HLA-DRB和-DQB1基因位点与Eales病的初步研究

Study of the relativity between eales disease and alleles of HLA-DRB and HLA-DQB1

  • 摘要: 目的: 探讨北方汉族HLA-DRB和-DQB1基因位点与Eales病及病情严重性的相关性。方法: 应用病例-对照相关分析方法,采用PCR-序列特异性引物基因分型技术对北方汉族30名健康个体和21例Eales病患者(均无血缘关系)进行HLA-DRB和-DQB1进行遗传相关分析。结果: Eales病患者中DRB1*04的频率为(0.57)显著高于对照组(0.20),2χ=7.46,P<0.01,比数比(OR)为5.33。DRB1*11的频率(0.05)显著低于对照组(0.30),2χ=4.99,P<0.05,OR为0.17。DRB1*04阳性患者最终平均视力明显低于DRB1*04阴性患者,并且DRB1*04阳性患者行玻璃体切割手术治疗的频率高于DRB1*04阴性患者,但二者没有统计学差异(P>0.05)。结论: 北方汉族HLA-DRB等位基因与Eales病相关,DRB1*04可能与Eales病易感相关;DRB1*11可能在发病中有保护作用。

     

    Abstract: Objective: To investigate the relativity and patient’s condition between the alleles of human leukocyte antigens(HLA)-DRB and HLA-DQB1 and Eales disease in the Hans living in the north of China. Methods: The alleles of HLA-DRB and HLA-DQB1 were typed by polymerase chain reaction-sequence specific primers(PCR-SSP) technique in samples from 21 patients with Eales disease and 30 healthy controls.All of the subjects,their grandparents and grand-grandparents are Hansliving in the north of China. Results: The frequency of DRB1*04 in the Eales patients(0.57) was significantly higher than that in the controls(0.20),χ2=7.46,P<0.01.Odds ratio(OR) was 5.33.The frequency of DRB1*11significantly decreased in the group of patients with Ehincomparisonto the controls(0.05 versus 0.30),χ2=4.99,P<0.05.OR was 0.17.The average acuity of vision of patients with DRB1*04 were worser than that without DRB1*04.The frequency of vitrectomy in the patients with DRB1*04 was higher than that in the patients without DRB1*04. Conclusion: HLA-DRB1*04 is associated with the susceptiblity to Eales disease in the north Hans of China.DRB1*11 may protect one from the disease.

     

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