Zbornik - Društvo genetičara Srbije
Zbornik - Društvo genetičara Srbije
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.