目的:探讨围绝经期妇女阴虚体质与雌激素受体α(ERα)基因多态性的相关性。方法:选择围绝经期妇女阴虚体质352例、非阴虚体质276例,应用聚合酶链反应-限制性片段长度多态性法检测ERα-T/C(rs2234693)、-A/G(rs9340799)多态性。结果:χ2分割显示:阴虚质组rs2234693的TT频率(44.1%)低于与非阴虚质组(53.6%),基于阴虚体质的Logistic回归分析,ERα-rs2234693-CC/TC为独立危险因素(P〈0.05),调整各种危险因素混杂因素后,相对危险度(OR值)为1.465。阴虚质组C-A单倍体型频率(24.8%)高于与非阴虚质组(19.0%)。结论:ERα-rs2234693-CC/TC是围绝经期妇女阴虚质独立危险因素,而C-A单倍体型是易患因素。ERα基因变异可能是围绝经期妇女中医阴虚质分子遗传学基础之一。
Objective:To investigate the association between yin-deficiency constitution of perimenopausal women and polymorphism of estrogen receptor α(ERα) gene.Methods:352 perimenopausal cases with yin-deficiency constitution had been observed and 276 perimenopausal cases with non-yin-deficiency constitution as control.The genotype of ERα-T/C(rs2234693),-A/G(rs9340799) had been tested with polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP) assay.Results:χ2 split Show:The TT frequency(44.1%) of yin-deficiency constitution(rs2234693) group was lower than that of non-yin-deficiency group(53.6%),based on the basic constitution with yin-deficiency Logistic regression analysis,ERα-rs2234693-CC/TC the main risk factors(P〈0.05),adjust a variety of risk factors for confounding factors,the relative risk is 1.465.C-A haplotype frequency of Yin-deficiency group(24.8%) was higher than that of non-yin-deficiency group(19.0%).Conclusion:ERα-rs2234693-CC/TC deficiency in perimenopausal women was an independent risk factor quality,C-A haplotype were risk factors of yin-deficiency constitution ERα gene variants may be one of the foundations of molecular genetics in perimenopausal women with yin-deficiency constitution.