[1]武文娟,韩 伟.白细胞介素-6-572C-G基因多态性与小儿复杂型热性惊厥及症状发作后脑损伤关系临床研究[J].陕西医学杂志,2023,52(10):1371-1374.[doi:DOI:10.3969/j.issn.1000-7377.2023.10.019]
 WU Wenjuan,HAN Wei.Relationship between IL-6 gene polymorphism and complex febrile seizures and post seizure brain damage in children[J].,2023,52(10):1371-1374.[doi:DOI:10.3969/j.issn.1000-7377.2023.10.019]
点击复制

白细胞介素-6-572C-G基因多态性与小儿复杂型热性惊厥及症状发作后脑损伤关系临床研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
52
期数:
2023年10期
页码:
1371-1374
栏目:
临床研究
出版日期:
2023-10-05

文章信息/Info

Title:
Relationship between IL-6 gene polymorphism and complex febrile seizures and post seizure brain damage in children
作者:
武文娟韩 伟
(陕西省人民医院儿童病院,陕西 西安 710068)
Author(s):
WU WenjuanHAN Wei
(Children's Hospital,Shaanxi Provincial People's Hospital,Xi'an 710068,China)
关键词:
热性惊厥 复杂型 脑损伤 白细胞介素-6 基因多态性
Keywords:
Febrile convulsion Complex type Brain damage Interleukin 6 Genetic polymorphism
分类号:
R 729
DOI:
DOI:10.3969/j.issn.1000-7377.2023.10.019
文献标志码:
A
摘要:
目的:探究白细胞介素-6-572C-G(IL-6-572C-G)基因多态性与小儿复杂型热性惊厥(CFS)及发作后脑损伤的相关性。方法:收集150例热性惊厥FS患儿和50例健康志愿小儿(对照组)为对象,依据FS发病类型将其分为单纯组和复杂组。测定比较各组IL-6-572C-G基因型频率和等位基因表达频率。比较CFS发作后脑损伤患儿与无脑损伤患儿IL-6-572C-G基因型频率和等位基因表达频率差异,分析影响CFS发作后脑损伤形成的危险因素。结果: 复杂组CC基因型频率和C等位基因频率明显低于单纯组,单纯组明显低于对照组(均P<0.05),复杂组GG基因型频率和G等位基因频率高于单纯组,单纯组高于对照组(均P<0.05),复杂组和单纯组CG基因型频率均高于对照组(均P<0.05)。CFS发作后脑损伤患儿CC基因型频率和C等位基因频率明显低于无脑损伤者,GG基因型频率和G等位基因频率高于无脑损伤者(均P<0.05)。Logistic回归分析显示,IL-6基因型CG+GG是CFS发作后脑损伤形成的危险因素(P<0.05)。结论: CFS患儿IL-6基因型异于单纯型FS,主要以CG+GG基因型为主,且与患儿发作后脑损伤形成有关,是CFS发作后脑损伤形成的危险因素之一。
Abstract:
Objective:To investigate the relationship between interleukin 6-572C-G(IL-6-572C-G)gene polymorphism and complex febrile convulsion(CFS)in children and brain injury after seizures.Methods:A total of 150 children with FS caused by febrile seizures and 50 healthy volunteers(control group)were collected as subjects,and children with FS were divided into simple group and complex group based on the type of FS onset.The genotype frequency and allele expression frequency of IL-6-572C-G in each group were measured and compared.The differences of IL-6 genotype frequency and allele expression frequency between children with brain injury after CFS attack and children without brain injury were compared,and the risk factors affecting the formation of brain injury after CFS attack were analyzed.Results:The CC genotype frequency frequency and C allele frequency in the complex group were lower than those in the simple group,and those in the simple group were lower than those in the control group(all P<0.05).The GG genotype frequency frequency and G allele frequency in the complex group were higher than those in the simple group,and those in the simple group were higher than those in the control group(all P<0.05).The CG genotype frequency frequency in the complex group and the simple group were higher than those in the control group(all P<0.05).The CC genotype frequency and C allele frequency of children with brain injury after CFS attack were lower than those without brain injury,and the GG genotype frequency and G allele frequency were higher than those without brain injury(all P<0.05).Logistic regression analysis showed that IL-6 genotype CG+GG was a risk factor for brain injury formation after CFS onset(P<0.05).Conclusion:The IL-6 genotype in children with CFS is different from that of simple FS,mainly characterized by CG+GG genotype,and is related to the formation of brain injury after CFS attacks.It is one of the risk factors for the formation of brain injury after CFS attacks.

