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维生素D结合蛋白基因变异与妊娠期糖尿病相关。

Variants in Vitamin D Binding Protein Gene Are Associated With Gestational Diabetes Mellitus.

作者信息

Wang Ying, Wang Ou, Li Wei, Ma Liangkun, Ping Fan, Chen Limeng, Nie Min

机构信息

From the Department of Endocrinology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China (YW, OW, WL, FP, MN); Key Laboratory of Endocrinology, Ministry of Health, Beijing, China (YW, OW, WL, FP, MN); People's Hospital of Longkou City, Shan Dong, China (YW); Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing China (LM); and Department of Nephrology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China (LC).

出版信息

Medicine (Baltimore). 2015 Oct;94(40):e1693. doi: 10.1097/MD.0000000000001693.

Abstract

To investigate whether single nucleotide polymorphisms (SNPs) within 4 representative genes (VDR, GC, CYP2R1, and CYP24A1) encoding the core proteins involved in vitamin D production, degradation, and ligand-dependent signaling pathway are associated with gestational diabetes mellitus (GDM) in a Chinese population. A total of 1494 pregnant Han Chinese women (692 women with GDM and 802 women with normal glucose served as controls) were recruited through a 2-step approach. Participants were further divided into 2 groups according to body mass index before gestation (pre-BMI) (25 kg/m2). Nine SNPs (rs3733359, rs2282679, and rs16847024 in GC, rs2060793 and rs10741657 in CYP2R1, rs2248359 and rs6013897 in CYP24A1, rs11574143 and rs739837 in VDR) were genotyped using TaqMan allelic discrimination assays. The relationships between genotypes/alleles of a single locus as well as haplotypes of each gene and GDM were analyzed. We did not observe a significant difference in genotype frequency of each SNP between cases and controls. However, in the obese subgroup (pre-BMI ≥ 25 kg/m2), the risk allele-A of rs3733359 showed an association with increased risk of GDM (OR = 1.739, 95% CI = 1.066-2.837, P = 0.027). The GG-haplotype frequency of rs3733359 and rs2282679 in GC was modestly lower in the GDM group (OR = 0.848, 95% CI = 0.719-0.999, P = 0.048). Rs2060793 and rs10741657 were associated with insulin area under the curve (P = 0.028, P = 0.042, respectively), while rs739837 and rs6013897 demonstrated a correlation with fasting glucose (P = 0.019, P = 0.049, respectively). Additionally, rs2248359 displayed an association with leukocyte counts (B = 0.063 P = 0.033) and rs16847024 was related to high-sensitivity C-reactive protein levels (B = 0.086, P = 0.005). Our results indicate an association between GC variants and GDM, as well as a relation between a subset of loci in CYP2R1, CYP24A1, and VDR and clinical parameters related to GDM. Our findings may provide information for identifying biomarkers for early risk prediction of GDM and the pathways involved in disease progression.

摘要

为研究参与维生素D生成、降解及配体依赖性信号通路的4个代表性基因(VDR、GC、CYP2R1和CYP24A1)中的单核苷酸多态性(SNP)是否与中国人群的妊娠期糖尿病(GDM)相关。通过两步法招募了总共1494名汉族孕妇(692名GDM患者和802名血糖正常的孕妇作为对照)。根据妊娠前体重指数(pre-BMI)(≥25kg/m²)将参与者进一步分为2组。使用TaqMan等位基因鉴别分析对9个SNP(GC中的rs3733359、rs2282679和rs16847024,CYP2R1中的rs2060793和rs10741657,CYP24A1中的rs2248359和rs6013897,VDR中的rs11574143和rs739837)进行基因分型。分析了单个位点的基因型/等位基因以及每个基因的单倍型与GDM之间的关系。我们未观察到病例组和对照组之间每个SNP的基因型频率有显著差异。然而,在肥胖亚组(pre-BMI≥25kg/m²)中,rs3733359的风险等位基因-A显示与GDM风险增加相关(OR=1.739,95%CI=1.066-2.837,P=0.027)。GC中rs3733359和rs2282679的GG单倍型频率在GDM组中略低(OR=0.848,95%CI=0.719-0.999,P=0.048)。Rs2060793和rs10741657与曲线下胰岛素面积相关(分别为P=0.028,P=0.042),而rs739837和rs6013897与空腹血糖相关(分别为P=0.019,P=0.049)。此外,rs2248359与白细胞计数相关(B=0.063,P=0.033),rs16847024与高敏C反应蛋白水平相关(B=0.086,P=0.005)。我们的结果表明GC变异与GDM之间存在关联,以及CYP2R1、CYP24A1和VDR中的一部分位点与GDM相关临床参数之间存在关系。我们的发现可能为识别GDM早期风险预测的生物标志物以及疾病进展所涉及的途径提供信息。

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