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儿童期 BMI 变化、TXNIP 处 DNA 甲基化变化与中年期血糖变化。

BMI change during childhood, DNA methylation change at TXNIP, and glucose change during midlife.

机构信息

Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.

Obstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Obesity (Silver Spring). 2023 Aug;31(8):2150-2158. doi: 10.1002/oby.23806. Epub 2023 Jul 6.

Abstract

OBJECTIVE

This study investigated whether changes in DNA methylation (DNAm) at TXNIP are associated with glycemic changes and whether such an association differs with early-life adiposity changes.

METHODS

A total of 594 Bogalusa Heart Study participants who had blood DNAm measurements at two time points in midlife were included. Of them, 353 participants had at least four BMI measurements during childhood and adolescence. The incremental area under the curve was calculated as a measure of long-term trends of BMI during childhood and adolescence.

RESULTS

Increase in DNAm at TXNIP was significantly associated with decrease in fasting plasma glucose (FPG) independent of covariates (p < 0.001). The study found that the strength of this relationship was significantly modified by a trend of increasing BMI during childhood and adolescence (p-interaction = 0.003). Each 1% increase in DNAm at TXNIP was associated with a 2.90- (0.77) mg/dL decrease in FPG among participants with the highest tertile of BMI incremental area under the curve and a 0.96- (0.38) mg/dL decrease among those with the middle tertile, whereas no association was observed among participants with the lowest tertile.

CONCLUSIONS

These results indicate that changes in blood DNAm at TXNIP are significantly associated with changes in FPG in midlife, and this association was modified by BMI trends during childhood and adolescence.

摘要

目的

本研究旨在探讨 TXNIP 基因的 DNA 甲基化(DNAm)变化是否与血糖变化相关,以及这种关联是否因生命早期的肥胖变化而有所不同。

方法

共纳入 594 名博加卢萨心脏研究参与者,他们在中年时期有两次血液 DNAm 测量值。其中,353 名参与者在儿童和青少年时期至少有四次 BMI 测量值。增量 AUC 被计算为衡量儿童和青少年时期 BMI 长期趋势的指标。

结果

TXNIP 基因的 DNAm 增加与空腹血糖(FPG)的降低独立相关,不受协变量的影响(p<0.001)。研究发现,这种关系的强度与儿童和青少年时期 BMI 趋势的增加显著相关(p 交互=0.003)。TXNIP 基因的 DNAm 每增加 1%,与 BMI 增量 AUC 最高三分位的参与者的 FPG 降低 2.90-(0.77)mg/dL,与中间三分位的参与者的 FPG 降低 0.96-(0.38)mg/dL 相关,而在最低三分位的参与者中未观察到相关性。

结论

这些结果表明,TXNIP 基因的血液 DNAm 变化与中年时期的 FPG 变化显著相关,这种关联受儿童和青少年时期 BMI 趋势的调节。

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