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维生素D受体基因多态性与中国汉族人群2型糖尿病风险显著相关。

Vitamin D Receptor Genetic Polymorphism Is Significantly Associated with Risk of Type 2 Diabetes Mellitus in Chinese Han Population.

作者信息

Jia Jian, Ding Haixia, Yang Keming, Mao Lina, Zhao Hailong, Zhan Yiyang, Shen Chong

机构信息

Department of Geriatric Medicine, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China.

Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, China.

出版信息

Arch Med Res. 2015 Oct;46(7):572-9. doi: 10.1016/j.arcmed.2015.09.006. Epub 2015 Oct 9.

Abstract

BACKGROUND AND AIMS

We investigated the effect of vitamin D receptor (VDR) gene polymorphism on the risk of type 2 diabetes mellitus (T2DM) in a Chinese Han population.

METHODS

Three tagSNPs (rs11574129, rs2228570 and rs739837) were genotyped using TaqMan assays in a case-control study including 669 cases with T2DM, 1084 individuals with impaired fasting glucose (IFG) and 1,961 controls with normal fasting glucose. Multiple logistic regression was applied to analyze the association of SNPs and the risk of diabetes by adjusting for covariates including age, sex, body mass index (BMI) and smoking. General linear model (GLM) was applied to compare fasting blood glucose levels between genotypes and adjusted for confounding factors.

RESULTS

The results showed that rs739837 was significantly associated with increased risk of T2DM in additive model (OR = 1.166, 95% CI 1.017-1.337, p = 0.028) and dominant (OR = 1.166, 95% CI 1.017-1.337, p = 0.002) model. Stratified analysis showed that rs739837 and rs2228570 were, respectively, correlated with T2DM in females and males. Significant associations were found between three SNPs and T2DM in the population <55 years of age. SNPs (rs739837, rs11574129) showed significant associations with T2DM in the smoking population. Quantitative trait analysis indicated that the CC group of rs2228570 has lower fasting glucose than TT/TC genotype group in controls.

CONCLUSIONS

This study provides further evidence that rs739837 in the VDR gene is associated with increased risk of T2DM in a Chinese Han population.

摘要

背景与目的

我们在中国汉族人群中研究了维生素D受体(VDR)基因多态性对2型糖尿病(T2DM)风险的影响。

方法

在一项病例对照研究中,采用TaqMan分析法对三个标签单核苷酸多态性(tagSNPs,rs11574129、rs2228570和rs739837)进行基因分型,该研究包括669例T2DM患者、1084例空腹血糖受损(IFG)个体和1961例空腹血糖正常的对照者。应用多因素logistic回归分析,通过调整年龄、性别、体重指数(BMI)和吸烟等协变量,分析单核苷酸多态性与糖尿病风险的关联。应用一般线性模型(GLM)比较不同基因型之间的空腹血糖水平,并对混杂因素进行校正。

结果

结果显示,在加性模型(比值比[OR]=1.166,95%可信区间[CI]1.017 - 1.337,p = 0.028)和显性模型(OR = 1.166,95% CI 1.017 - 1.337,p = 0.002)中,rs739837与T2DM风险增加显著相关。分层分析显示,rs739837和rs2228570分别与女性和男性的T2DM相关。在年龄<55岁的人群中,发现三个单核苷酸多态性与T2DM之间存在显著关联。在吸烟人群中,单核苷酸多态性(rs739837、rs11574129)与T2DM存在显著关联。定量性状分析表明,在对照者中,rs2228570的CC基因型组空腹血糖低于TT/TC基因型组。

结论

本研究进一步证明,VDR基因中的rs739837与中国汉族人群T2DM风险增加相关。

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