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Zbornik - Društvo genetičara Srbije

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194 ZBORNIK ABSTRAKATA III KONGRESA GENETIÈARA SRBIJE V-Usm-11<br />

Subotica, 30. novembar - 4. decembar 2004.<br />

NIVO HOMOCISTEINA I POLIMORFIZMI MTHFR GENA<br />

KOD ANTIFOSFOLIPIDNOG SINDROMA<br />

D. Popoviæ-Kuzmanoviæ 1 , I. Novakoviæ 2 , Lj. Stojanoviæ 1 , D. Mirkoviæ 3 ,<br />

Lj. Lukoviæ 2 , I. Aksentijeviæ 4 i M. Krajinoviæ 2<br />

1<br />

Klinièko bolnièki centar «Bezanijska Kosa», Beograd<br />

2<br />

Institut za biologiju i humanu genetiku Medicinskog fakulteta, Beograd<br />

3<br />

Institut za biohemiju, KCS, Beograd<br />

4<br />

National Institutes of Health, Arthritis and Rheumatism Branch, Bethesda, USA<br />

Antifosfolipidni sindrom (AFS) je autoimuna bolest udruena sa trombozama, gubitkom<br />

ploda i prisustvom antifosfolipidnih antitela. Hiperhomocisteinemija (HHcy) i genski<br />

polimorfizam Metilentetrahidrofolat reduktaze (MTHFR) su poznati faktori rizika za<br />

nastanak tromboembolija. Iz tog razloga smo ispitivali nivo plazma homocisteina (pHcy)<br />

i polimorfizme C677T i A1298C MTHFR gena kod pacijenata sa AFS.<br />

Ispitivali smo 27 pacijenata: 14 sa primarnim i 13 sa sekundarnim AFS. Dijagnoza je<br />

postavljena na osnovu klinièke slike, imaging metoda i prisustva anti-kardiolipinskih<br />

(aKL) i anti-â2 glikoprotein I (a â2 gpI) antitela. Polimorfizme smo detektovali<br />

PCR/RFLPS metodom, a za digestiju smo koristili restrikcione enzime Hinf I i Mbo II.<br />

Nivo Hcy smo merili HPLC metodom.<br />

Genotip MTHFR 677TT je detektovan kod 1/14 bolesnika u grupi pAFS (7,1) i kod 1/13<br />

bolesnika sa sAFS (7,7). Ista je uèestalost genotipova MTHFR A1298C. Prevalenca<br />

HHcy je dva puta veæa kod sAFS nego kod pAFS, ali je bila niska u obe grupe (1/14 i<br />

2/13). Dva od tri pacijenta sa hiperhomocisteinemijom su bili homozigoti 677 TT, jedan<br />

sa pAFS, a drugi sa sAFS. Treæi pacijent je bio dvostruki heterozigot CT/AC sa sAFS.<br />

Genotipovi MTHFR 1298CC nisu bili praæeni hiperhomocisteinemijom.<br />

Niska prevalenca polimorfizama MTHFR C677T i A1298C kod pacijenata sa AFS<br />

ukazuje na to da ove genetske promene nisu znaèajan faktor rizika kod AFS.<br />

PLASMA HOMOCYSTEIN LEVEL AND MTHFR GENE<br />

POLIMORPHISM IN ANTIPHOLIPID SYNDROME<br />

Antiphospholipid syndrome (APS) is autoimmune disease associated with thrombosis,<br />

pregnancy morbidity and presence of anticardiolipin antibodies. Hyperhomocysteinemia<br />

(HHcy) and methylentetrahydrofolate reductase (MTHFR) gene polymorphisms are<br />

known risk factors for thromboembolism. For this reasons we analyzed plasma<br />

homocysteine (pHcy) level and MTHFR C677T and A1298C genotype in APS patients.<br />

In this study we evaluated 27 patients with APS: 14 primary (p) and 13 secondary (s).<br />

The diagnosis was established by clinical signs, imaging methods and presence of anti<br />

cardiolipin (aCL) and â2 glicoprotein I (a â2gp I) antibodies. MTHFR C677T and<br />

A1298C polymorphisms were analyzed by PCR/RFLPS and PCR followed by restrictive<br />

enzyme Hinf I and Mob II digestion. Plasma Hcy was measured by HPLC method.<br />

Genotype MTHFR677 TT was found in 1/14 of pAPS (7,1%) and in 1/13 among sAPS<br />

(7,7%) patients. The same frequency was observed for MTHFR1298CC genotype. Prevalence<br />

of HHcy in sAPS was twice times higher than in pAPS, but it was low in both<br />

groups (1/14 and 2/13). Two of three patients with HHcy were homozygous<br />

MTHFR677TT, one with pAPS and another with sAPS. The third patient was double<br />

heterozygote CT/AC with sAPS. Patients with genotypes MTHFR1298CC had not<br />

HHcy.<br />

Low prevalence of MTHFR C677T and A1298C polymorphisms in APS patients suggests<br />

that these genetics alterations are not prominent risk factors in APS.

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