Kimbell Jennifer L, Koropatnick Tanya A, Grove John S, Huang Yung-Hsiang, Chiang Fu-Tien, Quertermous Thomas, Chen Randi, Donlon Timothy A, Rodriguez Beatriz L, Curb J David
Pacific Health Research Institute, Honolulu, HI 96813, United States.
Diabetes Res Clin Pract. 2008 Aug;81(2):231-7. doi: 10.1016/j.diabres.2008.04.001. Epub 2008 May 22.
Although the function of resistin in human biology is unclear, some evidence suggests resistin gene variants influence insulin resistance, and insulin resistance-related hypertension. We searched for associations between common resistin gene variants and factors related to insulin resistance in Asian individuals with high or low blood pressure (BP).
Non-diabetic Chinese or Japanese sibling pairs were included if one had extreme hypertension and the other was either hypertensive or hypotensive. Four common, non-coding single nucleotide polymorphisms (SNPs) were identified by sequencing the resistin gene in 24 hypertensive probands. Generalized estimating equations (GEEs)-based regressions were then performed to test for SNP associations using the entire study population (n=1556).
Of 72 tests, only one was significant at the 0.05 level; 3.5 significant tests were expected by chance alone. High variability in insulin and triglyceride levels created wide confidence intervals, thus the negative results are not conclusive for these phenotypes. However, the large sample size resulted in narrow confidence intervals for BMI, fasting and 120min post-load glucose, and high and low density lipoprotein cholesterol (LDL-C).
Several factors associated with insulin resistance are not likely influenced by the resistin gene in non-diabetic Asian individuals with high and low blood pressure.
尽管抵抗素在人类生物学中的功能尚不清楚,但一些证据表明抵抗素基因变异会影响胰岛素抵抗以及与胰岛素抵抗相关的高血压。我们在血压高或低的亚洲个体中寻找常见抵抗素基因变异与胰岛素抵抗相关因素之间的关联。
纳入非糖尿病的中国或日本同胞对,条件是其中一人患有极端高血压,另一人患有高血压或低血压。通过对24名高血压先证者的抵抗素基因进行测序,鉴定出4种常见的非编码单核苷酸多态性(SNP)。然后使用整个研究人群(n = 1556)进行基于广义估计方程(GEE)的回归分析,以检验SNP的关联性。
在72次检验中,只有1次在0.05水平上具有显著性;仅偶然预期会有3.5次显著检验。胰岛素和甘油三酯水平的高变异性产生了较宽的置信区间,因此这些表型的阴性结果尚无定论。然而,大样本量导致体重指数、空腹和负荷后120分钟血糖以及高密度和低密度脂蛋白胆固醇(LDL-C)的置信区间变窄。
在血压高和低的非糖尿病亚洲个体中,几种与胰岛素抵抗相关的因素不太可能受抵抗素基因的影响。