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Published on: April 1, 2019
P2X7 receptor in spinal tuberculosis: Gene polymorphisms and protein levels in Chinese Han population
Ying Zhou1, Chun-Yan Tan1, Zhi-Jiang Mo2
1Department of Laboratory Medicine, The People's Hospital of Guangxi Autonomous Region, Nanning, China.
Abstract:
Spinal tuberculosis (TB) accounts for 1%-5% of all TB infections. Host genetic variation influences susceptibility to Mycobacterium tuberculosis (MTB). P2X7 receptor (P2X7R) expressed on cells has been identified as a regulatory molecule in cell death/apoptosis, killing of intercellular pathogens, and bone turnover. This study investigated the P2X7 gene polymorphisms and protein levels in spinal TB. P2X7 gene -762C>T and 489C>T polymorphisms were genotyped. The expression of P2X7R in bone or intervertebral disc (ID) tissues was analyzed by Western blot assay. The -762C>T and 489C>T polymorphisms were associated with susceptibility to spinal TB. Having the -762CC genotype and -762C allele increased the risk of developing spinal TB (CC vs. TT: P=0.031, OR [95%CI]=1.865 [1.053-3.304]; C vs. T: P=0.028, OR [95%CI]=1.355 [1.034-1.775]). The presence of the 489T allele was associated with an increased risk of developing spinal TB (TT vs. CC: P=0.004, OR [95%CI]=2.248 [1.283-3.939]; CT vs. CC: P=0.044, OR [95%CI]=1.755 [1.011-3.047]; T vs. C: P=0.004, OR [95%CI]=1.482 [1.134-1.936]; TT+CT vs. CC: P=0.010, OR [95%CI]=1.967 [1.171-3.304]; TT vs. CT+CC: P=0.037, OR [95%CI]=1.489 [1.023-2.167]). The expression of P2X7R in TB-induced bone lesions increased significantly among spinal TB patients (t=0.011). Carrying the P2X7 -762CC genotype and 489T allele is associated with an increased risk of developing spinal TB in a Southern Chinese Han population.
Insights
Genetic variations in the P2X7 receptor gene are linked to spinal tuberculosis (TB) susceptibility. Specific P2X7 gene polymorphisms and increased P2X7R expression are associated with higher risks of developing spinal TB.
Area of Science:
- Genetics
- Immunology
- Infectious Diseases
Background:
- Spinal tuberculosis (TB) is a significant global health concern, representing 1%-5% of all TB cases.
- Host genetic factors play a crucial role in Mycobacterium tuberculosis (MTB) infection susceptibility.
- The P2X7 receptor (P2X7R) is implicated in immune responses, cell death, pathogen clearance, and bone remodeling.
Purpose of the Study:
- To investigate the association between P2X7 gene polymorphisms and protein levels with spinal TB.
- To determine the role of P2X7R in the pathogenesis of spinal TB.
Main Methods:
- Genotyping of P2X7 gene -762C>T and 489C>T polymorphisms.
- Western blot analysis to quantify P2X7R expression in bone and intervertebral disc tissues.
- Statistical analysis to assess the association between genotypes, allele frequencies, and spinal TB risk.
Main Results:
- Both -762C>T and 489C>T polymorphisms in the P2X7 gene were significantly associated with spinal TB susceptibility.
- The -762CC genotype and -762C allele increased the risk of developing spinal TB.
- The 489T allele (in TT or CT genotypes) was strongly associated with an elevated risk of spinal TB.
- P2X7R expression was significantly increased in TB-induced bone lesions of spinal TB patients.
Conclusions:
- P2X7 gene polymorphisms (-762C>T and 489C>T) are risk factors for spinal TB in the studied population.
- Increased P2X7R expression in bone lesions suggests its involvement in spinal TB pathogenesis.
- These findings highlight the potential of P2X7R as a biomarker or therapeutic target for spinal TB.
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