Department of Endocrinology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, China.
Endocrine. 2024 Jun;84(3):1154-1163. doi: 10.1007/s12020-024-03694-7. Epub 2024 Jan 30.
Diabetes mellitus has been a significant public health problem, associated with high rates of morbidity, disability, and mortality. Prediabetes is a crucial period for preventing and managing diabetes. 25(OH)D3 is an important risk factor for prediabetes. However, there is limited genetic knowledge of 25(OH)D3 in the Chinese population. This study was designed to identify genetic variants associated with 25(OH)D3 and explore the potential pathogenesis of prediabetes.
In this study, 451 individuals with prediabetes were recruited to determine the genetic variants associated with 25(OH)D3 through a genome-wide association study (GWAS). Gene mapping and overrepresentation analysis (ORA) were further performed to explore the candidate genes and their biological mechanisms.
In this study, we identified two independent significant loci (rs9457733 and rs11243373, p < 5 × 10 and r < 0.6) and 37 candidate genes associated with 25(OH)D3 in prediabetes. Furthermore, the ORA analysis revealed that two genes in the gene sets, SLC22A1 and SLC22A3, were found to be significantly enriched in monoamine transmembrane transporter activity and quaternary ammonium group transmembrane transporter activity, as determined by WebGestalt and g:Profiler (p < 0.05).
The identification of potential genes associated with 25(OH)D3 provides a foundation for a better understanding of the pathogenesis, diagnosis, and treatment of prediabetes.
糖尿病是一个重大的公共卫生问题,与高发病率、残疾率和死亡率有关。糖尿病前期是预防和管理糖尿病的关键时期。25(OH)D3 是糖尿病前期的一个重要危险因素。然而,中国人群中关于 25(OH)D3 的遗传知识有限。本研究旨在确定与 25(OH)D3 相关的遗传变异,并探讨糖尿病前期的潜在发病机制。
本研究纳入了 451 名糖尿病前期患者,通过全基因组关联研究(GWAS)确定与 25(OH)D3 相关的遗传变异。进一步进行基因图谱和过度表达分析(ORA),以探讨候选基因及其生物学机制。
本研究确定了两个独立的显著位点(rs9457733 和 rs11243373,p<5×10 和 r<0.6)和 37 个与糖尿病前期 25(OH)D3 相关的候选基因。此外,ORA 分析显示,基因集内的两个基因 SLC22A1 和 SLC22A3 在单胺跨膜转运体活性和季铵基团跨膜转运体活性中显著富集,这是通过 WebGestalt 和 g:Profiler 确定的(p<0.05)。
鉴定出与 25(OH)D3 相关的潜在基因,为更好地理解糖尿病前期的发病机制、诊断和治疗提供了基础。