National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Int J Environ Res Public Health. 2020 Apr 3;17(7):2439. doi: 10.3390/ijerph17072439.
Genome-wide association studies (GWAS) have identified common variants for quantitative traits (insulin resistance and impaired insulin release) of type 2 diabetes (T2D) across different ethnics including China, but results were inconsistent. The study included 1654 subjects who were selected from the 2010-2012 China National Nutrition and Health Surveillance (CNNHS). Insulin resistance and impaired insulin release were assessed by homeostasis model assessment (HOMA). The study included 64 diabetes-related single nucleotide polymorphisms (SNPs), which were done using Mass ARRAY. A logistic regression model was employed to explore the associations of SNPs with insulin resistance and impaired insulin release by correcting for the confounders. The 5q11.2-rs4432842, RASGRP1-rs7403531, and SEC16B-rs574367 increased the risk of insulin resistance with OR = 1.23 (95% CI: 1.04-1.45, OR = 1.35 (95% CI: 1.13-1.62), OR = 1.34 (95% CI: 1.07-1.67), respectively, while MAEA-rs6815464 decreased the risk of insulin resistance (OR = 0.84, 95% CI: 0.71-1.00). CENTD2-rs1552224, TSPAN8-rs7961581 and ANK1-rs516946 was associated with increased risk of impaired insulin release with OR = 1.47 (95% CI: 1.09-1.99), OR = 1.25 (95% CI: 1.03-1.51), OR = 1.39 (95% CI: 1.07-1.81), respectively. Our findings would provide insight into the pathogenesis of individual SNPs and T2D.
全基因组关联研究(GWAS)已经在包括中国在内的不同种族中确定了 2 型糖尿病(T2D)的定量特征(胰岛素抵抗和胰岛素分泌受损)的常见变异。该研究纳入了 2010-2012 年中国国家营养与健康监测(CNNHS)中筛选的 1654 名受试者。胰岛素抵抗和胰岛素分泌受损通过稳态模型评估(HOMA)进行评估。研究纳入了 64 个与糖尿病相关的单核苷酸多态性(SNP),使用 Mass ARRAY 进行检测。采用逻辑回归模型校正混杂因素后,探讨 SNP 与胰岛素抵抗和胰岛素分泌受损的相关性。5q11.2-rs4432842、RASGRP1-rs7403531 和 SEC16B-rs574367 增加了胰岛素抵抗的风险,OR 值分别为 1.23(95%CI:1.04-1.45)、OR 值分别为 1.35(95%CI:1.13-1.62)和 OR 值分别为 1.34(95%CI:1.07-1.67),而 MAEA-rs6815464 降低了胰岛素抵抗的风险(OR=0.84,95%CI:0.71-1.00)。CENTD2-rs1552224、TSPAN8-rs7961581 和 ANK1-rs516946 与胰岛素分泌受损的风险增加相关,OR 值分别为 1.47(95%CI:1.09-1.99)、OR 值分别为 1.25(95%CI:1.03-1.51)和 OR 值分别为 1.39(95%CI:1.07-1.81)。本研究结果为个体 SNP 和 T2D 的发病机制提供了新的见解。