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预防医学  2023, Vol. 35 Issue (10): 890-894    DOI: 10.19485/j.cnki.issn2096-5087.2023.10.013
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
KLB基因与肌少症的关联研究
古雪, 李傅冬, 徐乐, 章涛, 翟羽佳, 何凡
浙江省疾病预防控制中心公共卫生监测与业务指导所,浙江 杭州 310051
Association between KLB gene and susceptibility to sarcopenia among the elderly
GU Xue, LI Fudong, XU Le, ZHANG Tao, ZHAI Yujia, HE Fan
Department of Public Health Surveillance and Advisory, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
全文: PDF(756 KB)  
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摘要 目的 探索成纤维细胞生长因子19(FGF19)及其专性共受体基因KLB、受体FGFR4与肌少症发病的关联,为研究肌少症发病机制和制定精准化干预措施提供依据。方法 采用病例对照研究方法,基于浙江省老年人健康监测队列纳入≥60岁肌少症病例为肌少症组,≥60岁正常居民为对照组。采用问卷调查收集基本情况;测量身高、体重、四肢骨骼肌质量和握力等;提取DNA采用多重PCR靶向捕获技术测序;采用多因素logistic回归模型分析单核苷酸多态性位点(SNP)不同遗传模型与肌少症的关联。结果 肌少症组纳入200例,其中男性91例,女性109例;对照组纳入180人,其中男性70人,女性110人。各候选SNP均符合哈迪-温伯格平衡,最小等位基因频率均>0.05,肌少症组与对照组SNP分布差异无统计学意义(均P>0.05)。多因素logistic回归分析结果显示,老年男性KLB基因的rs2687968位点在超显性模型中与肌少症存在统计学关联,AC型等位基因携带者患肌少症的风险是AA/CC型携带者的2.332倍(95%CI:1.882~3.313)。结论 KLB基因与老年男性肌少症可能存在关联。
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古雪
李傅冬
徐乐
章涛
翟羽佳
何凡
关键词 肌少症成纤维细胞生长因子19KLB基因老年人关联    
AbstractObjective To examine the associations of fibroblast growth factor 19 (FGF19), its co-receptor KLB gene and its receptor FGFR4 with susceptibility to sarcopenia, so as to provide insights into elucidation of sarcopenia pathogenesis and formulation of precision interventions for sarcopenia. Methods A case-control study was conducted. Patients with sarcopenia at ages of 60 years and older included in the Zhejiang Provincial Elderly Health Surveillance Cohorts were selected as the sarcopenia group, and normal residents at ages of 60 years and older were served as controls. Subjects' demographics were collected using questionnaire surveys, and the height, body weight, appendicular skeletal muscle mass and grip strength were measured. Genomic DNA was extracted from blood samples for multiplex PCR targeted capture. The associations between the KLB gene single-nucleotide polymorphisms (SNPs) and susceptibility to sarcopenia were evaluated using multivariable logistic regression models. Results There were 200 cases in the sarcopenia group, including 91 men and 109 women, and 180 cases in the control group, including 70 men and 110 women. All SNPs satisfied the Hardy-Weinberg equilibrium, and the minor allele frequencies were all > 0.05. There were no significant differences in the distribution of SNPs between the sarcopenia and control groups (all P>0.05). Multivariable logistic regression analysis showed that the SNP rs2687968 locus in the KLB gene was significantly associated with the susceptibility to sarcopenia among the elderly men (superdominant model), and individuals carrying the AC allele had a 2.332-fold higher risk of sarcopenia than those carrying the AA/CC allele (95%CI: 1.882-3.313). Conclusion KLB gene may correlate with the susceptibility to sarcopenia among the elderly men.
Key wordssarcopenia    fibroblast growth factor 19    KLB    elderly    association
收稿日期: 2023-05-06      修回日期: 2023-08-07      出版日期: 2023-10-10
中图分类号:  R685  
基金资助:浙江省卫生健康科技计划项目(2021KY619,2022KY719); 浙江省基础公益研究计划(LGF21H260002); 浙江省统计科学研究项目(22TJQN04)
通信作者: 何凡,E-mail:fhe@cdc.zj.cn   
作者简介: 古雪,博士,主管医师,主要从事老年健康监测工作
引用本文:   
古雪, 李傅冬, 徐乐, 章涛, 翟羽佳, 何凡. KLB基因与肌少症的关联研究[J]. 预防医学, 2023, 35(10): 890-894.
