Yurak ishemik kasalligi bilan og‘rigan bemorlarda lipid almashinuvining genetik variantlari bilan triglitseridlarga boy lipoproteinlar darajasi va aralash dislipidemiya o‘rtasidagi o‘zaro bog‘liqlikni baholash.
Qabul qilingan: 2026-09-15
Nashr etilgan: 2026-09-30
Annotatsiya
Maqsad. Yurak ishemik kasalligi (YuIK) bilan og‘rigan bemorlarda xolesterin (XS) almashinuvini, xususan, XS PZLP metabolizmini tartibga soluvchi genlar (LDLR, APOB, PCSK9), triglitseridlar (TG) almashinuvini belgilovchi genlar (LPL, APOC3) variantlari va ularning kombinatsiyalarining triglitseridlarga boy lipoproteinlar darajasi bilan o‘zaro bog‘liqligini baholash, TG va XS PZLP darajalarining bir vaqtda oshishi bilan kechuvchi aralash dislipidemiya fenotipida ko‘proq uchraydigan genetik kombinatsiyalarni aniqlash, shuningdek, ularning glyukoza, insulin, tana massasi indeksi (TMI) va bel aylanasining ko‘rsatkichlari bilan o‘zaro ta’sirini baholash.
Materiallar va usullar. Tadqiqotga YuIK bilan og‘rigan 66 nafar bemor kiritildi. Ularda yuqorida ko‘rsatilgan genetik polimorfizmlar NGS usuli yordamida o‘rganildi, shuningdek, antropometrik va biokimyoviy ko‘rsatkichlar baholandi.
Natijalar. YuIK bilan og‘rigan 66 nafar bemordan iborat guruhda APOC3 c.102T>C + APOB p.Ser4338Asn genetik polimorfizmlari kombinatsiyasi eng ko‘p uchradi va aralash dislipidemiyaning (bir vaqtning o'zida TG ≥150 mg/dl (≥1,7 mmol/l) va XS PZLP ≥100 mg/dl (≥2,6 mmol / l) ko‘proq uchrashiga moyillikni namoyon etdi, bu, ehtimol, kuzatuvlar sonining kamligi bilan izohlanadi. Bel aylanasi, TMI, glyukoza va insulin darajalari o‘rganilgan umumiy genotipik kombinatsiyalarning aksariyatiga nisbatan TG bilan yanada izchil bog‘liqlikni namoyon etdi. Olingan natijalar genetik moyillikning insulinrezistentlik va semirish bilan o‘zaro ta’sirlashuvi modelini qo‘llab-quvvatlaydi.
Xulosa. APOC3 c.102T>C + APOB p.Ser4338Asn variantlari kombinatsiyasi aralash dislipidemiya bilan bog’lanish moyillikni namoyon qildi, biroq uni isbotlangan genetik prediktor sifatida ko‘rib chiqish mumkin emas. Olingan natijalar dastlabki xususiyatga ega bo‘lib, ularni kattaroq tanlanma hajmida hamda genetik variantlarning funksional xususiyatlarini baholash orqali tasdiqlash talab etiladi.
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