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胰岛素敏感性反应由胰岛素受体底物 1 基因的 G972R 多态性与膳食脂肪之间的相互作用决定。

The insulin sensitivity response is determined by the interaction between the G972R polymorphism of the insulin receptor substrate 1 gene and dietary fat.

机构信息

Lipids and Atherosclerosis Unit, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC)/Hospital Universitario Reina Sofía/Universidad de Córdoba and Ciber Fisiopatologia Obesidad y Nutricion, Instituto Salud Carlos III, Córdoba, Spain.

出版信息

Mol Nutr Food Res. 2011 Feb;55(2):328-35. doi: 10.1002/mnfr.201000235. Epub 2010 Sep 7.

DOI:10.1002/mnfr.201000235
PMID:20824664
Abstract

SCOPE

Insulin resistance, a condition associated with type 2 diabetes mellitus, results from the interaction of environmental and genetic factors. The aim of this study was to explore the influence of the G972R polymorphism at the insulin receptor substrate 1 gene on insulin sensitivity in a healthy young population. Furthermore, we examined whether the presence of this single nucleotide polymorphism (SNP; GR or GG) interacts with dietary fat to modulate insulin sensitivity.

METHODS AND RESULTS

Fifty-nine healthy volunteers consumed three diets during 4 wk each following a randomized crossover design: a saturated fatty acid diet, a low-fat and high carbohydrate (CHO) diet or a MUFA diet. For each diet, we investigated peripheral insulin sensitivity with the insulin suppression test. Steady-state plasma glucose and plasma-free fatty acids concentrations were significantly lower in GR subjects after the intake of a CHO diet, than did homozygous GG subjects (p<0.05). However, no differences were observed after consuming the two other diets.

CONCLUSIONS

Insulin sensitivity increased in GR subjects for the G972R polymorphism at the insulin receptor substrate 1 gene locus, after intake of a CHO diet. Increased knowledge of how these and other genes influence insulin sensitivity should increase the understanding of personalized nutrition.

摘要

范围

胰岛素抵抗是与 2 型糖尿病相关的一种病症,它是由环境和遗传因素相互作用引起的。本研究的目的是探讨胰岛素受体底物 1 基因 G972R 多态性对健康年轻人群胰岛素敏感性的影响。此外,我们还研究了这种单核苷酸多态性(SNP;GR 或 GG)是否与膳食脂肪相互作用,从而调节胰岛素敏感性。

方法和结果

59 名健康志愿者按照随机交叉设计,在 4 周内分别食用三种饮食:饱和脂肪酸饮食、低脂高碳水化合物(CHO)饮食或单不饱和脂肪酸(MUFA)饮食。对于每种饮食,我们用胰岛素抑制试验来检测外周胰岛素敏感性。CHO 饮食后,GR 受试者的稳态血糖和血浆游离脂肪酸浓度明显低于 GG 纯合子受试者(p<0.05)。然而,在食用其他两种饮食后,没有观察到差异。

结论

胰岛素受体底物 1 基因座 G972R 多态性的胰岛素敏感性在 GR 受试者中增加,在摄入 CHO 饮食后。增加对这些和其他基因如何影响胰岛素敏感性的了解,应该会提高对个性化营养的理解。

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