Chen Pei-Lung, Yang Wei-Shiung
Division of Endocrinology and Metabolism, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Front Biosci (Landmark Ed). 2009 Jan 1;14(12):4535-45. doi: 10.2741/3546.
Diabetes mellitus (DM) is a disease defined by biochemical hyperglycemia. Currently it is classified into four major categories: type 1 DM (T1DM), type 2 DM (T2DM), gestational DM (GDM) and other DM. Within each category, the etiology is still heterogeneous. The pathogenesis of most DM is multi-factorial, including many genetic and environmental factors. T1DM, T2DM and GDM are polygenic. In the category of other DM, there are at least six maturity onset diabetes of the young (MODY) and many other genetic syndromes associated with DM, which are monogenic in origin. In this review, we briefly summarized the current status of genetics in DM, described what has been done in this specific area in Taiwan and discuss what should be done after the era of genome-wide association study.
糖尿病(DM)是一种由生化性高血糖定义的疾病。目前它被分为四大类:1型糖尿病(T1DM)、2型糖尿病(T2DM)、妊娠期糖尿病(GDM)和其他糖尿病。在每一类中,病因仍然是异质性的。大多数糖尿病的发病机制是多因素的,包括许多遗传和环境因素。T1DM、T2DM和GDM是多基因的。在其他糖尿病类别中,至少有六种青年发病的成年型糖尿病(MODY)以及许多其他与糖尿病相关的遗传综合征,它们起源于单基因。在本综述中,我们简要总结了糖尿病遗传学的现状,描述了台湾在这一特定领域所做的工作,并讨论了全基因组关联研究时代之后应该做些什么。