文章摘要
魏生才,高敏,张学军,杨森.银屑病患者的环境因素与HLA-DQA1等位基因关联研究[J].中华流行病学杂志,2002,23(6):445-448
银屑病患者的环境因素与HLA-DQA1等位基因关联研究
Study of the association between HLA-DQA1 alleles and environmental factors in psoriasis
收稿日期:2001-11-10  出版日期:2014-09-18
DOI:
中文关键词: 银屑病|环境因素|HLADQA1等位基因
英文关键词: Psoriasis|Environmental factor|HLA-DQA1 alleles
基金项目:国家“863”研究项目资助 (Z19010404)
作者单位E-mail
魏生才 Institute of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China  
高敏 Institute of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China  
张学军 Institute of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China ayzxj@mail.hf.ah.cn 
杨森 Institute of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China  
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中文摘要:
      目的 研究Ⅰ型银屑病环境因素与HLA-DQA1 等位基因之间的交互作用。方法 采用病例对照研究方法,调查了144例Ⅰ型银屑病患者和 273名健康人的环境因素; 用序列特异性引物PCR(PCR-SSP)方法检测HLA DQA1 等位基因,对Ⅰ型银屑病的环境因素与HLA DQA1 等位基因间交互作用进行了研究。结果 (1)HLA-DQA1 *0104和DQA1 *0201与Ⅰ型银屑病患者存在正相关性 (Pc<0.002); HLA-DQA1 *0501与Ⅰ型银屑病患者存在负相关 (Pc<0.0005)。 (2)HLA-DQA1 *0104等位基因与受潮 (P=0.0238,OR=5.29)存在交互作用。 (3)HLA-DQA1 *0201等位基因与10个环境因素无交互作用。 (4)HLA-DQA1 *0501等位基因与受潮 (P=0.0024,OR=7.50)、食鱼虾 (P=0.0004,OR=12.92)、药物 (P =0.0433,OR =9.43)和接种疫苗 (P=0.0433,OR =9.43)存在交互作用。结论 (1)HLA DQA1 *0104和DQA1 *0201可能是Ⅰ型银屑病的易感基因或与易感基因相连锁; HLA DQA1 *0501等位基因可能具有阻止汉族人发生Ⅰ型银屑病的作用。 (2 )HLA DQA1 *0104和DQA1 *0501等位基因能增加环境危险因素发生Ⅰ型银屑病的危险性。
英文摘要:
      Objective To study of the HLA-DQA1 alleles and environment interaction in type I psoriasis.Methods Using case-control study, 144 type Ⅰ psoriatics and 273 healthy people were investigated.The HLA-DQA1 alleles were examined by PCR-SSP.Results (1)HLA-DQA1 *0104 and DQA1 *0201 alleles were positively associated with type Ⅰ psoriasis (Pc <0.002); HLA-DQA1 *0501 allele was negatively associated with type Ⅰ psoriasis (Pc <0.0005).(2)The HLA-DQA1 *0104 allele and moisture was interaction in type Ⅰ psoriasis (P = 0.0238, OR =5.29).(3) There were no interactions between the HLA-DQA1 *0201 allele and 10 environmental factors in type Ⅰ psoriasis.(4) The HLA-DQA1 * 0501 allele, moisture (P = 0.0024, OR = 7.50), eating fish and shrimp (P =0.0004, OR =12.92), drugs (P =0.0433, OR =9.43)or vaccination (P =0.0433, OR =9.43)were interacted in type Ⅰ psoriasis.Conclusions (1)HLA-DQA1 *0104 and DQA1 *0201 alleles might be the susceptible genes or it may have close linkage with the susceptible gene.HLA-DQA1 *0501 allele had protective effect against the develo pment of type Ⅰ psoriasis.(2) The HLA-DQA1 *0104 and DQA1 * 0501 alleles increased risk possibility of environmental factors in type Ⅰ psoriasis.
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