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2型糖尿病患者CD36⁃rs1722505基因多态性分布特征 及其与冠状动脉粥样硬化的相关性研究
Study on CD36⁃rs1722505 gene polymorphism distribution characteristics and its correlation with coronary atherosclerosis in patients with type 2 diabetes mellitus

广西医学 页码:1391-1395

作者机构:黄羡,硕士,主治医师,研究方向为糖尿病大血管病变。

基金信息:广西医疗卫生适宜技术开发与推广应用项目(S2018041);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20230682)

DOI:10.11675/j.issn.0253⁃4304.2025.10.02

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目的 探讨2型糖尿病患者CD36⁃rs1722505基因多态性的分布特点及其与冠状动脉粥样硬化的关系。方法 选取71例接受冠状动脉造影检查的患者,根据是否合并2型糖尿病分为2型糖尿病组(n=17)与对照组(n=54)。收集两组患者的一般资料与血生化指标,检测两组患者CD36⁃rs1722505的基因型,比较两组患者冠状动脉粥样硬化病变程度。结果 2型糖尿病组患者的高血压病史比例、收缩压高于对照组(P<0.05)。2型糖尿病组中,CD36⁃rs1722505基因的TT、TC、CC基因型占比分别为0、58.8%、41.2%;对照组中,CD36⁃rs1722505基因的TT、TC、CC基因型占比分别为13.0%、51.8%、35.2%;两组患者CD36⁃rs1722505基因的各基因型及等位基因频率比较,差异均无统计学意义(P>0.05)。2型糖尿病组患者冠状动脉二支病变、三支病变的比例高于对照组(P<0.05)。结论 2型糖尿病患者冠状动脉粥样硬化病变程度较高,但CD36⁃rs1722505基因多态位点可能不是影响2型糖尿病患者冠状动脉粥样硬化的关键因素。

Objective To investigate the distribution characteristics of CD36⁃rs1722505 gene polymorphism in patients with type 2 diabetes mellitus and its correlation with coronary atherosclerosis. Methods A total of 71 patients receiving coronary angiography examination were selected, and they were assigned to type 2 diabetes mellitus group (17 cases) or control group (54 cases) according to the presence of concomitant type 2 diabetes mellitus. The general data and blood biochemical indices of both groups were collected. Genotype of CD36⁃rs1722505 in patients of both groups was detected. Severity of coronary atherosclerosis was also compared between the two groups. Results The type 2 diabetes mellitus group exhibited higher proportion of hypertension history and systolic blood pressure as compared with the control group (P<0.05). In the type 2 diabetes mellitus group, the proportions of genotype TT, TC and CC of CD36⁃rs1722505 gene were 0, 58.8%, and 41.2%, whereas in the control group, the proportions being 13.0%, 51.8%, and 35.2%, respectively. There was no statistically significant difference in various genotype and allele frequency of CD36⁃rs1722505 gene between patients in the two groups (P>0.05). The proportions of double⁃vessel disease and triple⁃vessel disease of patients in the type 2 diabetes mellitus group were higher than those in the control group (P<0.05). Conclusion Severity of coronary atherosclerosis in patients with type 2 diabetes mellitus is relatively high. However, CD36⁃rs1722505 gene polymorphism loci may not the key factors for affecting coronary atherosclerosis in patients with type 2 diabetes mellitus.

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