| خلاصه مقاله | Glucocorticoids (GCs) therapy is a selective treatment strategy
for cases with nephrotic syndrome (NS). Due to the lack of positive
response of all patients to therapy and the dependency of biological effects of GCs on its receptors (GR), here, the association of the
NR3C1 gene (N363S, Bclİ, GR-9β, and ER22/23EK) polymorphisms
with the response to GCs was investigated in patients with NS. İn this
study, 55 patients with primary NS including 29 steroid-responder
(SS) and 26 steroid-resistant (SR) and 30 healthy individuals were
recruited. The polymorphisms of NR3C1 gene were studied by PCR
and sequencing of the amplified fragments and the results were compared between the groups. A3669 SNP was observed in 8.7% (n=2)
of patients with SRNS and 6.3% (n=2) of responders (P=0.560). İn
40.7% of steroid-responsive patients (n=11) and 21.4% of patients
with SRNS (n=6), BClİ polymorphism was detected that was not
statistically significant (P=0.098). The N363S and ER22/23EK polymorphisms were not detected in the studied groups. No significant
differences were observed between the frequency of the studied
polymorphisms between the different subtypes of NS; focal segmental glomerulosclerosis (FSGS), membranous glomerulonephritis (MGN), and control group. The NR3C1 gene N363S, Bclİ, GR-9β,
and ER22/23EK polymorphisms did not affect the steroid responsiveness and the pathogenesis of NS in Azarian adult patients with
primary NS. Other polymorphisms within NR3C1 gene need to be
explored in large cohorts. |