Shike Toshihide, Gohda Tomohito, Tanimoto Mitsuo, Kobayashi Michimasa, Makita Yuichiro, Funabiki Kazuhiko, Horikoshi Satoshi, Hirose Sachiko, Shirai Toshikazu, Tomino Yasuhiko
Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyoku, Tokyo 113-8421, Japan.
Nephrol Dial Transplant. 2005 May;20(5):879-85. doi: 10.1093/ndt/gfh665. Epub 2005 Mar 15.
The KK/Ta mouse strain serves as a suitable polygenic model for human type 2 diabetes. We previously reported a genome-wide linkage analysis of KK/Ta alleles contributing to type 2 diabetes and related phenotypes such as fasting hyperglycaemia, glucose intolerance, hyperinsulinaemia, obesity and dyslipidaemia.
Since KK/Ta mice spontaneously develop renal lesions closely resembling those in human diabetic nephropathy, we investigated the susceptibility loci using the KK/Ta x (BALB/c x KK/Ta) F1 backcross progeny in the present study.
A genome-wide analysis of susceptibility loci for albuminuria with microsatellite-based chromosomal maps showed a contributing KK/Ta locus, provisionally designated UA-1, with a significant linkage with the interval on chromosome 2 at 83.0 cM close to the microsatellite marker D2Mit311 with a maximum LOD of 3.5 (chi(2) = 13.2, P = 0.0003). UA-1 was different from the susceptibility loci contributing to type 2 diabetes, which we earlier identified. The mode of inheritance differed from that of hypertension. The progeny homozygous for UA-1 showed significantly higher urinary albumin levels.
Although there were no significant correlations between urinary albumin levels and other diabetic phenotypes, the group of progeny homozygous for both UA-1 and alleles for fasting hyperglycaemia showed the highest urinary albumin levels. Thus, UA-1 appears to increase the risk of diabetic nephropathy, particularly in individuals susceptible to fasting hyperglycaemia, in a gene dosage-dependent manner. There are potentially important candidate genes that may be relevant to diabetic nephropathy.
KK/Ta小鼠品系是人类2型糖尿病的合适多基因模型。我们之前报道了对导致2型糖尿病及相关表型(如空腹高血糖、葡萄糖不耐受、高胰岛素血症、肥胖和血脂异常)的KK/Ta等位基因进行的全基因组连锁分析。
由于KK/Ta小鼠会自发出现与人类糖尿病肾病极为相似的肾脏病变,因此在本研究中我们使用KK/Ta×(BALB/c×KK/Ta) F1回交后代来研究易感性位点。
利用基于微卫星的染色体图谱对蛋白尿易感性位点进行全基因组分析,结果显示存在一个起作用的KK/Ta位点,暂命名为UA-1,它与2号染色体上83.0 cM处靠近微卫星标记D2Mit311的区间有显著连锁,最大LOD值为3.5(χ2 = 13.2,P = 0.0003)。UA-1与我们之前鉴定的导致2型糖尿病的易感性位点不同。其遗传模式与高血压的遗传模式不同。UA-1纯合子后代的尿白蛋白水平显著更高。
虽然尿白蛋白水平与其他糖尿病表型之间没有显著相关性,但UA-1和空腹高血糖等位基因均为纯合子的后代组尿白蛋白水平最高。因此,UA-1似乎以基因剂量依赖的方式增加了糖尿病肾病的风险,尤其是在易患空腹高血糖的个体中。可能存在与糖尿病肾病相关的重要候选基因。