Wang Tong-Tong, Chen Yong-Jie, Sun Lu-Lu, Zhang Si-Jia, Zhou Zhong-Yu, Qiao Hong
Department of Endemic Disease, The Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang 150081, China.
Chin Med J (Engl). 2015 Feb 20;128(4):533-9. doi: 10.4103/0366-6999.151112.
Polymorphisms of microRNA (miRNA), as a novel mechanism, are closely associated with disease states by interfering with miRNA function. Direct correlations have been identified between single-nucleotide polymorphisms (SNPs) in miRNA, but the effect on type 2 diabetes mellitus (T2DM) onset among Chinese population remains unclear. Therefore, the aim of this study was to identify correlations between common SNPs in miR-27a, miR-146a, and miR-124a with T2DM among a Chinese population, as well as to explore diabetic pathological mechanisms and the impact of environmental factors.
SNPscan technology was used to genotype 995 patients newly diagnosed with T2DM and 967 controls. Logistic regression analysis was performed to compare mutation frequencies between cases and controls.
We found no significant correlations between all genotypes of these miRNAs and T2DM in our research. However, stratification analysis identified a lower risk of T2DM associated with the rs531564GC genotype among younger subjects (age < 45 years) (adjusted P = 0.043; odds ratio [OR] = 0.73; 95% confidence interval [CI] = 0.54-0.99). Furthermore, the rs895819CC genotype in overweight people (24 ≤ body mass index [BMI] < 28) was significantly associated with an increased risk of T2DM (adjusted P = 0.042; OR = 1.73; 95% CI = 1.02-2.94), while the rs2910164 genotype in miR-146a was not significantly correlated with T2DM. The genetic risk score was calculated based on the number of risk alleles of the three SNPs and was found to be correlated to total cholesterol (adjusted P = 0.021).
The rs531564GC genotype acted as a protective factor to decrease the risk of T2DM in younger subjects (age < 45 years), while the presence of the rs895819CC genotype increased the risk of illness among overweight subjects (24 ≤ BMI < 28 kg/m 2 ). The presence of SNPs in miRNA might promote disease by affecting miRNA expression and gene function. Thus, miRNA mimics or inhibitors that directly regulate miRNA expression present novel and promising therapeutic targets.
微小RNA(miRNA)多态性作为一种新机制,通过干扰miRNA功能与疾病状态密切相关。已确定miRNA中的单核苷酸多态性(SNP)之间存在直接关联,但在中国人群中其对2型糖尿病(T2DM)发病的影响仍不清楚。因此,本研究旨在确定中国人群中miR-27a、miR-146a和miR-124a常见SNP与T2DM之间的相关性,同时探讨糖尿病的病理机制及环境因素的影响。
采用SNPscan技术对995例新诊断的T2DM患者和967例对照进行基因分型。进行逻辑回归分析以比较病例组和对照组之间的突变频率。
我们的研究发现这些miRNA的所有基因型与T2DM之间均无显著相关性。然而,分层分析显示,在较年轻受试者(年龄<45岁)中,rs531564GC基因型与T2DM风险较低相关(校正P = 0.043;比值比[OR]=0.73;95%置信区间[CI]=0.54 - 0.99)。此外,超重人群(24≤体重指数[BMI]<28)中的rs895819CC基因型与T2DM风险增加显著相关(校正P = 0.042;OR = 1.73;95% CI = 1.02 - 2.94),而miR-146a中的rs2910164基因型与T2DM无显著相关性。基于这三个SNP的风险等位基因数量计算遗传风险评分,发现其与总胆固醇相关(校正P = 0.021)。
rs531564GC基因型在较年轻受试者(年龄<45岁)中作为降低T2DM风险的保护因素,而rs895819CC基因型的存在增加了超重受试者(24≤BMI<28 kg/m²)的患病风险。miRNA中SNP的存在可能通过影响miRNA表达和基因功能促进疾病发生。因此,直接调节miRNA表达的miRNA模拟物或抑制剂是新的且有前景的治疗靶点。