Dzida Grzegorz, Golon-Siekierska Patrycja, Puźniak Andrzej, Sobstyl Jacek, Biłan Andrzej, Mosiewicz Jerzy, Hanzlik Janusz
Department of Internal Medicine, Medical University, Lublin, Poland.
Med Sci Monit. 2002 Aug;8(8):CR597-602.
Diabetes mellitus type 2 results from a complex of hereditary and environmental factors. Genes encoding elements of the G-protein system are candidate genes in hypertension and obesity. Since insulin uses G-sensitive mechanisms to enhance tissue glucose uptake and vasodilatation, the GNB3 gene may be a candidate gene in type 2 diabetes. The goal of our research was to determine if the C825T polymorphism at the G-protein b3 subunit gene locus is associated with type 2 diabetes.
MATERIAL/METHODS: The study population consisted of 172 Polish patients with type 2 diabetes and 172 healthy, age- and sex-matched controls. The C825T polymorphism was detected by PCR and RFLP.
A higher frequency of genotypes containing the mutation (CT+TT) was observed among the diabetics than in the controls. The T825 variant occurred more often among hypertensive diabetics (71%) than among diabetics with normal blood pressure (42.5%). The OR for hypertension in diabetic subjects bearing CT+TT genotypes was higher than in patients with the CC genotype. Overweight and obesity were not associated with the T825 variant in either the experimental subjects or the controls.
In this population, the T825 variant of the GNB3 gene was not associated with type 2 diabetes itself, nor with overweight and obesity, but was associated with diabetic hypertension. Upon confirmation of our results this variant may be useful as a genetic marker of susceptibility to hypertension and vascular complications in type 2 diabetes.
2型糖尿病由遗传和环境因素共同作用导致。编码G蛋白系统元件的基因是高血压和肥胖的候选基因。由于胰岛素利用G敏感机制增强组织葡萄糖摄取和血管舒张,GNB3基因可能是2型糖尿病的候选基因。我们研究的目的是确定G蛋白β3亚基基因位点的C825T多态性是否与2型糖尿病相关。
材料/方法:研究人群包括172名波兰2型糖尿病患者和172名年龄及性别匹配的健康对照者。通过聚合酶链反应(PCR)和限制性片段长度多态性(RFLP)检测C825T多态性。
糖尿病患者中含有突变(CT + TT)的基因型频率高于对照组。T825变异在高血压糖尿病患者中出现的频率(71%)高于血压正常的糖尿病患者(42.5%)。携带CT + TT基因型的糖尿病患者患高血压的比值比(OR)高于CC基因型患者。超重和肥胖在实验组或对照组中均与T825变异无关。
在该人群中,GNB3基因的T825变异与2型糖尿病本身无关,也与超重和肥胖无关,但与糖尿病性高血压有关。若我们的结果得到证实,该变异可能作为2型糖尿病患者高血压易感性和血管并发症的遗传标志物。