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邹丽媛, 林可意, 谢莉萍, 等. 中国汉族人群CAV1/CAV2基因多态性与2型糖尿病的关系[J]. 中山大学学报(医学科学版), 2018,39(2).
Association of Polymorphisms in CAV1/CAV2 Locus with Type 2 Diabetes in Chinese Han Population[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).
: 【目的】研究中国汉族人群微囊蛋白-1/-2(caveolin-1/-2)的编码基因CAV1/CAV2单核苷酸多态性 (SNP)与2型糖尿病(T2DM)的相关性。【方法】应用基质辅助激光解吸电离飞行时间质谱(MALDI-TOF-MS)方 法对559例汉族人(T2DM组272例、对照组287例)CAV1/CAV2基因座的14个SNPs位点进行基因分型;同时进行 人体测量学及代谢指标的检测,并用稳态模型评估胰岛素抵抗(HOMA-IR)和胰岛β细胞功能(HOMA-β)。 【结果】CAV1基因rs926198、CAV2基因rs2270188、rs1052990位点的低频等位基因频率(MAF)在T2DM组和对照 组存在统计学差异(P=0.008、0.021、0.045)。Logistic回归分析校正年龄、性别、BMI因素,CAV1 rs926198位点CC/ CT基因型个体T2DM患病风险比TT型显著增加(OR=2.240,95%CI=1.415-3.544,P=0.001);CAV1 rs3807986位点 GG/GA基因型比AA型患T2DM风险降低(OR=0.640,95%CI=0.449-0.913,P=0.014);CAV2 rs2270188位点GG/GT 基因型携带者较之TT基因型T2DM患病风险明显降低(OR=0.616,95%CI=0.432-0.878,P=0.007);CAV2 rs1052990 位点GG/GT基因型比TT型患T2DM风险亦降低(OR=0.658,95%CI=0.453-0.956,P=0.028)。多元线性回归显示 CAV1 SNP rs926198低频等位基因C与HOMA-IR增高相关(beta=1.010,P<0.001);CAV2 SNP rs2270188 低频等位 基因G与HOMA-IR降低相关(beta=-0.379,P=0.023);未发现SNP位点与HOMA-β存在统计学相关性(P>0.05)。 CAV1 rs3807986 和 CAV2 rs2270188 位点低频等位基因 G 与血清 LDL-C 水平降低相关(rs3807996:P=0.033, beta=-0.271;rs2270188:P=0.030,beta=-0.299)。【结论】CAV1/CAV2基因可能是中国汉族人2型糖尿病的易感基 因,其SNP rs926198、rs3807986、rs2270188、rs1052990与T2DM患病风险相关,可能通过胰岛素抵抗影响T2DM易 感性。
【Objective】To study the association of CAV1/CAV2 gene polymorphisms with type 2 diabetes in Chinese Han population.【Methods】14 single nucleotide polymorphisms(SNPs)of CAV1/CAV2 gene were genotyped in 272 pa? tients with type 2 diabetes mellitus(T2DM group)and 287 subjects with normal glucose tolerance(control group)by ma? trix-assisted laser desorption ionization-time of flight-mass spectrometry(MALDI-TOF-MS). Waist circumference,body mass index,plasma glucose,serum insulin and lipid profiles were measured.Homeostatic model assessment of insulin resis? tance(HOMA-IR)and β-cell function(HOMA-β)were calculated.【Results】The minor allele frequency(MAF)distri?butions of CAV1 rs926198,CAV2 rs2270188,and rs1052990 were significantly different between T2DM group and con? trol group(P=0.008,0.021,and 0.045,respectively). After adjusting for age,gender,and BMI,logistic regression analysis showed that minor allele carriers(CC/CT genotype)of CAV1 rs926198 displayed a particularly increased risk of developing T2DM compared to major allele homozygotes(TT genotype)(OR=2.240,95%CI=1.415-3.544,P=0.001). GG/GA genotype carriers of CAV1 rs3807986 had lower odds for T2DM than that of AA genotype(OR=0.640,95%CI= 0.449-0.913,P=0.014). Compared with TT genotype,GG/GT genotype of CAV2 rs2270188 was a protective factor for T2DM(OR=0.616,95%CI=0.432-0.878,P=0.007). Significant genotype association with T2DM was also identified in CAV2 rs1052990(GG/GT versus TT genotype:OR=0.658,95%CI=0.453-0.956,P=0.028). Multiple linear regression showed that minor allele C of SNP rs926198 was associated with an increased level of HOMA-IR(beta=1.010,P<0.001) and minor allele G of SNP rs2270188 was associated with a decreased level of HOMA-IR(beta=-0.379,P=0.023). No significant association was identified between any SNP and HOMA-β. Allele G of CAV1 rs3807986 and CAV2 rs2270188 were also associated with a decreased level of LDL-C(P=0.033 and 0.030,respectively).【Conclusion】CAV1/CAV2 locus might be the candidate genes for conferring susceptibility to T2DM in the Chinese Han population.SNP rs926198, rs3807986,rs2270188,and rs1052990 in CAV1/CAV2 locus were associated with T2DM risk perhaps through insulin resistance pathway.
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