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遗传变异与空腹血糖、餐后 2 小时血糖、糖化血红蛋白和糖尿病前期的 BMI 有关。

Genetic Variants Relate to Fasting Plasma Glucose, 2-Hour Postprandial Glucose, Glycosylated Hemoglobin, and BMI in Prediabetes.

机构信息

Department of Endocrinology, Hainan General Hospital,Hainan Affiliated Hospital of Hainan Medical University, Haikou, China.

出版信息

Front Endocrinol (Lausanne). 2022 Mar 1;13:778069. doi: 10.3389/fendo.2022.778069. eCollection 2022.

Abstract

Diabetes mellitus (DM) is a chronic disease that seriously threatens human health. Prediabetes is a stage in the progression of DM. The level of clinical indicators including fasting plasma glucose (FPG), 2-h postprandial glucose (2hPG), and glycosylated hemoglobin (HbA1C) are the diagnostic markers of diabetes. In this genome-wide association study (GWAS), we aimed to investigate the association of genetic variants with these phenotypes in Hainan prediabetes. In this study, we recruited 451 prediabetes patients from the residents aged ≥18 years who participated in the National Diabetes Prevalence Survey of the Chinese Medical Association in 2017. The GWAS of FPG, 2hPG, HbA1C, and body mass index (BMI) in prediabetes was analyzed with a linear model using an additive genetic model with adjustment for age and sex. We identified that rs13052524 in and rs62212118 in were associated with 2hPG in Hainan prediabetes ( = 4.35 × 10, = 4.05 × 10, respectively). Another six variants in the four genes (, , , and ) were related to HbA1C. Moreover, rs11142842, rs1891298, rs1891299, and rs11142843 in and rs78432036 in were correlated to BMI (all < 5 × 10). This study is the first to determine the genome-wide association of FPG, 2hPG, and HbA1C, which emphasizes the importance of in-depth understanding of the phenotypes of high-value susceptibility gene markers in the diagnosis of prediabetes.

摘要

糖尿病(DM)是一种严重威胁人类健康的慢性疾病。糖尿病前期是 DM 进展的一个阶段。空腹血糖(FPG)、餐后 2 小时血糖(2hPG)和糖化血红蛋白(HbA1C)等临床指标水平是糖尿病的诊断标志物。在这项全基因组关联研究(GWAS)中,我们旨在研究遗传变异与海南糖尿病前期这些表型的相关性。在这项研究中,我们招募了 451 名年龄≥18 岁的居民,这些居民参加了 2017 年中国医学会全国糖尿病患病率调查。采用线性模型,用加性遗传模型,通过调整年龄和性别,对 FPG、2hPG、HbA1C 和体重指数(BMI)进行 GWAS 分析。我们发现 位于 上的 rs13052524 和位于 上的 rs62212118 与海南糖尿病前期的 2hPG 相关( = 4.35 × 10 , = 4.05 × 10 ,分别)。四个基因( 、 、 、 )中的另外六个变体与 HbA1C 相关。此外,位于 上的 rs11142842、rs1891298、rs1891299 和 rs11142843 以及位于 上的 rs78432036 与 BMI 相关(所有 均<5 × 10 )。本研究首次确定了 FPG、2hPG 和 HbA1C 的全基因组关联,强调了深入了解糖尿病前期高价值易感基因标志物表型的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b0/8923657/1d5a564086eb/fendo-13-778069-g001.jpg

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