Genome-wide association study of sensory disturbances in the inferior alveolar nerve after bilateral sagittal split ramus osteotomy.

Genome-wide association study of sensory disturbances in the inferior alveolar nerve after bilateral sagittal split ramus osteotomy.
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DOI:
10.1186/1744-8069-9-34
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发表时间:
2013-07-08
期刊:
影响因子:
3.3
通讯作者:
Fukuda K
Fukuda K
中科院分区:
医学3区
文献类型:
--
作者:
Kobayashi D;Nishizawa D;Takasaki Y;Kasai S;Kakizawa T;Ikeda K;Fukuda K

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双侧下颌升支矢状劈开截骨术(BSSRO)是一种常见的正颌外科手术。即使没有明显的神经损伤,在BSSRO后也经常观察到下牙槽神经的感觉障碍,包括感觉减退和感觉迟钝。在感觉障碍的脆弱性的个体差异的基础上的机制尚未阐明。本研究通过全基因组关联研究(GWAS)探讨了遗传多态性与BSSRO后感觉障碍易感性之间的关系。分别有304名和303名接受BSSRO的患者被纳入感觉减退和感觉迟钝的分析。术后1周采用触觉测试评价感觉减退。术后4周通过访谈评估感觉障碍。使用Illumina BeadChips进行全基因组基因分型,包括约300,000个多态性标记。分别有51例(16.8%)和149例(49.2%)受试者发生感觉减退和感觉迟钝。在临床数据(即,年龄、性别、体重、身高、失血量、骨碎片迁移长度、神经暴露、麻醉持续时间和手术持续时间)以及感觉减退和感觉迟钝的频率。在感觉减退和rs 502281多态性之间发现了显著的关联。(隐性模型:联合χ2 = 24.72,名义P = 6.633 × 10-7),感觉减退与rs 2063640多态性之间(隐性模型:联合χ2 = 23.07,名义P = 1.563 × 10-6),感觉迟钝与非同义rs 2677879多态性之间(趋势模型:联合χ2 = 16.56,名义P = 4.722 × 10-5;显性模型:联合χ2 = 16.31,名义P = 5.369 × 10-5)。rs 502281和rs 2063640多态性分别位于第6和第3染色体上ARID 1B和ZPLD 1基因的侧翼区域,其正式名称分别为“AT rich interactive domain 1B(SWI 1-like)”和“包含1的透明质酸样结构域”。rs 2677879多态性位于18号染色体上的胃L4基因,其正式名称为“甲基转移酶样4”。BSSRO后感觉障碍的GWAS揭示了位于ARID 1B和ZPLD 1基因侧翼区域的遗传多态性与感觉减退之间的关联,以及胃L4基因的非同义遗传多态性与感觉迟钝之间的关联。
Bilateral sagittal split ramus osteotomy (BSSRO) is a common orthognatic surgical procedure. Sensory disturbances in the inferior alveolar nerve, including hypoesthesia and dysesthesia, are frequently observed after BSSRO, even without distinct nerve injury. The mechanisms that underlie individual differences in the vulnerability to sensory disturbances have not yet been elucidated. The present study investigated the relationships between genetic polymorphisms and the vulnerability to sensory disturbances after BSSRO in a genome-wide association study (GWAS). A total of 304 and 303 patients who underwent BSSRO were included in the analyses of hypoesthesia and dysesthesia, respectively. Hypoesthesia was evaluated using the tactile test 1 week after surgery. Dysesthesia was evaluated by interview 4 weeks after surgery. Whole-genome genotyping was conducted using Illumina BeadChips including approximately 300,000 polymorphism markers. Hypoesthesia and dysesthesia occurred in 51 (16.8%) and 149 (49.2%) subjects, respectively. Significant associations were not observed between the clinical data (i.e., age, sex, body weight, body height, loss of blood volume, migration length of bone fragments, nerve exposure, duration of anesthesia, and duration of surgery) and the frequencies of hypoesthesia and dysesthesia. Significant associations were found between hypoesthesia and the rs502281 polymorphism (recessive model: combined χ2 = 24.72, nominal P = 6.633 × 10-7), between hypoesthesia and the rs2063640 polymorphism (recessive model: combined χ2 = 23.07, nominal P = 1.563 × 10-6), and between dysesthesia and the nonsynonymous rs2677879 polymorphism (trend model: combined χ2 = 16.56, nominal P = 4.722 × 10-5; dominant model: combined χ2 = 16.31, nominal P = 5.369 × 10-5). The rs502281 and rs2063640 polymorphisms were located in the flanking region of the ARID1B and ZPLD1 genes on chromosomes 6 and 3, whose official names are “AT rich interactive domain 1B (SWI1-like)” and “zona pellucida-like domain containing 1”, respectively. The rs2677879 polymorphism is located in the METTL4 gene on chromosome 18, whose official name is “methyltransferase like 4”. The GWAS of sensory disturbances after BSSRO revealed associations between genetic polymorphisms located in the flanking region of the ARID1B and ZPLD1 genes and hypoesthesia and between a nonsynonymous genetic polymorphism in the METTL4 gene and dysesthesia.
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