4.7 Article

Potential association of muscarinic receptor 3 gene variants with primary Sjogren's syndrome

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ANNALS OF THE RHEUMATIC DISEASES
卷 70, 期 7, 页码 1327-1329

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B M J PUBLISHING GROUP
DOI: 10.1136/ard.2010.138966

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资金

  1. Bergens Forskningsstiftelsen
  2. Kreftforeningen
  3. Broegelmann Foundation
  4. Western Norway Regional Health Authority
  5. Helse Bergen
  6. Swedish Research Council
  7. Swedish Rheumatism Association
  8. Gustafsson Foundation
  9. King Gustaf V 80th Birthday Foundation
  10. Soderberg's Foundation
  11. COMBINE

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Background Primary Sjogren's syndrome (pSS) is characterised by a chronic inflammation of exocrine glands. Salivary gland infiltrates, however, do not correlate well with disease symptoms, and a primary role for the salivary gland parenchyma in disease development has been suggested. Specifically, dysfunction of exocrine pathways involving the muscarinic receptor 3 (CHRM3) has been indicated. Objective To investigate possible genetic divergence in the CHRM3 gene in patients with pSS. Methods 530 patients with pSS and 532 controls from a combined Swedish and Norwegian cohort were genotyped for 84 single nucleotide polymorphisms (SNPs) distributed throughout CHRM3. Results Genetic association was observed with five SNPs localised in intron 3 and 4 of CHRM3, the strongest being rs7548522 (minor allele frequency = 0.06, OR=1.93, 95% CI (1.24 to 3.01); p=0.0033). In addition, clinical parameters, including focus score, abnormal Schirmer's test and presence of autoantibodies, were associated with different SNPs in CHRM3. Conclusion The study demonstrates a novel association of CHRM3 polymorphisms with pSS, suggesting a functional role for CHRM3 and the salivary gland parenchyma in the pathogenesis of pSS.

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