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墨西哥裔人群中核基因和线粒体基因变异与2型糖尿病及其微血管合并症的关系。

Relationship of nuclear and mitochondrial variants with type 2 diabetes and its microvascular comorbidities in a population of Mexican origin.

作者信息

Muñoz-Gómez Ricardo, Cruz Eduardo Domínguez-de la, Oropeza-Sánchez Rubén, Chacón-Hernández Juan E, García-Hernández Normand, Muñoz Ma de Lourdes

机构信息

Departamento de Genética y Biología Molecular, Centro de Investigación y de Estudios Avanzados, Instituto Politécnico Nacional.

Unidad de Investigación Médica en Genética Humana, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. Mexico City, Mexico.

出版信息

Gac Med Mex. 2025;161(1):48-65. doi: 10.24875/GMM.M25000979.

Abstract

Type 2 diabetes mellitus (T2DM), diabetic nephropathy, retinopathy, and neuropathy represent significant public health challenges in Mexico. The multifactorial nature of these conditions, influenced by both environmental and genetic factors, underscores the complexity of their development. Therefore, it is essential to design new preventive strategies to reduce mortality rates and the substantial economic burden they impose. This review examines genetic variants associated with these pathologies, aiming to establish genetic profiles that explain predisposition in the Mexican population. An extensive search of scientific publications was conducted, selecting studies on nuclear DNA and mitochondrial DNA variants associated with these diseases in different global populations, with a focus on Mexico. Among these variants, genes with critical molecular mechanisms for disease development and progression were identified. Additionally, genetic variants unique to the Mexican population were found. Based on this review, we conclude that increasing genetic association studies is crucial to validate previously described variants and identify new ones, which could serve as molecular markers for predisposition and progression in the Mexican population.

摘要

2型糖尿病(T2DM)、糖尿病肾病、视网膜病变和神经病变是墨西哥面临的重大公共卫生挑战。这些疾病受环境和遗传因素影响,具有多因素性质,凸显了其发展的复杂性。因此,设计新的预防策略以降低死亡率及其带来的巨大经济负担至关重要。本综述研究了与这些病理相关的基因变异,旨在建立能够解释墨西哥人群易感性的基因图谱。我们广泛检索了科学出版物,选取了关于不同全球人群中与这些疾病相关的核DNA和线粒体DNA变异的研究,重点是墨西哥人群。在这些变异中,鉴定出了对疾病发展和进展具有关键分子机制的基因。此外,还发现了墨西哥人群特有的基因变异。基于本综述,我们得出结论,增加基因关联研究对于验证先前描述的变异并识别新的变异至关重要,这些新变异可作为墨西哥人群易感性和疾病进展的分子标记。

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