实用医学杂志 ›› 2022, Vol. 38 ›› Issue (20): 2556-2560.doi: 10.3969/j.issn.1006⁃5725.2022.20.009

• 临床研究 • 上一篇    下一篇

CDKN2A/B 基因多态性在颅内动脉瘤形成过程中的功能分析

  

  1.  张利通 李冉 许红旗 梁洪磊 安阳市人民医院神经外科(河南安阳455000

  • 出版日期:2022-10-25 发布日期:2022-10-25
  • 通讯作者: 梁宏磊 E⁃mail:1695830128@qq.com
  • 基金资助:
    河南省医学科技攻关计划项目基金资助(编号:LHGJ20200801)

Role of CDKN2A/B gene polymorphism in the formation of intracranial aneurysm

ZHANG Litong,LI Ran, XU Hongqi,LIANG Honglei.    

  1. Department of NeurosurgeryAnyang People′s HospitalAnyang 455000China

  • Online:2022-10-25 Published:2022-10-25
  • Contact: LIANG Honglei E⁃mail:1695830128@qq.com

摘要:

目的 研究 CDKN2A/B 相关基因位点突变与颅内动脉瘤形成的关系。方法 病例组 82 例 为安阳市人民医院神经外科在 2017-2021 年间收治的开颅夹闭颅内动脉瘤患者。对照组为该院同期 收治的入院头 CTA 检查无颅内动脉瘤的头外伤患者,共 114 例。两组均使用 SNP 基因分型,对病例组不同 基因型的动脉瘤壁组织内 CDKN2A/B 基因翻译、表达的产物进行对比分析。结果 动脉瘤壁内表达 CD⁃ KN2A/B 基因产物 p15INK4b /p16INK4a 蛋白 ,rs10757272 位点等位基因 T 的频率高于对照组(P = 0.029OR = 1.65895%CI1.051 ~ 2.614),rs10757272 位点在 T/T 基因型动脉瘤瘤壁组织中 p16INK4 a P < 0.001/p15INK4b P = 0.014mRNA低水平转录,在T/T基因型中p15INK4b 蛋白为低水平表达(P = 0.027),p16INK4a 蛋白的表达水平 差异无统计学意义(P = 0.089),但是有相似的低表达趋势。结论 rs10757272 位点的突变通过影响细胞周 期抑制基因CDKN2A/B 的表达,影响动脉瘤壁组织细胞的塑性,参与动脉瘤的形成过程。

关键词:

CDKN2A/B 基因, 颅内动脉瘤, SNP 位点, 动脉瘤壁组织

Abstract:

Objective Intracranial aneurysm is a complex disease induced by the interplay of genes and environmental factorscommonly leading to fatality and disability. The purpose of this study was to explore the corre⁃ lation between CDKN2A/B gene polymorphism and intracranial aneurysm formation. Methods Eighty⁃two patients with clipped aneurysm and one hundred and fourteen patients with non ⁃intracranial aneurysm were enrolled. SNP genotyping was used to analyze the single nucleotide polymorphismsSNPrelated to CDKN2A/B. RT ⁃ PCR and Western Blot were used to detect gene translation and expression in aneurysm walls and immunofluorescence was used to compare the volumes of protein expression of the genes. Results The p15INK4b/p16INK4a protein that CDKN2A/B gene expressed was detected in the aneurysm wallsand the frequency of allele T at rs10757272 was higher than that in the control groupP = 0.029OR1.65895%CI1.051 ~ 2.614. The p16INK4a and p15INK4b mRNAs at rs10757272 locus were transcribed at a low level in the T/T genotype aneurysmal wall tissuesP < 0.001 and 0.014respectively),and the p15INK4b was expressed in T/T genotype at a low levelP = 0.027. Howeverthere was no significant difference in the expression level of p16INK4aP = 0.089in spite of presenting a similar trend of low expression. The immunofluorescent staining of aneurysm wall tissues showed the identical results. Conclusion The mutation of SNP at rs10757272 participates in the formation of intracranial aneurysms by interven⁃ ing the expression of CDKN2A/B and thereby affecting the plasticity of the aneurysm wall tissue cells.

Key words:

CDKN2A/B, intracranial aneurysms, SNP, aneurysm wall tissue