Ma Qian-Wen, Wu Hui-Hui, Liu Yi-Meng, Zhao Pu, Li Xiao-Yu, Wen Jie
Department of Endocrinology and Metabolism, Jing'an District Center Hospital of Shanghai, Fudan University, Shanghai 200040, China.
Department of Endocrinology and Metabolism, Huashan Hospital of Fudan University, Shanghai 200040, China.
World J Clin Cases. 2024 Jul 16;12(20):4256-4264. doi: 10.12998/wjcc.v12.i20.4256.
Dyslipidemia is a common complication in patients with diabetes mellitus (DM) that increases the risk of cardiovascular disease. Genetic polymorphisms have been implicated in the development of dyslipidemia.
To investigate the association between polymorphisms of candidate genes involved in lipid metabolism and dyslipidemia in Chinese patients with DM.
A cross-sectional study was conducted on 1098 Chinese patients with DM recruited from multiple healthcare centers. Demographic and clinical data were collected, and dyslipidemia was defined according to the National Cholesterol Education Program Adult Treatment Panel III guidelines. Genomic DNA was extracted from blood samples and genotyping for selected polymorphisms of candidate genes (, , , and others) was performed using PCR and DNA sequencing techniques. Statistical analyses were performed using logistic regression models adjusted for potential confounding factors.
The study population consisted of 578 males (52.6%) and 520 females (47.4%), with a mean age of 58.4 ± 12.2 years. The prevalence of dyslipidemia was 64.8%. Significant associations were found between dyslipidemia and the rs7412 T/T, rs429358 C/C, rs328 G/G, and rs708272 G/G genotypes after adjusting for covariates. Subgroup analyses showed generally consistent associations across subgroups, although some variations in effect sizes were observed.
This study identified significant associations between genetic polymorphisms of , , and genes and dyslipidemia in Chinese patients with DM.
血脂异常是糖尿病患者常见的并发症,会增加心血管疾病风险。基因多态性与血脂异常的发生有关。
探讨参与脂质代谢的候选基因多态性与中国糖尿病患者血脂异常之间的关联。
对从多个医疗中心招募的1098例中国糖尿病患者进行横断面研究。收集人口统计学和临床数据,根据美国国家胆固醇教育计划成人治疗小组第三次指南定义血脂异常。从血样中提取基因组DNA,使用聚合酶链反应(PCR)和DNA测序技术对候选基因(、、、等)的选定多态性进行基因分型。采用逻辑回归模型进行统计分析,并对潜在混杂因素进行校正。
研究人群包括578名男性(52.6%)和520名女性(47.4%),平均年龄为58.4±12.2岁。血脂异常患病率为64.8%。校正协变量后,发现血脂异常与rs7412 T/T、rs429358 C/C、rs328 G/G和rs708272 G/G基因型之间存在显著关联。亚组分析显示,各亚组之间的关联总体一致,尽管效应大小存在一些差异。
本研究确定了中国糖尿病患者、和基因的基因多态性与血脂异常之间存在显著关联。