GU Xue, LI Fudong, XU Le, ZHANG Tao, ZHAI Yujia, HE Fan. Association between KLB gene and susceptibility to sarcopenia among the elderly. Preventive Medicine, 2023, 35(10): 890-894.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.10.013      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I10/890
[1] ANKER S D,MORLEY J E,VON HAEHLING S.Welcome to the ICD-10 code for sarcopenia[J].J Cachexia Sarcopenia Muscle,2016,7(5):512-514.
[2] MAYHEW A J,AMOG K,PHILLIPS S,et al.The prevalence of sarcopenia in community-dwelling older adults,an exploration of differences between studies and within definitions:a systematic review and meta-analyses[J].Age Ageing,2019,48(1):48-56.
[3] GAO L L,JIANG J J,MING Y,et al.Prevalence of sarcopenia and associated factors in Chinese community-dwelling elderly:comparison between rural and urban areas[J/OL].J Am Med Dir Assoc,2015,16(11)[2023-08-07].https://doi.org/10.1016/j.jamda.2015.07.020.
[4] WANG H,HAI S,CAO L,et al.Estimation of prevalence of sarcopenia by using a new bioelectrical impedance analysis in Chinese community-dwelling elderly people[J/OL].BMC Geriatr,2016,16(1)[2023-08-07].https://doi.org/10.1186/s12877-016-0386-z.
[5] DENNISON E M,SAYER A A,COOPER C.Epidemiology of sarcopenia and insight into possible therapeutic targets[J].Nat Rev Rheumatol,2017,13(6):340-347.
[6] YOU J Y,KIM Y J,SHIN W Y,et al.Heritability of muscle mass in Korean parent-offspring pairs in the Fifth Korean National Health and Nutrition Examination Survey(KNHANES V)[J].Maturitas,2018,114:67-72.
[7] KARASIK D,KIEL D P.Evidence for pleiotropic factors in genetics of the musculoskeletal system[J].Bone,2010,46(5):1226-1237.
[8] TAN L J,LIU S L,LEI S F,et al.Molecular genetic studies of gene identification for sarcopenia[J].Hum Genet,2012,131(1):1-31.
[9] LIVSHITS G,GAO F,MALKIN I,et al.Contribution of heritability and epigenetic factors to skeletal muscle mass variation in United Kingdom twins[J].J Clin Endocrinol Metab,2016,101(6):2450-2459.
[10] BENOIT B,MEUGNIER E,CASTELLI M,et al.Fibroblast growth factor 19 regulates skeletal muscle mass and ameliorates muscle wasting in mice[J].Nat Med,2017,23(8):990-996.
[11] TALUKDAR S,KHARITONENKOV A.FGF19 and FGF21:in NASH we trust[J/OL].Mol Metab,2021,46[2023-08-07].https://doi.org/10.1016/j.molmet.2020.101152.
[12] LIN J F,LI F D,CHEN X G,et al.Association of postlunch napping duration and night-time sleep duration with cognitive impairment in Chinese elderly:a cross-sectional study[J/OL].BMJ Open,2018,8(12)[2023-08-07].http://dx.doi.org/10.1136/bmjopen-2018-023188.
[13] WU X,GE H,BARIBAULT H,et al.Dual actions of fibroblast growth factor 19 on lipid metabolism[J].J Lipid Res,2013,54(2):325-332.
[14] FU L,JOHN L M,ADAMS S H,et al.Fibroblast growth factor 19 increases metabolic rate and reverses dietary and leptin deficient diabetes[J].Endocrinology,2004,145(6):2594-2603.
[15] TOMLINSON E,FU L,JOHN L,et al.Transgenic mice expressing human fibroblast growth factor-19 display increased metabolic rate and decreased adiposity[J].Endocrinology,2002,143(5):1741-1747.
[16] POTTHOFF M J,BONEY M J,CHOI M,et al.FGF15/19 regulates hepatic glucose metabolism by inhibiting the CREB PGC 1 alpha pathway[J].Cell Metab,2011,13(6):729-738.
[17] NICHOLES K,GUILLET S,TOMLINSON E,et al.A mouse model of hepatocellular carcinoma:ectopic expression of fibroblast growth factor 19 in skeletal muscle of transgenic mice[J].Am J Pathol,2002,160(6):2295-2307.
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