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在 2 型糖尿病中的作用。

The Role of in Type 2 Diabetes.

机构信息

Laboratory of Nutrigenetics and Nutrigenomics, National Institute of Genomic Medicine, Mexico City, Mexico

Laboratory of Cell Communication and Extracellular Vesicles, National Institute of Genomic Medicine, Mexico City, Mexico.

出版信息

Diabetes. 2021 Jun;70(6):1220-1228. doi: 10.2337/db20-0573. Epub 2021 May 20.

Abstract

is the most potent locus for type 2 diabetes (T2D) risk and the first locus to have been robustly reported by genomic linkage studies. TCF7L2 is a transcription factor that forms a basic part of the Wnt signaling pathway. This gene has highly conserved sequence regions that correspond to functional domains. The association of with T2D is one of the most powerful genetically discovered in studies of complex diseases, as it has been consistently replicated in multiple populations with diverse genetic origins. The mechanisms over which TCF7L2 exerts its effect on T2D are still not well understood. In this article, we describe the main molecular mechanisms of how is related to T2D. variants associated with T2D risk exert an influence on the initial therapeutic success of the hypoglycemic oral agent sulfonylurea. Thus, it is important to know whether there are other variants associated with T2D that can influence treatment with oral hypoglycemic agents. Resequencing of the gene in diverse ethnic groups is required to reveal common and rare variations and their role in different pathologies and in adverse reactions to drugs. Identification of -susceptibility disease variants will permit, at a given moment, offering of therapies to patients according to their genotype.

摘要

是 2 型糖尿病(T2D)风险的最强基因座,也是第一个被基因组连锁研究强有力地报道的基因座。TCF7L2 是一种转录因子,它构成了 Wnt 信号通路的基本部分。该基因具有高度保守的序列区域,对应于功能域。与 T2D 的关联是复杂疾病研究中发现的最强大的遗传关联之一,因为它在具有不同遗传起源的多个群体中得到了一致的复制。TCF7L2 对 T2D 影响的机制仍未得到很好的理解。在本文中,我们描述了 与 T2D 相关的主要分子机制。与 T2D 风险相关的 变体对磺酰脲类降血糖口服药物的初始治疗成功有影响。因此,了解是否存在其他与 T2D 相关的 变体可以影响口服降糖药物的治疗非常重要。需要对不同种族的 基因进行重测序,以揭示常见和罕见的变异及其在不同病理和药物不良反应中的作用。鉴定 -易感性疾病变体将允许在给定时刻根据患者的基因型为患者提供治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2cd/8275893/e9960953d5e7/db200573f1.jpg

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