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瞬时受体电位阳离子通道亚家族 M 成员 6(TRPM6)和 7(TRPM7)的基因变异与 2 型糖尿病:病例对照研究。

Gene variation of the transient receptor potential cation channel, subfamily M, members 6 (TRPM6) and 7 (TRPM7), and type 2 diabetes mellitus: a case-control study.

机构信息

Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02215, USA.

出版信息

Transl Res. 2010 Oct;156(4):235-41. doi: 10.1016/j.trsl.2010.07.001. Epub 2010 Aug 7.

DOI:10.1016/j.trsl.2010.07.001
PMID:20875900
Abstract

Transient receptor potential cation channel, subfamily M, members 6 (TRPM6) and 7 (TRPM7), have been implicated in inflammatory disorders including diabetes, a major source of morbidity and mortality in developing and Western society. We hypothesized that gene variation of TRPM6 and TRPM7 may play a role in type 2 diabetes mellitus (T2DM) Using a case-control population sample of the Boston metropolitan area (all whites, 455 controls and 467 cases), we assessed the relationship of 29 TRPM6 and 11 TRPM7 tag-single nucleotide polymorphisms (SNPs) with (1) several diabetes-related intermediate phenotypes (fasting insulin levels, fasting glucose levels, hemoglobin A1c, and homeostatic model assessment) and (2) the presence of T2DM. All SNPs examined were in Hardy-Weinberg equilibrium. Overall, genotype distributions were similar between cases and controls. Linear regression analysis, adjusted for potential risk factors/confounders, showed no evidence of an association of any SNPs tested with the aforementioned diabetes-related intermediate phenotypes after correcting for multiple testing. Marker-by-marker multivariable logistic regression analysis showed no evidence of an association of any SNPs tested with the presence of T2DM after correcting for multiple testing. Continued investigation using an entropy-blocker-defined haplotype-based approach showed similar null findings. If corroboration occurs in future large prospective investigations, then the present investigation further suggests that TRPM6 and TRPM7 gene variation may not be useful predictors for T2DM risk assessment.

摘要

瞬时受体电位阳离子通道亚家族 M,成员 6(TRPM6)和 7(TRPM7),已被牵涉到炎症性疾病,包括糖尿病,这是发展中国家和西方国家发病率和死亡率的主要原因。我们假设 TRPM6 和 TRPM7 的基因变异可能在 2 型糖尿病(T2DM)中发挥作用。

我们使用波士顿大都市区的病例对照人群样本(均为白人,455 名对照和 467 名病例),评估了 29 个 TRPM6 和 11 个 TRPM7 标签单核苷酸多态性(SNP)与(1)几种与糖尿病相关的中间表型(空腹胰岛素水平、空腹血糖水平、糖化血红蛋白和稳态模型评估)和(2)T2DM 的关系。

所有检查的 SNP 均处于 Hardy-Weinberg 平衡状态。总体而言,病例和对照组之间的基因型分布相似。

线性回归分析,调整了潜在的风险因素/混杂因素,在进行多次测试校正后,没有证据表明任何测试的 SNP 与上述与糖尿病相关的中间表型之间存在关联。

标记物-标记物多变量逻辑回归分析在进行多次测试校正后,没有证据表明任何测试的 SNP 与 T2DM 的存在之间存在关联。

使用基于熵阻滞剂定义的单倍型的进一步调查显示了类似的阴性结果。

如果在未来的大型前瞻性研究中得到证实,那么本研究进一步表明,TRPM6 和 TRPM7 基因变异可能不是 T2DM 风险评估的有用预测因子。

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