ESR1基因PvuII与XbaI位点多态性与绝经期女性抑郁症状数量性状的关联分析

The association anlaysis between PvuII and XbaI polymorphisms of the estrogen receptor alpha and quantitative trait of depression in menopausal women

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

上海市精神卫生中心 ;
上海市浦东新区妇幼保健院 ;
上海市精神卫生中心,上海交通大学医学院附属精神卫生中心 ;

摘要
【摘要】:目的:本研究旨在探索雌激素受体基因多态性与汉族围绝经期及绝经期后期女性严重抑郁症状的发生是否存在关联。方法:从前来上海市三所医院妇科门诊就诊的45~55岁的围绝经期及绝经后期妇女中,通过随机分层抽样的方法,最终共纳入432名研究对象。对研究对象位于雌激素α受体基因上的PvuII(rs2234693) 和XbaI(rs9340799)多态位点进行基因分型检测。同时使用BDI(Beck’s Depression Inventory, Beck抑郁量表) 对其抑郁症状数量性状进行评估。使用一般资料调查表收集入组研究对象的一般社会人口学资料及相关妇产科个人史资料。分别使用KMI(Kupperman Menopausal Index, Kupperman绝经指数量表)及SAS(Self-Rating Anxiety Scale, 焦虑自评量表)对其绝经期症状及焦虑症状进行评估。结果:XbaI位点多态性与抑郁症状数量性状(BDI得分)存在关联,携带XX基因型的女性人群较Xx基因型及xx基因型的女性存在更严重抑郁症状(Add value =1.85,95%CI=0.21~3.48)。这一结果经过婚姻状况作为协变量进行校正。而PvuII位点多态性与抑郁症状数量性状无关联。结论:ESR1基因多态性与汉族围绝经期及绝经后期女性严重抑郁症状的发生可能存在关联。
Abstract
[Abstract]: Objective: To investigate the association between estrogen receptor-alpha (ESR1) gene polymorphisms and depressive symptoms among perimenopausal and post-menopausal women in Chinese Han population. Method: Four hundreds and thirty two women aged 45-55 were recruited from gynecological clinics of three hospitals in Shanghai city who were all in perimenopausal or postmenopausal period. Genotypes of SNP PvuII(rs2234693) and XbaI(rs9340799) on ESR1 gene were tested in these women. They also asked to finish our questionnaire including scales of BDI which were used to assess the quantity trait of depressive symptoms, and we also collected demographic data and obstetrics and gynecologyhistory data of them, KMI and SAS scales were used to assess the severity of anxiety and menopausal symptoms. Result: The XbaI polymorphism significantly associated with the BDI, the women with XX genotype is getting more serious depression symptoms than Xx and xx(Add value =1.85,95%CI=0.21~3.48). this result had adjusted by marital status. According to the PvuII polymorphism, it was not related to BDI in our study. Conclusion: The polymorphisms of ESR1 are associatied with severe depressive symptoms in perimemopausal and postmenopausal women in Han population of Chinese.
关键词
雌激素α受体;基因;抑郁症状;绝经期;数量性状位点
KeyWord
Estrogen receptor alpha; Genes; Depression; Menopause; Quantitative trait Loci
基金项目
页码 294-297
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陶晶,顾红亮,杨福中,杨慧琳,陈静,仇剑崟*,王祖承. ESR1基因PvuII与XbaI位点多态性与绝经期女性抑郁症状数量性状的关联分析 [J]. 国际精神病学杂志. 2018; 45; (2). 294 - 297.

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