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P213S 基因多态性与中国人 2 型糖尿病及胰岛素抵抗的相关性研究。

Association of P213S polymorphism of the L-selectin gene with type 2 diabetes and insulin resistance in Chinese population.

机构信息

Department of Endocrinology, Gansu Provincial People's Hospital, 204 West Donggang Road, Lanzhou City 730000, Gansu Province, China.

出版信息

Gene. 2012 Nov 10;509(2):286-90. doi: 10.1016/j.gene.2012.07.086. Epub 2012 Aug 17.

Abstract

AIMS

L-selectin belongs to selectin family of adhesion molecule and participates in the generation and development of type 2 diabetes (T2D). In this study, we evaluated the relationship between the P213S polymorphism of L-selectin gene and T2D and insulin resistance in the Chinese population.

METHODS

We genotyped P213S polymorphism in 801 patients with T2D and 834 healthy controls in the Chinese population using polymerase chain reaction-ligase detection reaction (PCR-LDR) technique. Plasma glucose, insulin, lipid, blood urea nitrogen, creatinine and uric acid levels were measured by biochemical technique.

RESULTS

The frequency of 213PP genotype and P allele of the L-selectin gene in patients with T2D was significantly higher than that in controls (P=0.007; P=0.019, respectively). The relative risk of allele P suffered from T2D was 1.191 times higher than that of allele S. Moreover, the levels of FPG and HOMA-IR of PP and PS genotype carriers were significantly higher than those of SS genotype carriers in the T2D group (P<0.05).

CONCLUSION

These findings indicated that the P213S polymorphism of L-selectin gene may contribute to susceptibility to T2D and insulin resistance in the Chinese population, and P allele appears to be a risk factor for T2D.

摘要

目的

L-选择素属于选择素家族黏附分子,参与 2 型糖尿病(T2D)的发生和发展。本研究旨在评估 L-选择素基因 P213S 多态性与中国人群 T2D 及胰岛素抵抗的关系。

方法

采用聚合酶链反应-连接酶检测反应(PCR-LDR)技术,对 801 例 T2D 患者和 834 名健康对照者的 L-选择素基因 P213S 多态性进行基因分型。采用生化技术检测血糖、胰岛素、血脂、血尿素氮、肌酐和尿酸水平。

结果

T2D 患者 L-选择素基因 213PP 基因型和 P 等位基因的频率明显高于对照组(P=0.007;P=0.019)。等位基因 P 患 T2D 的相对风险是等位基因 S 的 1.191 倍。此外,T2D 组中 PP 和 PS 基因型携带者的 FPG 和 HOMA-IR 水平明显高于 SS 基因型携带者(P<0.05)。

结论

这些发现表明,L-选择素基因 P213S 多态性可能与中国人群 T2D 及胰岛素抵抗易感性有关,P 等位基因可能是 T2D 的一个危险因素。

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