH) patients. [Methods] Totally 70 EH patients with Yin deficiency and 30 EH patients with normal constitution were enrolled in the present study. Venous blood was collected and 13 SNPs under 4 genes including ACE, AT2R, AT1R and MasR were sequenced and typed. [Results] All 13 SNP loci conformed to Hardy-Weinberg equilibrium law(P>0.05), and the samples were well represented. The frequencies of CC, CT and TT genotypes of AT1R rs5182 in EH patients with normal constitution were 16.7%, 36.7% and 46.7% respectively, meanwhile the frequencies in EH patients with Yin deficiency constitution were 2.9%, 58.6% and 38.6%, there was significant difference between the two groups(P<0.05). The frequency of genotype CC and CT+TT in EH patients with normal constitution was 16.7% and 83.3%, and the frequencies in EH patients with Yin deficiency were 2.9% and 97.1%, and there was significant difference between the two groups(P<0.05). [Conclusion] The polymorphism of rs5182 locus of AT1R gene in EH patients may be associated with Yin deficiency constitution, and the T allele may be a susceptibility gene for Yin deficiency constitution in EH patients.
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