Department of Endocrinology, The Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.
J Diabetes Investig. 2016 Nov;7(6):853-859. doi: 10.1111/jdi.12535. Epub 2016 Jun 23.
AIMS/INTRODUCTION: To investigate the association between two single nucleotide polymorphisms (SNPs; rs3774261 and rs822393) in the ADIPOQ gene and type 2 diabetes mellitus in Han Chinese from northeast China.
The present study comprised 993 type 2 diabetes mellitus patients and 966 unrelated controls from northeastern China. Two SNPs were sequenced using SNPscan. The distribution of genotype frequencies of the two SNPs in ADIPOQ between cases and controls, and in subgroups stratified based on body mass index, were compared using logistic regression analysis. Linear regression was used to analyze the association between each SNP and clinical indicators.
The GG genotype of rs3774261 increased the risk of type 2 diabetes mellitus compared with the AA genotype in participants with a body mass index <24 (P = 0.021; odds ratio 1.636, 95% CI 1.708-2.484). Rs822393 was correlated with glycosylated hemoglobin (P = 0.043) in controls. Rs3774261 had an association with diastolic blood pressure (P = 0.017) in controls, and in controls with a body mass index <24; rs3774261 also had an association with both systolic blood pressure (P = 0.025) and diastolic blood pressure (P = 0.043).
The present results confirm the association between ADIPOQ variants and type 2 diabetes mellitus in northeastern China. However, additional larger replication studies are required to validate these findings.
目的/引言:本研究旨在探讨中国东北地区汉族人群中 ADIPOQ 基因的两个单核苷酸多态性(SNP;rs3774261 和 rs822393)与 2 型糖尿病之间的关联。
本研究纳入了 993 例来自中国东北地区的 2 型糖尿病患者和 966 名无关对照。使用 SNPscan 对两个 SNP 进行测序。采用逻辑回归分析比较了 ADIPOQ 中两个 SNP 的基因型频率在病例组和对照组之间以及基于体重指数分层的亚组中的分布。采用线性回归分析来分析每个 SNP 与临床指标之间的关系。
在体重指数<24 的参与者中,与 AA 基因型相比,rs3774261 的 GG 基因型增加了 2 型糖尿病的风险(P = 0.021;比值比 1.636,95%可信区间 1.708-2.484)。rs822393 与对照组的糖化血红蛋白相关(P = 0.043)。rs3774261 与对照组的舒张压(P = 0.017)相关,在体重指数<24 的对照组中,rs3774261 还与收缩压(P = 0.025)和舒张压(P = 0.043)相关。
本研究结果证实了 ADIPOQ 变异与中国东北地区 2 型糖尿病之间的关联。然而,需要进一步进行更大规模的复制研究来验证这些发现。