B7-H4 Polymorphism Influences the Prevalence of Diabetes Mellitus and Pro-Atherogenic Dyslipidemia in Patients with Psoriasis.

B7-H4 Polymorphism Influences the Prevalence of Diabetes Mellitus and Pro-Atherogenic Dyslipidemia in Patients with Psoriasis.
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DOI:
10.3390/jcm11216235
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发表时间:
2022-10-22
影响因子:
3.9
通讯作者:
Yan K
Yan K
中科院分区:
医学2区
文献类型:
--
作者:
Yang W;Huang Q;Han L;Wang B;Yawalkar N;Zhang Z;Yan K

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背景:共抑制分子B7-H4位于与1型糖尿病(T1 D)易感性相关的基因组区域。然而,B7-H4与糖代谢紊乱和血脂异常的相关性尚未研究。目的:探讨B7-H4基因多态性与银屑病患者糖尿病(DM)及血脂异常的关系。方法:在这项单中心横断面研究中,我们招募了265例接受甲氨蝶呤(MTX)治疗的银屑病患者。对B7-H4的13个单核苷酸多态性(SNPs)进行了基因分型。在基线和第12周测量血清总胆固醇(TC)、甘油三酯(TG)、脂蛋白(a)(LP(a))、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白(LDL)、载脂蛋白A1(ApoA 1)和载脂蛋白B(ApoB)水平。结果如下:与AA或AG基因型携带者相比,B7-H4中rs 12025144 GG基因型携带者的DM患病率更高(57.14%比17.71%比18.67%,p = 0.0018),并且糖尿病患者对MTX的反应较差(p < 0.05)。rs 2066398的AG基因型与较高水平的促动脉粥样硬化脂质相关。MTX显著下调rs 2066398 AA基因型携带者的抗动脉粥样硬化脂质ApoA 1水平。结论:B7-H4基因型rs 12025144和rs 2066398分别与银屑病患者DM和血脂异常的高患病率相关。
Background: The co-inhibitory molecule B7-H4 is located in the genomic regions associated with type 1 diabetes (T1D) susceptibility. However, the correlation of B7-H4 with glycometabolism and dyslipidemia has never been studied. Objective: To explore the influence of B7-H4 polymorphism on the prevalence of diabetes mellitus (DM) and dyslipidemia in psoriasis. Methods: In this single-center cross-sectional study, we recruited 265 psoriatic patients receiving methotrexate (MTX) treatment. Thirteen single-nucleotide polymorphisms (SNPs) in B7-H4 were genotyped. Serum levels of total cholesterol (TC), triglycerides (TG), lipoprotein (a) (LP(a)), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein (LDL), apolipoprotein A1 (ApoA1), and apolipoprotein B (ApoB) were measured at baseline and week 12. Results: The GG genotype carriers of rs12025144 in B7-H4 had a higher prevalence of DM (57.14% vs. 17.71% vs. 18.67%, p = 0.0018), and had a poorer response to MTX in diabetic patients (p < 0.05), compared with AA or AG genotype carriers. The AG genotype of rs2066398 was associated with higher levels of pro-atherogenic lipids. MTX significantly downregulated the level of anti-atherogenic lipid ApoA1 in AA genotype carriers of rs2066398. Conclusions: The genotypes rs12025144 and rs2066398 in B7-H4 were correlated with a higher prevalence of DM and dyslipidemia in psoriasis, respectively.
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