de Luis Román Daniel Antonio, Primo David, Aller Rocio, Izaola Olatz
Hospital Universitario de Valladolid.
Hospital Clínico Universitario.
Nutr Hosp. 2019 Mar 7;36(1):60-65. doi: 10.20960/nh.2013.
Background and objectives: the aim of the present investigation was to describe the association of this single nucleotide polymorphism (SNP) with fasting glucose levels, serum adipokine levels and diabetes mellitus. Methods: the study involved a population of 1,002 adult obese subjects. Measurements of anthropometric parameters, blood pressure, fasting blood glucose, C-reactive protein (CRP), insulin concentration, insulin resistance (HOMA-IR), HOMA-B, lipid profi le and adipocytokines levels were performed. Genotype of MTNR1B gene polymorphism (rs10830963) was evaluated. Results: fasting glucose levels (GG: 101.5 ± 19.1 mg/dl vs GT: 103.5 ± 8.1 units vs TT: 107.2 ± 8.0 mg/dl; p = 0.01) and HOMA-IR (GG: 3.1 ± 1.6 units vs GT: 3.4 ± 1.1 units vs TT: 3.7 ± 1.0 units; p = 0.02) were higher in subjects with GG genotype than in other genotypes. Total adiponectin levels (CC: 20.5 ± 8.4 ng/dl vs CG: 21.8 ± 5.4 ng/dl vs GG: 15.4 ± 1.4 ng/dl; p = 0.02) and HOMA-B (CC: 2.3 ± 0.8 units vs CG: 2.2 ± 1.1 units vs GG: 1.9 ± 0.9 units; p = 0.01) were lower in subjects with GG genotype than GC or CC genotypes. Logistic regression analysis showed an increased risk of hyperglicemia (OR = 1.31, 95% CI = 1.12-2.78, p = 0.03) and diabetes mellitus (OR = 1.37, 95% CI = 1.14-2.86, p = 0.04). Conclusions: this study showed that the MTNR1B rs10830963 polymorphism was associated with increased fasting glucose levels, HOMA-IR, and risk of DM2. This SNP was associated with decreased adiponectin levels and HOMA-B.
本研究旨在描述这种单核苷酸多态性(SNP)与空腹血糖水平、血清脂肪因子水平及糖尿病之间的关联。方法:该研究纳入了1002名成年肥胖受试者。对人体测量参数、血压、空腹血糖、C反应蛋白(CRP)、胰岛素浓度、胰岛素抵抗(HOMA-IR)、HOMA-B、血脂谱及脂肪因子水平进行了测量。评估了MTNR1B基因多态性(rs10830963)的基因型。结果:GG基因型受试者的空腹血糖水平(GG:101.5±19.1mg/dl,GT:103.5±8.1mg/dl,TT:107.2±8.0mg/dl;p=0.01)和HOMA-IR(GG:3.1±1.6,GT:3.4±1.1,TT:3.7±1.0;p=0.02)高于其他基因型。GG基因型受试者的总脂联素水平(CC:20.5±8.4ng/dl,CG:21.8±5.4ng/dl,GG:15.4±1.4ng/dl;p=0.02)和HOMA-B(CC:2.3±0.8,CG:2.2±1.1,GG:1.9±0.9;p=0.01)低于GC或CC基因型。逻辑回归分析显示高血糖风险增加(OR=1.31,95%CI=1.12-2.78,p=0.03)和糖尿病风险增加(OR=1.37,95%CI=1.14-2.86,p=0.04)。结论:本研究表明MTNR1B rs10830963多态性与空腹血糖水平升高、HOMA-IR及2型糖尿病风险增加有关。该SNP与脂联素水平降低和HOMA-B降低有关。