Institute of Medicine, Sahlgrenska Center for Cardiovascular and Metabolic Research, Department of Molecular and Clinical Medicine, Wallenberg Laboratory, University of Gothenburg, Bruna Stråket 16, Göteborg, Sweden.
Diabetes Metab Res Rev. 2013 Jul;29(5):413-6. doi: 10.1002/dmrr.2408.
Childhood obesity is a growing epidemic worldwide, and it is associated with metabolic complications, such as insulin resistance. Recently, a genetic variation (rs7607980) in the COBLL1 gene has been associated with lower insulin resistance in adults. The aim of the study was to investigate if the association between COBLL1 rs7607980 genetic variant and lower insulin resistance was present early in life.
This sequence variant was genotyped in 878 overweight and obese children (mean age: 10 years) from Sardinia, Italy, from the outpatient clinic of the Pediatric Endocrine Unit, at the Regional Hospital for Microcitaemia in Cagliari. Insulin resistance was assessed by measurement of fasting circulating insulin levels before and after an oral glucose tolerance test and by HOMA-IR.
The COBLL1 rs7607980 C allele was associated with lower fasting insulin and HOMA-IR levels (p = 0.002 and p = 0.035, respectively) in overweight and obese children. Importantly, lower insulin levels were also observed 2 h after oral glucose tolerance test in C allele carriers (p = 0.009).
The present study shows for the first time, the association between COBLL1 rs7607980 C allele, lower serum insulin levels and lower insulin resistance in overweight and obese children.
儿童肥胖是全球范围内日益严重的流行问题,与代谢并发症有关,如胰岛素抵抗。最近,COBLL1 基因中的一个遗传变异(rs7607980)与成年人较低的胰岛素抵抗有关。本研究的目的是调查 COBLL1 rs7607980 遗传变异与较低的胰岛素抵抗之间的关联是否在生命早期就存在。
本研究对来自意大利撒丁岛的 878 名超重和肥胖儿童(平均年龄:10 岁)进行了 COBLL1 基因的序列变异检测,这些儿童来自卡利亚里地区微小区医院儿科内分泌科的门诊。通过口服葡萄糖耐量试验前后测量空腹循环胰岛素水平以及 HOMA-IR 来评估胰岛素抵抗。
COBLL1 rs7607980 C 等位基因与超重和肥胖儿童的空腹胰岛素和 HOMA-IR 水平降低相关(p=0.002 和 p=0.035)。重要的是,在口服葡萄糖耐量试验后 2 小时,C 等位基因携带者的胰岛素水平也较低(p=0.009)。
本研究首次表明,COBLL1 rs7607980 C 等位基因与超重和肥胖儿童的血清胰岛素水平降低和胰岛素抵抗降低之间存在关联。