Rasmussen Søren K, Urhammer Søren A, Berglund Lars, Jensen Jan N, Hansen Lars, Echwald Søren M, Borch-Johnsen Knut, Horikawa Yukio, Mashima Hirosato, Lithell Hans, Cox Nancy J, Hansen Torben, Bell Graeme I, Pedersen Oluf
Steno Diabetes Center and Hagedorn Research Institute, Gentofte, Denmark.
Diabetes. 2002 Dec;51(12):3561-7. doi: 10.2337/diabetes.51.12.3561.
Variations in the calpain-10 gene (CAPN10) have been identified among Mexican-Americans, and an at-risk haplotype combination (112/121) defined by three polymorphisms, UCSNP-43, -19, and -63, confers increased risk of type 2 diabetes. Here we examine the three polymorphisms in 1,594 Scandinavian subjects, including 409 type 2 diabetic patients, 200 glucose-tolerant control subjects, 322 young healthy subjects, 206 glucose-tolerant offspring of diabetic patients, and 457 glucose-tolerant 70-year-old men. The frequency of the 112/121 combination was not significantly different in 409 type 2 diabetic subjects compared with 200 glucose-tolerant control subjects (0.06 vs. 0.05; odds ratio 1.32 [95% CI 0.58-3.30]). In glucose-tolerant subjects, neither the single-nucleotide polymorphisms individually nor the 112/121 combination were associated with alterations in plasma glucose, serum insulin, or serum C-peptide levels at fasting or during an oral glucose tolerance test, estimates of insulin sensitivity, or glucose-induced insulin secretion. In conclusion, the frequency of the 112/121 at-risk haplotype of CAPN10 is low among Scandinavians and we were unable to demonstrate significant associations between the CAPN10 variants and type 2 diabetes, insulin resistance, or impaired insulin secretion.
在墨西哥裔美国人中已发现钙蛋白酶-10基因(CAPN10)存在变异,由UCSNP-43、-19和-63这三种多态性所定义的一种高危单倍型组合(112/121)会增加患2型糖尿病的风险。在此,我们对1594名斯堪的纳维亚受试者中的这三种多态性进行了检测,这些受试者包括409名2型糖尿病患者、200名糖耐量正常的对照受试者、322名年轻健康受试者、206名糖尿病患者的糖耐量正常的后代以及457名糖耐量正常的70岁男性。与200名糖耐量正常的对照受试者相比,409名2型糖尿病受试者中112/121组合的频率并无显著差异(0.06对0.05;优势比1.32 [95%可信区间0.58 - 3.30])。在糖耐量正常的受试者中,无论是单个单核苷酸多态性还是112/121组合,均与空腹或口服葡萄糖耐量试验期间的血浆葡萄糖、血清胰岛素或血清C肽水平的改变、胰岛素敏感性估计值或葡萄糖诱导的胰岛素分泌无关。总之,CAPN10的112/121高危单倍型在斯堪的纳维亚人中的频率较低,并且我们未能证明CAPN10变异与2型糖尿病、胰岛素抵抗或胰岛素分泌受损之间存在显著关联。