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成年肥胖受试者中MTNR1B基因rs10830963多态性与空腹血糖、血清脂肪因子水平及代谢综合征组分的关联

Association of the rs10830963 polymorphism in MTNR1B with fasting glucose, serum adipokine levels and components of metabolic syndrome in adult obese subjects.

作者信息

de Luis Román Daniel Antonio, Primo David, Aller Rocio, Izaola Olatz

机构信息

Hospital Universitario de Valladolid.

Hospital Clínico Universitario.

出版信息

Nutr Hosp. 2019 Mar 7;36(1):60-65. doi: 10.20960/nh.2013.

Abstract

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.

摘要

背景与目的

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。

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