Departments of Medical Biology, Başkent University Faculty of Medicine, Ankara.
Department of Biostatistics, İstanbul Aydın University, Faculty of Medicine, İstanbul, Turkey.
Turk J Pediatr. 2020;62(6):921-929. doi: 10.24953/turkjped.2020.06.003.
Mitochondrial uncoupling proteins (UCP) 1, 2 and 3 are members of the anion carrier protein family located in the inner mitochondrial membrane. There are various controversial reports on UCP genotypes and obesity in adults and children. This study aims to investigate the link between mostly studied UCP polymorphisms (UCP1-3826A/G, UCP2 Insertion/Deletion (Ins/Del) polymorphism of exon 8, and UCP3-55C/T Polymorphisms) and obesity in Turkish children. Furthermore, the relationships of UCP polymorphisms are also analyzed within the scope of metabolic parameters of obese children.
Molecular screening of the UCP1, UCP2, and UCP3 gene polymorphisms was carried out in 189 children aged 6 to 18 years, 102 of who had exogenous obesity (54 girls) and 87 of whom were healthy controls (48 girls). In the obese group, fasting lipids, glucose and insulin levels were measured. In 60 obese children, an oral glucose tolerance test (OGTT) was performed with 0, 30, 60, 90 and 120 minutes of sampling for plasma glucose and insulin levels.
The frequency of UCP polymorphisms was similar in obese and non-obese children. In obese children, fasting lipids, glucose and insulin levels were not different among the UCP 1, 2 and 3 genotypes. While no relationship was found between the UCP 1 and 3 genotypes and glucose/insulin levels during OGTT, carriers of the Insertion allele with UCP2 Ins/Del polymorphism had significantly higher 30-minute insulin levels (p=0.018).
Polymorphisms of the UCP1-3826A/G, UCP2 Ins/Del, and UCP3-55C/T are not associated with obesity and related pathologies in Turkish children. However, the presence of the Ins allele of the UCP2 gene has been found to have an unfavorable influence on early insulin excursion after glucose loading.
线粒体解偶联蛋白(UCP)1、2 和 3 是位于线粒体内膜的阴离子载体蛋白家族的成员。关于 UCP 基因型与成人和儿童肥胖之间的关系存在各种有争议的报告。本研究旨在探讨在土耳其儿童中,最常研究的 UCP 多态性(UCP1-3826A/G、UCP2 外显子 8 的插入/缺失(Ins/Del)多态性和 UCP3-55C/T 多态性)与肥胖之间的联系。此外,还分析了 UCP 多态性在肥胖儿童代谢参数范围内的关系。
对 189 名 6 至 18 岁的儿童进行 UCP1、UCP2 和 UCP3 基因多态性的分子筛查,其中 102 名患有外源性肥胖(54 名女孩),87 名健康对照(48 名女孩)。在肥胖组中,测量空腹血脂、血糖和胰岛素水平。在 60 名肥胖儿童中,进行口服葡萄糖耐量试验(OGTT),在 0、30、60、90 和 120 分钟时取样,测量血浆葡萄糖和胰岛素水平。
UCP 多态性在肥胖和非肥胖儿童中的频率相似。在肥胖儿童中,UCP1、2 和 3 基因型之间的空腹血脂、血糖和胰岛素水平没有差异。虽然 UCP1 和 3 基因型与 OGTT 期间的血糖/胰岛素水平之间没有发现关系,但 UCP2Ins/Del 多态性插入等位基因的携带者具有显著更高的 30 分钟胰岛素水平(p=0.018)。
在土耳其儿童中,UCP1-3826A/G、UCP2Ins/Del 和 UCP3-55C/T 多态性与肥胖及相关病理无关。然而,UCP2 基因的 Ins 等位基因的存在已被发现对葡萄糖负荷后早期胰岛素波动有不利影响。