Multiple-factor clinical-genetic model of the cholelithiasis development
A.A. SAGDATOVA1, R.KH. ZULKARNEEV1, E.K. KHUSNUTDINOVA2, 3, A.KH. NURGALIEVA3, Sh.Z. ZAGIDULLIN1
1Bashkir State Medical University, 3 Lenin Str., Ufa, Russian Federation, 450000
2Ufa Scientific Center of the Russian Academy of Sciences, Institute of Biochemistry and Genetics, 71 Prospekt Oktyabrya, Ufa, Russian Federation, 450054
3Bashkir State University, 32 Validi Str., Ufa, Russian Federation, 450076
Sagdatova A.A. — post-graduate student of the Department of Internal Diseases Propaedeutics, tel. +7-917-77-259-60, e-mail: aliyasg@rambler.ru
Zulkarneev R.Kh. — D. Med. Sc., Professor of the Department of Internal Diseases Propaedeutics, tel. (347) 246-53-97, e-mail:zrustem@ufanet.ru
Khusnutdinova E.K. — D. Biol. Sc., Professor, Head of the Department of Genetics and Fundamental Medicine, Head of the Department of Genomics, Head of the Laboratory of Human Molecular Genetics, tel. (347) 2-299-671, e-mail: biodekanat@yandex.ru
Nurgalieva A.Kh. — Cand. Biol. Sc., Associate Professor of the Department of Genetics and Fundamental Medicine, tel. (347) 2-299-671, e-mail: Alfiyakh83@gmail.com
Zagidullin S.Z. — D. Med. Sc., Professor, Head of the Department of Internal Diseases Propaedeutics, tel. (347) 246-53-97, e-mail: zshamil@inbox.ru
The article presents the results of a study of 195 patients with a diagnosis of cholelithiasis. The relationship was analyzed between clinical laboratory factors, serum lipid spectrum and polymorphic loci rs693 gene APOB-100 and rs4131229 gene ABCG5 using ROС analysis and binary logistic regression. The independent disease development factors were genotype X+X— gene apoB-100 and the following phenotypic characteristics: the body weight over 56kg, leukocytosis > 6*109/L, lipid disorders (HDL≤1,26 mmol/L, LDL> 1.68 mmol/l), conjugated bilirubin> 2,9 mmol/l). The mathematical model of the probability of gallstone disease was built. The diagnostic scale of GD development features was made on the basis of the model.
Key words: cholelithiasis, gene polymorphism of the apolipoprotein B-100, ABCG5, lipoproteins.
REFERENCES
- Rodriguez S., Tom R. Gaunt, Guo Y. et al. Lipids, obesity and gallbladder disease in women: insights from genetic studies using the cardiovascular gene-centric 50K SNP array. European Journal of Human Genetics, 2016, no. 24, pp. 106–112.
- Sun H., Tang H., Jiang S. et al. Gender and metabolic differences of gallstone diseases. World J Gastroenterol, 2009, no. 15, pp. 1886–1891.
- Tsimmerman Ya.S. Gastroenterologiya: rukovodstvo [Gastroenterology: guidance], 2013, pp. 395–411.
- Stinton L.M., Shaffer E.A. Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. Gut and Liver, 2012, vol. 6, no. 2, pp. 172–187.
- Mathew C.C. The isolation of high molecular weight eucariotic DNA. Methods in molecular biology, 1984. vol. 2, pp. 31–34.
- Drapkina O.M. Diseases of the biliary tract: new methods of prevention and treatment. Effektivnaya farmakoterapiya, 2011, no. 5, 36 p. (in Russ.).
- Il’chenko A.A. Modern view on the problem of biliary arthritis. RMZh, 2010, vol. 18, no. 28, pp. 1707–1713(in Russ.).
- Van Eijck F.C. et al. Hartmann’s gallbladder pouch revisited 60 years later. Surg. Endosc, 2007, vol. 21, no. 7, pp. 1122–1125.
- Khokhlacheva N.A., Sergeeva N.N., Vakhrushev Ya.M. Age and gender features of the development of cholelithiasis. Arkhiv vnutrenney meditsiny, 2016, vol. 1, no. 27, pp. 34–39 (in Russ.).
- Gatsenko V.P., At’kova E.R., Ivanchenkova R.A. Expediency of complex approach in correction of lipid disorders in patients with cholelithiasis and gallbladder cholesterosis. Lechashchiy vrach, 2011, no. 7, pp. 15–19 (in Russ.).
- Mohr G.C., Kritz-Silverstein D., Barrette-Connor E. Plasma lipids and gallbladder disease. Am. J.Epidemiol, 1991, no. 134, pp. 78–85.
- Shimada M., Shimano H., Gotoda T. et al. Overexpression of human lipoprotein lipase in transgenic mise. J. Biol. Chem, 1993, vol. 268, pp. 17924–17929.
- Han T., Jiang Z., Suo G., Zhang S. Apolipoprotein B-100 gene Xba I polymorphism and cholesterol gallstone disease. Clin. Genet, 2000, no. 57, pp. 304–308.
- Sanchez L., Alvarez V., Gonzalez P. et al. Variation in the LRP-associated protein gene (LRPAP1) is associated with late-onset Alzheimer’s disease. Am. J. Med. Genet, 2001, no.105, pp. 76–78.