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伊朗非糖尿病和非酒精性脂肪肝患者中脂联素+276 G>T基因多态性不同基因型的代谢参数和营养摄入的主要成分

Major Components of Metabolic Parameters and Nutritional Intakes in Different Genotypes of Adiponectin +276 G>T Gene Polymorphism in Non-Diabetes and Non-Alcoholic Iranian Fatty Liver Patients.

作者信息

Mohseni Fatemeh, Moghbelinejad Sahar, Najafipour Reza

机构信息

Cellular and Molecular Research Center of Qazvin University of Medical Science, Qazvin, Iran.

出版信息

Avicenna J Med Biotechnol. 2017 Jul-Sep;9(3):155-161.

Abstract

BACKGROUND

Genetic and environmental factors are both involved in the etiology of Non-Alcoholic Fatty Liver Disease (NAFLD). Among the genetic factors, certain polymorphisms of adiponectin gene are associated with NAFLD. In the current study, we investigated the association between metabolic parameters with different genotypes of adiponectin +276 G>T polymorphism among the Iranian NAFLD patients, and the effect of nutritional intake with development of NAFLD.

METHODS

In this study, 75 patients with NAFLD and 76 healthy individuals were enrolled. Dietary intakes were assessed using a semi-quantitative Food-Frequency Questionnaire (FFQ). Body Mass Index (BMI) and Waist to Hip Ratio (WHR) were calculated. Biochemical assays including FSG (Fasting Serum Glucose), liver enzymes, lipid profiles, Malondialdehyde, insulin resistance and Total Antioxidant Capacity (TAC) were measured after 12 fasting. Gene polymorphism study was done by using of sequencing method.

RESULTS

Although, T allele frequency was more prevalent in patients with NAFLD than control, adiponectin +276 G>T polymorphism was not associated with risk of NAFLD. Among the metabolic parameters, TAC in TT genotype was significantly lower 1.44(0.69 to 2.81) p>0.05, AST in GT, GG genotypes, and ALT in all three genotypes were higher in NAFLD patients in compared to healthy subjects (p<0.05). Patients with GT genotype have significantly lower fat consumption and vitamin E intake as compared to control group with the same genotype (p<0.05).

CONCLUSION

In this study, we showed the association of different genotypes of +276 G>T polymorphism in adiponectin gene with some metabolic parameters.

摘要

背景

遗传和环境因素均参与非酒精性脂肪性肝病(NAFLD)的病因。在遗传因素中,脂联素基因的某些多态性与NAFLD相关。在本研究中,我们调查了伊朗NAFLD患者中脂联素+276 G>T多态性的不同基因型与代谢参数之间的关联,以及营养摄入对NAFLD发生发展的影响。

方法

本研究纳入了75例NAFLD患者和76例健康个体。使用半定量食物频率问卷(FFQ)评估饮食摄入量。计算体重指数(BMI)和腰臀比(WHR)。在禁食12小时后测量包括空腹血糖(FSG)、肝酶、血脂谱、丙二醛、胰岛素抵抗和总抗氧化能力(TAC)在内的生化指标。采用测序方法进行基因多态性研究。

结果

虽然NAFLD患者中T等位基因频率比对照组更普遍,但脂联素+276 G>T多态性与NAFLD风险无关。在代谢参数中,TT基因型的TAC显著较低,为1.44(0.69至2.81),p>0.05;与健康受试者相比,NAFLD患者中GT、GG基因型的AST以及所有三种基因型的ALT均较高(p<0.05)。与相同基因型的对照组相比,GT基因型患者的脂肪消耗量和维生素E摄入量显著较低(p<0.05)。

结论

在本研究中,我们显示了脂联素基因+276 G>T多态性的不同基因型与一些代谢参数之间的关联。

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