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中国汉族人群 2 型糖尿病患者基因多态性与糖尿病肾病风险的关系。

Association between and Gene Polymorphisms and the Risk of Diabetic Kidney Disease in Patients with Type 2 Diabetes in a Chinese Han Population.

机构信息

Beijing Key Lab for Immune-Mediated Inflammatory Diseases, Institute of Clinical Medical Science, China-Japan Friendship Hospital, Beijing, China.

Clinical Laboratory, China-Japan Friendship Hospital, Beijing, China.

出版信息

J Diabetes Res. 2018 May 9;2018:5068578. doi: 10.1155/2018/5068578. eCollection 2018.

Abstract

Single-nucleotide polymorphisms (SNPs) in gene regions have been reported to be associated with diabetic kidney disease (DKD) in the American population. We examined the association between polymorphisms in and DKD susceptibility in a Chinese Han population. rs3752462 (T>C) and rs136161 (C>G) were genotyped in 303 DKD patients and 364 type 2 diabetes mellitus (T2DM) patients without kidney disease using the TaqMan SNP genotyping assay. Chi-squared test and multivariate logistic regression were used to evaluate the association. We observed that only rs3752462 was associated with DKD (genotype, = 0.004; allele, = 0.002). Genetic model analysis revealed that rs3752462 was associated with increased risk of DKD under a dominant model adjusted by age and sex (adjusted odds ratio (aOR), 1.675; 95% CI 1.225-2.289; = 0.001) and an additive model (TC versus TT: aOR, 1.649; 95% CI 1.187-2.290; CC versus TT: aOR, 1.817; 95% CI 0.980-3.367; = 0.005). The combined effect of rs3752462 TC + rs136161 CC genotype showed an association of DKD adjusted by age and sex (aOR, 1.732; 95% CI 1.128-2.660; = 0.012). After a Holm-Bonferroni correction for multiple tests, the C allele frequencies of the rs3752462 and the TC + CC genotype in the dominant model were considered statistically significant with a markedly increased risk of DKD ( < 0.00208; < 0.002). Our results suggest that rs3752462 is significantly associated with an increased risk of DKD in Chinese Han individuals.

摘要

单核苷酸多态性(SNP)在基因区域中已被报道与美国人群中的糖尿病肾病(DKD)相关。我们在中国汉族人群中研究了 基因多态性与 DKD 易感性之间的关联。使用 TaqMan SNP 基因分型检测,在 303 例 DKD 患者和 364 例无肾病的 2 型糖尿病(T2DM)患者中检测了 rs3752462(T>C)和 rs136161(C>G)的多态性。卡方检验和多变量逻辑回归用于评估关联。我们发现仅 rs3752462 与 DKD 相关(基因型, = 0.004;等位基因, = 0.002)。遗传模型分析显示,rs3752462 与调整年龄和性别后的显性模型下的 DKD 风险增加相关(调整后的优势比(aOR),1.675;95%置信区间(CI)1.225-2.289; = 0.001)和加性模型(TC 与 TT:aOR,1.649;95%CI 1.187-2.290;CC 与 TT:aOR,1.817;95%CI 0.980-3.367; = 0.005)。rs3752462TC+rs136161CC 基因型的联合作用与调整年龄和性别后的 DKD 相关(aOR,1.732;95%CI 1.128-2.660; = 0.012)。在对多重检验进行 Holm-Bonferroni 校正后,显性模型中 rs3752462 的 C 等位基因频率和 TC+CC 基因型被认为与 DKD 的风险显著增加相关( < 0.00208; < 0.002)。我们的结果表明,rs3752462 在中国汉族个体中与 DKD 的风险增加显著相关。

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