Dixit Manjusha, Bhattacharya Sandeep, Mittal Balraj
Department of Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India.
BMC Endocr Disord. 2005 Jul 1;5:7. doi: 10.1186/1472-6823-5-7.
Genetic variants of proteins involved in lipid metabolism may play an important role in determining the susceptibility for complications associated with type II diabetes mellitus (T2DM). Goal of the present study was to determine the association of cholesteryl ester transfer protein TaqI B, D442G, and APOE Hha I polymorphisms with T2DM and its complications.
Study subjects were 136 patients and 264 healthy controls. All polymorphisms were detected using PCR-RFLP and statistical analysis done with chi2 test and ANOVA.
Although CETP TaqI B polymorphism was not associated with the T2DM, yet B1B2 genotype was significantly (p = 0.028) associated with high risk of hypertension in diabetic patients (OR = 3.068, 95% CI 1.183-7.958). In North Indians D442G variation in CETP gene was found to be absent. Frequency of APOE HhaI polymorphism was also not different between patients and controls. In diabetic patients having neuropathy and retinopathy significantly different levels of total-cholesterol [(p = 0.001) and (p = 0.029) respectively] and LDL-cholesterol [(p = 0.001) and (p = 0.001) respectively] were observed when compared to patients with T2DM only. However, lipid levels did not show any correlation with the CETP TaqI B and APOE Hha I genetic polymorphisms.
CETP TaqI B and APOE HhaI polymorphism may not be associated with type II diabetes mellitus in North Indian population, however CETP TaqI B polymorphism may be associated with hypertension along with T2DM.
参与脂质代谢的蛋白质的基因变异可能在决定II型糖尿病(T2DM)相关并发症的易感性方面发挥重要作用。本研究的目的是确定胆固醇酯转运蛋白TaqI B、D442G和载脂蛋白E Hha I多态性与T2DM及其并发症之间的关联。
研究对象为136例患者和264名健康对照。所有多态性均采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)检测,并使用卡方检验和方差分析进行统计分析。
虽然CETP TaqI B多态性与T2DM无关,但B1B2基因型与糖尿病患者的高血压高风险显著相关(p = 0.028)(OR = 3.068,95%可信区间1.183 - 7.958)。在北印度人群中,未发现CETP基因的D442G变异。患者和对照之间APOE HhaI多态性的频率也没有差异。与仅患有T2DM的患者相比,患有神经病变和视网膜病变的糖尿病患者的总胆固醇水平分别显著不同(分别为p = 0.001和p = 0.029)以及低密度脂蛋白胆固醇水平分别显著不同(分别为p = 0.001和p = 0.001)。然而,血脂水平与CETP TaqI B和APOE Hha I基因多态性之间未显示出任何相关性。
在北印度人群中,CETP TaqI B和APOE HhaI多态性可能与II型糖尿病无关,然而CETP TaqI B多态性可能与T2DM合并高血压有关。