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解偶联蛋白2基因多态性对接受减肥手术的肥胖患者饮食摄入的作用。

Role of UCP2 polymorphisms on dietary intake of obese patients who underwent bariatric surgery.

作者信息

Nicoletti C F, Kimura B M, de Oliveira B A P, de Pinhel M A S, Salgado W, Marchini J S, Nonino C B

机构信息

Department of Internal Medicine, Faculty of Medicine of Ribeirao Preto, University of São Paulo, RibeirãoPreto, Brazil.

Department of Surgery and Anatomy, Faculty of Medicine of Ribeirao Preto, University of São Paulo, RibeirãoPreto, Brazil.

出版信息

Clin Obes. 2016 Oct;6(5):354-8. doi: 10.1111/cob.12148. Epub 2016 Jun 2.

Abstract

Uncoupling protein 2 ( UCP2 ) plays an important role in body weight and energy metabolism and may be related to the control of food consumption. This study aimed to investigate the contribution of UCP2 gene variants on the dietary intake on a population after bariatric surgery. This study enrolled 150 obese patients (body mass index ≥ 35kg m(-2) ) who submitted to Roux-en-Y gastric bypass. Weight (kg), BMI (kg m(-2) ), energy (kcal d(-1) ) and macronutrients intake (g d(-1) ) of preoperative and 1-year postoperative period were collected from medical records. Ala55Val and -866G>A polymorphisms in the UCP2 gene were genotyped through allelic discrimination method in real-time polymerase chain reaction using the TaqMan pre-designed SNP Genotyping Assays kits. Hardy-Weinberg equilibrium, t-test and regression models were performed in statistical analysis (P<0.05).We found an allelic frequency of 0.44 for allele Val and 0.41 for allele A. In the postoperative period, patients with at least one rare allele for polymorphisms and with at least one rare allele for both polymorphisms together (haplotype) present a greater energy and carbohydrate intake, even after adjusting for gender, age and weight. Genetic variants in UCP2 gene were associated with the dietary consumption after Roux-En-Y gastric bypass.

摘要

解偶联蛋白2(UCP2)在体重和能量代谢中起重要作用,可能与食物摄入量的控制有关。本研究旨在调查UCP2基因变异对减肥手术后人群饮食摄入的影响。本研究纳入了150例接受Roux-en-Y胃旁路手术的肥胖患者(体重指数≥35kg m(-2))。从医疗记录中收集术前和术后1年的体重(kg)、体重指数(kg m(-2))、能量(kcal d(-1))和常量营养素摄入量(g d(-1))。使用TaqMan预设计的SNP基因分型检测试剂盒,通过实时聚合酶链反应中的等位基因鉴别方法对UCP2基因中的Ala55Val和-866G>A多态性进行基因分型。统计分析采用Hardy-Weinberg平衡、t检验和回归模型(P<0.05)。我们发现Val等位基因的等位基因频率为0.44,A等位基因的等位基因频率为0.41。在术后阶段,即使在调整了性别、年龄和体重后,具有至少一个多态性罕见等位基因以及同时具有至少一个两种多态性罕见等位基因(单倍型)的患者的能量和碳水化合物摄入量更高。UCP2基因的遗传变异与Roux-En-Y胃旁路手术后的饮食消耗有关。

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