Al Madhoun Ashraf
Department of Genetics and Bioinformatics, Dasman Diabetes Institute, Dasman 15400, Kuwait.
World J Diabetes. 2024 May 15;15(5):814-817. doi: 10.4239/wjd.v15.i5.814.
In this editorial, we comment on the article by Liu published in the recent issue of the (Relationship between GCKR gene rs780094 polymorphism and type 2 diabetes with albuminuria). Type 2 diabetes mellitus (T2DM) is a chronic disorder characterized by dysregulated glucose homeostasis. The persistent elevated blood glucose level in T2DM significantly increases the risk of developing severe complications, including cardiovascular disease, re-tinopathy, neuropathy, and nephropathy. T2DM arises from a complex interplay between genetic, epigenetic, and environmental factors. Global genomic studies have identified numerous genetic variations associated with an increased risk of T2DM. Specifically, variations within the glucokinase regulatory protein (GCKR) gene have been linked to heightened susceptibility to T2DM and its associated complications. The clinical trial by Liu further elucidates the role of the GCKR rs780094 polymorphism in T2DM and nephropathy development. Their findings demonstrate that individuals carrying the CT or TT genotype at the GCKR rs780094 locus are at a higher risk of developing T2DM with albuminuria compared to those with the CC genotype. These findings highlight the importance of genetic testing and risk assessment in T2DM to develop effective preventive strategies and personalized treatment plans.
在这篇社论中,我们对刘发表在最近一期《(GCKR基因rs780094多态性与2型糖尿病合并蛋白尿的关系)》上的文章进行评论。2型糖尿病(T2DM)是一种以葡萄糖稳态失调为特征的慢性疾病。T2DM患者持续升高的血糖水平显著增加了发生严重并发症的风险,包括心血管疾病、视网膜病变、神经病变和肾病。T2DM源于遗传、表观遗传和环境因素之间的复杂相互作用。全球基因组研究已经确定了许多与T2DM风险增加相关的基因变异。具体而言,葡萄糖激酶调节蛋白(GCKR)基因内的变异与T2DM及其相关并发症的易感性增加有关。刘的临床试验进一步阐明了GCKR rs780094多态性在T2DM和肾病发展中的作用。他们的研究结果表明,与携带CC基因型的个体相比,在GCKR rs780094位点携带CT或TT基因型的个体发生T2DM合并蛋白尿的风险更高。这些发现凸显了在T2DM中进行基因检测和风险评估对于制定有效的预防策略和个性化治疗方案的重要性。