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Association of GYS1 and β3-AR gene with postprandial hyperglycemia and ser um uric acid in type 2 diabetes mellitus
作者姓名:Wang G  Li Q  Niu T  Chen C  Xu X
作者单位:1. 北京大学第三医院内分泌科,北京,100083
2. The Program of Population Genetics, Harvard School of Public Health, Boston, MA 02115-6096, USA
摘    要:Objective To determine the relationships of Met416Val and XbaI polymorphism of muscle glycogen synthase (GYS1) gene and Trg64Arg variant of the β3-adrenergic-receptor (β3-AR) gene with type 2 diabetes mellitus (DM) and its intermediate phenotypes in the Chinese population. Methods Polymerase chain reaction-oligonucleotide ligation assay and restriction fragment length polymorphism assay were used to evaluate the GYS1 and β3-AR gene polymorphisms in 102 pairs of case-control Chinese spouses.Results Subjects with Met416Val variant had a significantly higher 2-hour post-glucose level than subjects without this variant had in diabetic group (P=0.032).The Met416Val polymorphism of GYS1 gene was not significantly associated with the risk of type 2 DM (adjusted OR=1.67; 95% CI: 0.73-3.81, P=0.223). Subjects with Trp64Arg variant had a significantly higher serum uric acid level than subjects without this variant had in diabetic group (P=0.034). The combination of BMI and Arg64 allele carrier of the β3-AR gene increased the diabetic risk over four-fold (adjusted OR=4.00; 95%CI: 1.53-10.45, P=0.005).Conclusions In the Chinese population, Met416Val polymorphism is identified in a subgroup of diabetic subjects with high 2-hour post-glucose.It will explain why some diabetic patients appear to be genetically predisposed to developing high postpradial glucose level.The presence of the Arg64 allele in the β3-AR gene may predispose patients to higher serum uric acid level.

关 键 词:muscle  glycogen  synthase  gene  β3-adrenergic-receptor  gene  type  2  diabetes  mellitus    postprandial  glucose  serum  uric  acid

Association of GYS1 and beta(3)-AR gene with postprandial hyperglycemia and serum uric acid in type 2 diabetes mellitus
Wang G,Li Q,Niu T,Chen C,Xu X.Association of GYS1 and beta(3)-AR gene with postprandial hyperglycemia and serum uric acid in type 2 diabetes mellitus[J].Chinese Medical Journal,2002,115(9):1308-1311.
Authors:Wang Guoying  Li Qiongfang  Niu Tianhua  Chen Changzhong  Xu Xiping
Institution:Department of Endocrinology, The Third Hospital of Beijing University, Beijing 100083, China;Department of Endocrinology, The Third Hospital of Beijing University, Beijing 100083, China;The Program of Population Genetics, Harvard School of Public Health, Boston, MA 02115-6096, USA;The Program of Population Genetics, Harvard School of Public Health, Boston, MA 02115-6096, USA;The Program of Population Genetics, Harvard School of Public Health, Boston, MA 02115-6096, USA
Abstract:OBJECTIVE: To determine the relationships of Met416Val and XbaI polymorphism of muscle glycogen synthase (GYS1) gene and Trg64Arg variant of the beta(3)-adrenergic-receptor (beta(3)-AR) gene with type 2 diabetes mellitus (DM) and its intermediate phenotypes in the Chinese population. METHODS: Polymerase chain reaction-oligonucleotide ligation assay and restriction fragment length polymorphism assay were used to evaluate the GYS1 and beta(3)-AR gene polymorphisms in 102 pairs of case-control Chinese spouses. RESULTS: Subjects with Met416Val variant had a significantly higher 2-hour post-glucose level than subjects without this variant had in diabetic group (P = 0.032). The Met416Val polymorphism of GYS1 gene was not significantly associated with the risk of type 2 DM (adjusted OR = 1.67; 95% CI: 0.73 - 3.81, P = 0.223). Subjects with Trp64Arg variant had a significantly higher serum uric acid level than subjects without this variant had in diabetic group (P = 0.034). The combination of BMI and Arg64 allele carrier of the beta(3)-AR gene increased the diabetic risk over four-fold (adjusted OR = 4.00; 95% CI: 1.53 - 10.45, P = 0.005). CONCLUSIONS: In the Chinese population, Met416Val polymorphism is identified in a subgroup of diabetic subjects with high 2-hour post-glucose. It will explain why some diabetic patients appear to be genetically predisposed to developing high postpradial glucose level. The presence of the Arg64 allele in the beta(3)-AR gene may predispose patients to higher serum uric acid level.
Keywords:muscle glycogen synthase gene  β3-adrenergic-receptor gene  type 2 diabetes mellitus  postprandial glucose  serum uric acid
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