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RPS26 基因多态性与中国人不同类型糖尿病的关联。

Association of RPS26 gene polymorphism with different types of diabetes in Chinese individuals.

机构信息

National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology (Central South University), Ministry of Education, and Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

出版信息

J Diabetes Investig. 2024 Jan;15(1):34-43. doi: 10.1111/jdi.14117. Epub 2023 Dec 2.

Abstract

AIMS/INTRODUCTION: Different types of diabetes show distinct genetic characteristics, but the specific genetic susceptibility factors remain unclear. Our study aimed to explore the associations between the ribosomal protein S26 (RPS26) gene rs1131017 polymorphisms and susceptibility to type 1 diabetes mellitus, latent autoimmune diabetes in adults (LADA) and type 2 diabetes mellitus in the Chinese Han population, and their correlations with clinical features.

MATERIALS AND METHODS

Genotyping of the rs1131017 variant was carried out for 1,006 type 1 diabetes mellitus patients, 210 LADA patients, 642 type 2 diabetes mellitus patients and 2,099 control individuals.

RESULTS

We found that the rs1131017 C allele was a risk locus for both type 1 diabetes mellitus and LADA (odds ratio [OR] 1.50, 95% confidence interval [CI] 1.33-1.69, P < 0.001; OR 1.31, 95% CI 1.04-1.64, P = 0.021, respectively). Nevertheless, this association was not found for type 2 diabetes mellitus. Carrying the C allele genotype was associated with a lower postprandial C-peptide for type 1 diabetes mellitus (OR 1.41, 95% CI 1.11-1.80, P = 0.006) and lower fasting C-peptide for LADA (OR 1.55, 95% CI 1.01-2.38, P = 0.047). Interestingly, a lower GC frequency was noted for LADA than for type 1 diabetes mellitus, regardless of classification based on age at diagnosis, C-peptide or glutamic acid decarboxylase antibody positivity.

CONCLUSIONS

The RPS26 polymorphism was associated with susceptibility and clinical characteristics of type 1 diabetes mellitus and LADA in the Chinese population, but was not related to type 2 diabetes mellitus. Thus, it might serve as a novel biomarker for particular types of diabetes.

摘要

目的/引言:不同类型的糖尿病表现出不同的遗传特征,但具体的遗传易感性因素仍不清楚。本研究旨在探讨核糖体蛋白 S26(RPS26)基因 rs1131017 多态性与中国汉族人群 1 型糖尿病、成人隐匿性自身免疫性糖尿病(LADA)和 2 型糖尿病易感性的关系及其与临床特征的相关性。

材料和方法

对 1006 例 1 型糖尿病患者、210 例 LADA 患者、642 例 2 型糖尿病患者和 2099 例对照个体进行 rs1131017 变异的基因分型。

结果

我们发现 rs1131017 C 等位基因是 1 型糖尿病和 LADA 的风险位点(比值比 [OR] 1.50,95%置信区间 [CI] 1.33-1.69,P<0.001;OR 1.31,95%CI 1.04-1.64,P=0.021)。然而,这种关联在 2 型糖尿病中并未发现。携带 C 等位基因基因型与 1 型糖尿病患者的餐后 C 肽降低(OR 1.41,95%CI 1.11-1.80,P=0.006)和 LADA 患者的空腹 C 肽降低(OR 1.55,95%CI 1.01-2.38,P=0.047)有关。有趣的是,无论基于诊断时的年龄、C 肽或谷氨酸脱羧酶抗体阳性进行分类,LADA 的 GC 频率均低于 1 型糖尿病。

结论

在中国人群中,RPS26 多态性与 1 型糖尿病和 LADA 的易感性和临床特征相关,但与 2 型糖尿病无关。因此,它可能成为特定类型糖尿病的新型生物标志物。

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