Uchida Yasue, Sugiura Saiko, Nakashima Tsutomu, Ando Fujiko, Shimokata Hiroshi
Department of Otorhinolaryngology, National Center for Geriatrics and Gerontology, 36-3 Gengo, Morioka, Obu City, Aichi Prefecture 474-8511, Japan.
Auris Nasus Larynx. 2010 Aug;37(4):496-9. doi: 10.1016/j.anl.2010.01.006. Epub 2010 Mar 3.
The fatty acid-binding protein 2 (FABP2) is involved in the transport and metabolism of fatty acids. The FABP2 gene has been proposed as a candidate gene for diabetes and obesity. This study evaluates the hearing impairment risk in the Ala54Thr polymorphism of FABP2 in middle-aged and elderly Japanese.
Our sample population comprised 1428 community-dwelling Japanese aged 40-86 years (mean+/-standard deviation [SD]: 63.1+/-9.8) who participated in the Study of Aging between 2004 and 2006. An average hearing threshold level greater than 25 dB in the better ear for frequencies 500, 1000, 2000 and 4000 Hz was defined as hearing impairment. Data were analyzed by means of a multiple logistic regression with adjustment for potential confounders.
The per-allele odds ratio for hearing impairment risk was 1.262 (95% confidence interval [CI]: 1.012-1.574) in model 1, adjusting for age, sex, history of ear disease, and history of occupational noise exposure; and 1.259 (CI: 1.009-1.571) in model 2, which adjusted for diabetes, body mass index and the histories of heart disease and hypertension, as well as the moderators in model 1. A significant adverse effect of the Thr54 variant on hearing was observed and the effect was independent of both diabetes and obesity in the present analyses.
This study demonstrated that the Ala54Thr polymorphism of FABP2 was associated with a risk of hearing impairment in middle-aged and elderly people. The results might support caloric restriction theory indirectly, but additional researches are desired.
脂肪酸结合蛋白2(FABP2)参与脂肪酸的转运和代谢。FABP2基因已被提出作为糖尿病和肥胖症的候选基因。本研究评估日本中老年人中FABP2基因Ala54Thr多态性与听力障碍风险的关系。
我们的样本群体包括1428名年龄在40 - 86岁(平均±标准差[SD]:63.1±9.8)的社区居住日本居民,他们于2004年至2006年参与了衰老研究。将较好耳在500、1000、2000和4000 Hz频率下平均听力阈值水平大于25 dB定义为听力障碍。通过多元逻辑回归分析数据,并对潜在混杂因素进行调整。
在模型1中,调整年龄、性别、耳部疾病史和职业噪声暴露史后,听力障碍风险的每等位基因比值比为1.262(95%置信区间[CI]:1.012 - 1.574);在模型2中,调整糖尿病、体重指数、心脏病和高血压病史以及模型1中的调节因素后,比值比为1.259(CI:1.009 - 1.571)。在本分析中观察到Thr54变体对听力有显著不良影响,且该影响独立于糖尿病和肥胖症。
本研究表明,FABP2基因的Ala54Thr多态性与中老年人听力障碍风险相关。该结果可能间接支持热量限制理论,但仍需要更多研究。