参考文献/References:

[1] Lee H,Kwon A,Kim HS,et al.Fructose-1,6-bisphosphatase deficiency presented with complex febrile convulsion[J].Neuro Endocrinology Letters,2019,39(8):533-536.
[2] 胡 佳,胡春辉,刘智胜,等.颞叶癫痫伴海马硬化与早期复杂性热性惊厥损伤相关生物信息学分析[J].中国实用儿科杂志,2022,37(4):277-282.
[3] 杨跃萍,方映玲,邹新英.小儿热性惊厥与IL-6基因多态性的关联性研究[J].中国妇幼保健,2013,28(20):3336-3338.
[4] 赵 宁,张文俊,罗 云,等.上海地区人群HMOX1基因单核苷酸多态性与原发性高血压发病的关系及中医治疗方法研究[J].陕西中医,2013,34(12):1607-1609.
[5] 黄玉娟,许 淼,沈 蕾,等.肿瘤坏死因子α-238基因多态性与儿童热性惊厥的相关性研究[J].上海医学,2021,44(11):812-816.
[6] 张 胜,周 涛,付四毛,等.单纯型和复杂型热性惊厥患儿脑脊液及血清白细胞介素2、6和神经元特异性烯醇酶的改变[J].中国小儿急救医学,2010,17(4):350-351.
[7] 李 珍,梅文龙,柴艳婷,等.IL-6基因rs1800796多态性与小儿热性惊厥易感性的Meta分析[J].重庆医学,2017,46(15):2089-2093.
[8] 中华医学会儿科学分会神经学组.热性惊厥诊断治疗与管理专家共识(2016)[J].中华儿科杂志,2016,54(10):723-727.
[9] 何凯亮,李永平,吕勇刚,等.IL-6基因启动子多态性与乳腺癌风险的关联性[J].细胞与分子免疫学杂志,2011,27(11):1220-1222,1226.
[10] 王帅力,王 星,吴庆华.氧化应激指标与小儿复杂型热性惊厥关系及对发作后脑损伤的预测价值研究[J].陕西医学杂志,2023,52(4):464-467,471.
[11] 张玉松,房 健,孙 祺,等.热性惊厥大鼠海马IL-6表达及丙戊酸对其甲基化水平的干预研究[J].中华行为医学与脑科学杂志,2018,27(7):598-603.
[12] Azab SF,Abdalhady MA,Ali A,et al.Interleukin-6 gene polymorphisms in Egyptian children with febrile seizures:A case-control study[J].Ital J Pediatr,2016,42(1):31-37.
[13] 刘占国,谭晓莹,蔡 靓,等.脓毒症患者血清IL-6与脑损伤的相关性分析[J].南方医科大学学报,2012,32(10):1451-1453.
[14] 陈文园.IL-6与IL-10在热性惊厥中的作用研究进展[J].国际儿科学杂志,2021,48(11):761-765.
[15] Park BL,Lee HS,Kim YJ,et al.Association between interleukin 6 promoter variants and chronic hepatitis B progression[J].Exp Mol Med,2003,35(2):76-82.
[16] Shabana SJS,Mutawakkil MHZ,El-Ashmaoui HMA,et al.Interleukin-6 gene polymorphism in saudi population with recurrent aphthous stomatitis[J].Saudi Dent J,2021,33(8):972-978.
[17] 李东秀,潘彩芬.血清高迁移率族蛋白B1水平与小儿热性惊厥临床特征及转为癫痫的相关性[J].临床和实验医学杂志,2021,20(9):927-931.
[18] 董 娜,王爱琼.炎症反应、热性惊厥与继发性癫痫相关性研究进展[J].临床儿科杂志,2015,33(10):896-899.
[19] Gallentine WB,Shinnar S,Hesdorffer DC,et al.Plasma cytokines associated with febrile status epilepticus in children:A potential biomarker for acute hippocampal injury[J].Epilepsia,2017,58(6):1102-1111.
[20] 雷玉琳,冯 琴,熊伶俐,等.新生儿缺血缺氧性脑病患儿cTnI、CK-MB、IL-6及hs-CRP表达水平及意义[J].西部医学,2023,35(5):745-749.
[21] 闫志丰,陈明生,葛顺楠,等.中型颅脑创伤预后的危险因素分析[J].空军军医大学学报,2022,43(5):432-435,439.

备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2021SF-197)
更新日期/Last Update: 2023-10-07