NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese

Abstract Background High-altitude pulmonary edema (HAPE) is a life-threatening form of non-cardiogenic edema which occurs in unacclimatized individuals after rapid ascent to high altitude. NR3C1 gene encodes for glucocorticoid receptor (GR) which plays an important role in stress and inflammation. T...

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Main Authors: Yingzhong Yang, Hui Du, Yuhong Li, Wei Guan, Feng Tang, Qin Ga, Ri-Li Ge
Format: Article
Language:English
Published: BMC 2019-04-01
Series:Journal of Physiological Anthropology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40101-019-0194-1
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author Yingzhong Yang
Hui Du
Yuhong Li
Wei Guan
Feng Tang
Qin Ga
Ri-Li Ge
author_facet Yingzhong Yang
Hui Du
Yuhong Li
Wei Guan
Feng Tang
Qin Ga
Ri-Li Ge
author_sort Yingzhong Yang
collection DOAJ
description Abstract Background High-altitude pulmonary edema (HAPE) is a life-threatening form of non-cardiogenic edema which occurs in unacclimatized individuals after rapid ascent to high altitude. NR3C1 gene encodes for glucocorticoid receptor (GR) which plays an important role in stress and inflammation. This study aimed to investigate the association of NR3C1 polymorphisms with the susceptibility to HAPE in Han Chinese. Methods The 30 SNPs in the NR3C1 gene were genotyped by the Sequenom MassARRAY SNP assay in 133 HAPE patients (HAPE-p) and 135 matched Han Chinese resistant to HAPE (HAPE-r). The genotypic and allele frequencies, odds ratios (ORs), and 95% confidence intervals (95% CIs) were calculated, respectively. Results The 12 SNPs showed a significant difference between the HAPE-p and HAPE-r groups. In allelic model analysis, we found that the allele “A” of rs17287745, rs17209237, rs17209251, rs6877893, and rs1866388; the allele “C” of rs6191, rs6188, and rs2918417; the allele “T” of rs33388 and rs4634384; and the allele “G” of rs41423247 and rs10052957 were associated with increased the risk of HAPE. In the genetic model analysis, we found that rs17287745, rs6191, rs6188, rs33388, rs2918417, rs6877893, rs1866388, rs41423247, rs4634384, and rs10052957 were relevant to the increased HAPE risk under the dominant model. In addition, the haplotype AACACTCAAGTG of the 12 SNPs was detected to be significantly associated with HAPE risk (OR = 2.044, 95%CI = 1.339~3.120, P = 0.0008), while the haplotype GGAGCACGACCG was associated with the decreased risk of HAPE (OR = 0.573, 95% CI = 0.333~0.985, P = 0.0422). Conclusions Our findings provide new evidence for the association between SNPs in NR3C1 and an increased risk of HAPE in the Chinese population. NR3C1 polymorphisms are associated with the susceptibility to HAPE in Han Chinese.
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spelling doaj.art-22ee167a3af64a8894257600f2ed88842022-12-22T01:41:48ZengBMCJournal of Physiological Anthropology1880-68052019-04-013811810.1186/s40101-019-0194-1NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han ChineseYingzhong Yang0Hui Du1Yuhong Li2Wei Guan3Feng Tang4Qin Ga5Ri-Li Ge6Research Center for High Altitude Medical Sciences, School of Medicine, Qinghai UniversityResearch Center for High Altitude Medical Sciences, School of Medicine, Qinghai UniversityDepartment of Respiration, Affiliated Hospital, Qinghai UniversityDepartment of Respiration, Affiliated Hospital, Qinghai UniversityResearch Center for High Altitude Medical Sciences, School of Medicine, Qinghai UniversityResearch Center for High Altitude Medical Sciences, School of Medicine, Qinghai UniversityResearch Center for High Altitude Medical Sciences, School of Medicine, Qinghai UniversityAbstract Background High-altitude pulmonary edema (HAPE) is a life-threatening form of non-cardiogenic edema which occurs in unacclimatized individuals after rapid ascent to high altitude. NR3C1 gene encodes for glucocorticoid receptor (GR) which plays an important role in stress and inflammation. This study aimed to investigate the association of NR3C1 polymorphisms with the susceptibility to HAPE in Han Chinese. Methods The 30 SNPs in the NR3C1 gene were genotyped by the Sequenom MassARRAY SNP assay in 133 HAPE patients (HAPE-p) and 135 matched Han Chinese resistant to HAPE (HAPE-r). The genotypic and allele frequencies, odds ratios (ORs), and 95% confidence intervals (95% CIs) were calculated, respectively. Results The 12 SNPs showed a significant difference between the HAPE-p and HAPE-r groups. In allelic model analysis, we found that the allele “A” of rs17287745, rs17209237, rs17209251, rs6877893, and rs1866388; the allele “C” of rs6191, rs6188, and rs2918417; the allele “T” of rs33388 and rs4634384; and the allele “G” of rs41423247 and rs10052957 were associated with increased the risk of HAPE. In the genetic model analysis, we found that rs17287745, rs6191, rs6188, rs33388, rs2918417, rs6877893, rs1866388, rs41423247, rs4634384, and rs10052957 were relevant to the increased HAPE risk under the dominant model. In addition, the haplotype AACACTCAAGTG of the 12 SNPs was detected to be significantly associated with HAPE risk (OR = 2.044, 95%CI = 1.339~3.120, P = 0.0008), while the haplotype GGAGCACGACCG was associated with the decreased risk of HAPE (OR = 0.573, 95% CI = 0.333~0.985, P = 0.0422). Conclusions Our findings provide new evidence for the association between SNPs in NR3C1 and an increased risk of HAPE in the Chinese population. NR3C1 polymorphisms are associated with the susceptibility to HAPE in Han Chinese.http://link.springer.com/article/10.1186/s40101-019-0194-1HAPENR3C1PolymorphismSusceptibility
spellingShingle Yingzhong Yang
Hui Du
Yuhong Li
Wei Guan
Feng Tang
Qin Ga
Ri-Li Ge
NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
Journal of Physiological Anthropology
HAPE
NR3C1
Polymorphism
Susceptibility
title NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
title_full NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
title_fullStr NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
title_full_unstemmed NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
title_short NR3C1 gene polymorphisms are associated with high-altitude pulmonary edema in Han Chinese
title_sort nr3c1 gene polymorphisms are associated with high altitude pulmonary edema in han chinese
topic HAPE
NR3C1
Polymorphism
Susceptibility
url http://link.springer.com/article/10.1186/s40101-019-0194-1
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