Polymorphic Variants in SOD-1 and Catalase Genes and its Relation toward Modulating the Risk in COPD

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Chronic obstructive pulmonary disease (COPD)'s etiology has been linked to increased oxidative stress. This study looked at the cytosine to thymidine transition at nucleotide -262 (-262 C>T) of the catalase gene, the 50-bps insertion-deletion polymorphism at 1684 bp upstream of the ATG start codon of Copper-Zinc superoxide dismutase (Cu Zn-SOD), and their relation towards modulation the risk of COPD. The participants were healthy controls and stable COPD patients (n=200, for both cases and controls), matched for their average age. The catalase gene at -262 C>T and Cu Zn-SOD 50 bp Ins/Del were genotyped, and statistical analysis was performed to check for the risk factors associated with the disease. Del/ Del genotype was found in 5.5% of the subjects, and T/T was found in 10.0% of the subjects, which were significantly higher than controls, 1.0%, and 2.5% in both cases, respectively. A significant association of risk factors was for both genes, suggesting their association in modulating the risk of the disease. In the case of Cu Zn-SOD, a significant six-fold increase was observed in the co-dominant model for the Del/Del genotype (AOR=6.56, 95% CI=1.35-31.88, p=0.0197). While in the case of catalase, a significant approximate increase of five-folds was observed in the co-dominant model for T/T genotype (AOR=4.62, 95% CI=1.63-13.11, p=0.003). A significant association of risk was also found to be linked with the patients' CAT score, age, and GOLD group. A combinational study of the polymorphism involving both genes obtained a significant increase in the associated risk with the increased alternations, where a total of three alterations in both the genes combined were linked with a more than seven-fold risk in the patients (AOR=7.71, 95%CI=1.58-37.5, p=0.0114).

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