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前列腺 2 六跨膜蛋白基因多态性与代谢综合征:一项关于胰岛素抵抗综合征(DESIR 研究)的流行病学研究数据。

Genetic variability at the six transmembrane protein of prostate 2 locus and the metabolic syndrome: the data from an epidemiological study on the Insulin Resistance Syndrome (DESIR) study.

机构信息

Institut National de la Santé et de la Recherche Médicale Unité 695, Xavier Bichat School of Medicine, 75870 Paris, France.

出版信息

J Clin Endocrinol Metab. 2010 Jun;95(6):2942-7. doi: 10.1210/jc.2010-0026. Epub 2010 Apr 9.

Abstract

CONTEXT

The six-transmembrane protein of prostate 2 (STAMP2) has been shown to be involved in insulin resistance in animal models, but in humans, its role is far from understood. Our hypothesis was that genetic variation of STAMP2 could be associated with insulin resistance phenotypes such as the metabolic syndrome (MetS) in humans.

OBJECTIVE

Our objective was to search for associations between STAMP2 polymorphisms and the MetS in humans.

SUBJECTS AND METHODS

Nine single-nucleotide polymorphisms (SNPs) were tested for associations with the International Diabetes Federation-defined MetS and its constituent parameters in 5212 French Caucasians from the prospective study, Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR), with a 9-yr follow-up. Methods included logistic regression and analysis of covariance adjusting for confounding variables and testing for interactions.

RESULTS

None of the SNPs was significantly associated with the prevalence or the incidence of the MetS. The rs12386756 was marginally associated with two parameters of the MetS [triglycerides (P = 0.04) and fasting glucose (P = 0.05)]. An interaction effect between this SNP and fat intake was observed on high-density lipoprotein-cholesterol levels (P = 0.01) and systolic blood pressure (P = 0.03) that is consistent with an interrelation between STAMP2 and nutrition. Three SNPs were associated with insulin levels, but these SNPs were not associated with other features of the MetS.

CONCLUSION

These findings suggest that the common polymorphisms of STAMP2 are unlikely to significantly contribute to the risk of the MetS in the general population, but relationships with insulin and interactions with fat intake need to be replicated.

摘要

背景

前列腺 2 的六跨膜蛋白 2(STAMP2)已被证明参与了动物模型中的胰岛素抵抗,但在人类中,其作用还远未被理解。我们的假设是,STAMP2 的遗传变异可能与胰岛素抵抗表型相关,如人类的代谢综合征(MetS)。

目的

我们的目的是寻找 STAMP2 多态性与人类 MetS 之间的关联。

受试者和方法

在一项前瞻性研究——来自 Data from an Epidemiological Study on the Insulin Resistance Syndrome(DESIR)的研究中,对来自法国白种人的 5212 名个体的 9 个单核苷酸多态性(SNPs)进行了与国际糖尿病联合会定义的 MetS 及其组成参数的关联测试,随访时间为 9 年。方法包括逻辑回归和协方差分析,以调整混杂变量,并测试交互作用。

结果

没有一个 SNPs 与 MetS 的患病率或发病率显著相关。rs12386756 与 MetS 的两个参数[甘油三酯(P=0.04)和空腹血糖(P=0.05)]呈边缘相关。在高密度脂蛋白胆固醇水平(P=0.01)和收缩压(P=0.03)上观察到该 SNP 与脂肪摄入量之间的交互作用,这与 STAMP2 和营养之间的相互关系一致。有 3 个 SNPs 与胰岛素水平相关,但这些 SNPs 与 MetS 的其他特征无关。

结论

这些发现表明,STAMP2 的常见多态性不太可能显著增加一般人群患 MetS 的风险,但需要对胰岛素的关系和与脂肪摄入的交互作用进行复制。

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