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[糖尿病易感基因]

[Diabetes susceptibility genes].

作者信息

Kasuga Masato

机构信息

International Medical Center of Japan.

出版信息

Nihon Rinsho. 2009 Jun;67(6):1090-4.

Abstract

Type 2 diabetes mellitus is a complex polygenic disorder in which common genetics variants interact with environmental factors. Genome-wide association study(GWAS) revealed more than 10 diabetes susceptibility loci for type 2 diabetes mellitus including SNPs in KCNQ1, which was first identified in Japanese by two independent Japanese groups. However, these variants identified by GWAS showed low O.R. (odds ratio) such as 1.1-1.5 suggesting low penetrance of these variants. Diabetes mellitus is also caused by a mutation in one gene such as glucokinase and HNF-1 alpha, which showed high penetrance. Therefore, next challenge will be to identify low-frequency variants with intermediate penetrance, which may be associated with diabetes mellitus.

摘要

2型糖尿病是一种复杂的多基因疾病,常见的基因变异与环境因素相互作用。全基因组关联研究(GWAS)揭示了超过10个2型糖尿病的糖尿病易感位点,包括KCNQ1中的单核苷酸多态性(SNP),这是由两个独立的日本研究小组首次在日本人群中鉴定出来的。然而,这些通过GWAS鉴定出的变异显示出较低的优势比(O.R.),如1.1 - 1.5,表明这些变异的外显率较低。糖尿病也可由单个基因突变引起,如葡萄糖激酶和肝细胞核因子-1α(HNF-1α),这些突变显示出较高的外显率。因此,下一个挑战将是鉴定具有中等外显率的低频变异,这些变异可能与糖尿病相关。

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