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CAPN10 基因与原发性高血压患者胰岛素敏感性、葡萄糖耐量和肾功能的关系。

Association of CAPN10 gene with insulin sensitivity, glucose tolerance and renal function in essential hypertensive patients.

机构信息

State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Clin Chim Acta. 2010 Aug 5;411(15-16):1126-31. doi: 10.1016/j.cca.2010.04.012. Epub 2010 Apr 18.

Abstract

BACKGROUND

Essential hypertension (EH) is a common disorder, which can increase the risk for type 2 diabetes (T2D). Calpain-10 (CAPN10) gene was the first candidate gene of T2D identified through genome-wide linkage and positional cloning, but few works have focused on the relationship of CAPN10 with impaired fasting glucose (IFG) or impaired glucose tolerance (IGT) in EH patients.

METHODS

To identify the effect of UCSNP-43 and UCSNP-44 in CAPN10 gene on susceptibility to IFG/IGT, we conducted a case-control study in 961 EH patients with and without IFG/IGT among Han Chinese population. We also evaluated the impact of two SNPs on insulin sensitivity and glucose tolerance estimated through oral glucose tolerance test and renal functions by blood chemical assays.

RESULTS

The major findings of this study were that UCSNP-43 displayed higher G120 and AUCg. In addition, UCSNP-44 was found associated with IFG/IGT in EH patients, and associated with increased G30, G60, AUCg, Cederholm index, Scr and eGFR. The haplotype UCSNP-43-44 was detected associated with IFG/IGT susceptibility, G60, G120, I0, AUCg, Scr and eGFR by the linear regression with the adjustment for sex, age, BMI, mean blood pressures and ACEI/ARB treatment.

CONCLUSIONS

These findings provided some evidence that CAPN10 gene may play an important role in the pathogenesis of IFG/IGT in EH patients.

摘要

背景

原发性高血压(EH)是一种常见疾病,可增加 2 型糖尿病(T2D)的风险。钙蛋白酶 10(CAPN10)基因是通过全基因组连锁和定位克隆首次确定的 T2D 的候选基因,但很少有研究关注 CAPN10 与 EH 患者空腹血糖受损(IFG)或糖耐量受损(IGT)之间的关系。

方法

为了确定 CAPN10 基因中的 UCSNP-43 和 UCSNP-44 对 IFG/IGT 易感性的影响,我们在中国汉族人群中进行了一项病例对照研究,纳入了 961 例伴有或不伴有 IFG/IGT 的 EH 患者。我们还评估了这两个 SNP 对口服葡萄糖耐量试验和血液化学分析评估的胰岛素敏感性和葡萄糖耐量的影响以及肾功能。

结果

本研究的主要发现是 UCSNP-43 显示出较高的 G120 和 AUCg。此外,UCSNP-44 与 EH 患者的 IFG/IGT 相关,与 G30、G60、AUCg、Cederholm 指数、Scr 和 eGFR 升高相关。UCSNP-43-44 单体型与 IFG/IGT 易感性、G60、G120、I0、AUCg、Scr 和 eGFR 相关,采用线性回归分析,校正性别、年龄、BMI、平均血压和 ACEI/ARB 治疗。

结论

这些发现提供了一些证据,表明 CAPN10 基因可能在 EH 患者 IFG/IGT 的发病机制中起重要作用。

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