Tariq Khadija, Malik Saira Bano, Ali Syeda Hafiza Benish, Maqsood Sundas Ejaz, Azam Aisha, Muslim Irfan, Khan Muhammad Shakil, Azam Maleeha, Waheed Nadia Khalida, Qamar Raheel
Department of Biosciences, Faculty of Science, COMSATS Institute of Information Technology, Islamabad, Pakistan.
Mol Vis. 2013;19:710-7. Epub 2013 Mar 21.
The association of non-synonymous substitution polymorphism rs1801282 (c.34C>G, p.Pro12Ala) in exon 4 of the peroxisome proliferator activated receptor gamma gene with diabetic retinopathy (DR) has been reported inconsistently. Therefore, the purpose of the present study was to understand the population-specific role of the Pro12Ala polymorphism in DR susceptibility in Pakistani subjects.
A total of 180 subjects with DR, 193 subjects with type 2 diabetes mellitus (T2DM) with no diabetic retinopathy, and 200 healthy normoglycemic non-retinopathic Pakistani individuals were genotyped for the rs1801282 (c.34C>G) polymorphism using polymerase chain reaction-restriction fragment length polymorphism.
We found the individuals with T2DM carrying 12Ala were at a reduced risk of developing DR (odds ratio [OR]=0.53; 95% confidence interval [CI]=0.33-0.87). Upon stratified analysis regarding disease severity, we observed this protective effect was confined to proliferative DR (OR=0.4; 95% CI=0.2-0.8) with non-significant effects on the susceptibility of non-proliferative DR (OR=0.67; 95% CI=0.37-1.19).
We report a protective role of the 12Ala polymorphism against proliferative DR in individuals with T2DM in Pakistan.
过氧化物酶体增殖物激活受体γ基因第4外显子的非同义替换多态性rs1801282(c.34C>G,p.Pro12Ala)与糖尿病视网膜病变(DR)之间的关联报道并不一致。因此,本研究的目的是了解Pro12Ala多态性在巴基斯坦人群DR易感性中的特定作用。
使用聚合酶链反应-限制性片段长度多态性方法,对180例DR患者、193例无糖尿病视网膜病变的2型糖尿病(T2DM)患者以及200名健康的血糖正常且无视网膜病变的巴基斯坦个体进行rs1801282(c.34C>G)多态性基因分型。
我们发现携带12Ala的T2DM个体发生DR的风险降低(优势比[OR]=0.53;95%置信区间[CI]=0.33 - 0.87)。在按疾病严重程度进行分层分析时,我们观察到这种保护作用仅限于增殖性DR(OR=0.4;95%CI=0.2 - 0.8),对非增殖性DR的易感性无显著影响(OR=0.67;95%CI=0.37 - 1.19)。
我们报道了在巴基斯坦,12Ala多态性对T2DM个体的增殖性DR具有保护作用。