Relationship between HLA-DRB1 Gene Polymorphisms and Susceptibility of Pulmonary Tuberculosis in Patients with Type 2 Diabetes Mellitus: 124 Case-control Study
	    		
	    			
	    			
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1006-9771.2013.06.017
   		
        
        	
        		- VernacularTitle:HLA-DRB1基因多态性与糖尿病并发肺结核易感性的研究
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yuhua WANG
			        		
			        		;
		        		
		        		
		        		
			        		Yuxun WANG
			        		
			        		;
		        		
		        		
		        		
			        		Yachen AN
			        		
			        		;
		        		
		        		
		        		
			        		Chunmei JI
			        		
			        		;
		        		
		        		
		        		
			        		Guorong LIU
			        		
			        		;
		        		
		        		
		        		
			        		Xiaojing ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Suling GAO
			        		
			        		;
		        		
		        		
		        		
			        		Jiang ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Yan WANG
			        		
			        		;
		        		
		        		
		        		
			        		Fumin FENG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		tuberculosis, pulmonary, diabetes, HLA gene, polymorphism, case-control study
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Rehabilitation Theory and Practice
	            		
	            		 2013;19(6):561-564
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	 Objective To investigate the association between the HLA-DRB1 gene polymorphisms and susceptibility of pulmonary tuberculosis (TB) in patients with type 2 diabetes mellitus in North China. Methods A 1∶1 matched case-control study was adopted. Polymerase chain reaction-sequence-specific primers techniques (PCR-SSP) and restriction fragment length polymorphism (RFLP) was used to type polymorphisms (DR15, DR16, DR1, DR11). Information on environmental-related risk factors and pathological changes of tuberculosis was collected using a pre-tested standard questionnaire. Variance analysis, Chi-square, univariate and multivariate conditional Logistic analysis were conducted with SPSS 12.0 for Window. Results A sample of 124 pairs of cases and controls was studied. Univariate analysis demonstrated that DR15 mutant increased the risk of susceptibility of pulmonary tuberculosis (OR=2.461, 95%CI: 1.363~4.444, P=0.002),and it would further increased if DR16 mutant occurred together (OR=4.904, 95%CI: 1.554~15.476). In multivariate analysis, DR15 mutant also associated with susceptibility of pulmonary tuberculosis (OR=2.996, 95%CI: 1.51~5.945). Conclusion Polymorphism of DR15 genotype might be a susceptible genotype of TB patients with type 2 diabetes mellitus in North China.