Brondani Leticia de Almeida, de Souza Bianca Marmontel, Assmann Taís Silveira, Bouças Ana Paula, Bauer Andrea Carla, Canani Luís Henrique, Crispim Daisy
Endocrinology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Mol Biol Rep. 2014 Aug;41(8):5053-67. doi: 10.1007/s11033-014-3371-7. Epub 2014 Apr 22.
This paper describes a case-control study and a meta-analysis performed to evaluate if the following polymorphisms are associated with presence of obesity: -3826A/G (UCP1); -866G/A, Ala55Val and Ins/Del (UCP2) and -55C/T (UCP3). The case-control study enrolled 282 obese and 483 non-obese patients with type 2 diabetes. A literature search was made to identify all studies that evaluated associations between UCP1-3 polymorphisms and obesity. In the case-control study the distributions of the UCP variants did not differ between obese and non-obese groups (P > 0.05). Forty-seven studies were eligible for the meta-analysis and the results showed that the UCP2 -866G/A and UCP3 -55C/T polymorphisms were associated with protection to obesity in Europeans (OR = 0.89, 95% CI 0.82-0.97 and OR = 0.88, 95% CI 0.80-0.97, respectively). The UCP2 Ala55 val polymorphism was associated with obesity in Asians (OR = 1.61, 95% CI 1.13-2.30). The UCP2 Ins/Del polymorphism was associated with obesity mainly in Europeans (OR = 1.19, 95% CI 1.00-1.42). There was no significant association of the UCP1 -3826A/G polymorphism with obesity. In our case-control study we were not able to demonstrate any association between UCP polymorphisms and obesity in T2DM patients; however, in the meta-analysis we detected a significant association of UCP2 -866G/A, Ins/Del, Ala55Val and UCP3 -55C/T polymorphisms with obesity.
本文描述了一项病例对照研究和一项荟萃分析,旨在评估以下多态性是否与肥胖的存在相关:-3826A/G(解偶联蛋白1,UCP1);-866G/A、丙氨酸55缬氨酸(Ala55Val)和插入/缺失(Ins/Del)(解偶联蛋白2,UCP2)以及-55C/T(解偶联蛋白3,UCP3)。病例对照研究纳入了282例肥胖的2型糖尿病患者和483例非肥胖的2型糖尿病患者。进行了文献检索,以确定所有评估UCP1 - 3多态性与肥胖之间关联的研究。在病例对照研究中,肥胖组和非肥胖组之间UCP变体的分布没有差异(P>0.05)。47项研究符合荟萃分析的条件,结果表明,UCP2 - 866G/A和UCP3 - 55C/T多态性与欧洲人肥胖的保护作用相关(比值比[OR]=0.89,95%置信区间[CI]为0.82 - 0.97和OR = 0.88,95%CI为0.80 - 0.97)。UCP2丙氨酸55缬氨酸多态性与亚洲人的肥胖相关(OR = 1.61,95%CI为1.13 - 2.30)。UCP2插入/缺失多态性主要与欧洲人的肥胖相关(OR = 1.19,95%CI为1.00 - 1.42)。UCP1 - 3826A/G多态性与肥胖没有显著关联。在我们的病例对照研究中,我们未能证明UCP多态性与2型糖尿病患者的肥胖之间存在任何关联;然而,在荟萃分析中,我们检测到UCP2 - 866G/A、插入/缺失、丙氨酸55缬氨酸和UCP3 - 55C/T多态性与肥胖之间存在显著关联。