METHODS: This case-control and cross-sectional study was conducted on 182 patients with T2DM and 155 healthy controls. Genotyping was performed using amplification refractory mutation system-PCR (ARMS-PCR) for rs17300539G/A, rs2241766T/G, and rs1501299G/T of the ADIPOQ gene, rs1342387C/T of the AdipoR1 gene, and rs10773989T/C of the AdipoR2 gene.
RESULTS: All polymorphisms met the Hardy-Weinberg equilibrium (p > 0.05). The studied SNPs; rs17300539, rs2241766 of ADIPOQ gene and rs10773989of AdipoR2 gene, were significantly associated with increased risk of T2DM. Two-way ANOVA analysis indicated that GG carriers of rs2241766T/G had a significantly lower waist-to-hip ratio and body mass index compared to TT carriers, and also GG of rs2241766T/G showed the greatest HbA1c levels compared to any other genotype. CC carriers of rs10773989T/C displayed a significantly higher LDL level compared to the other two genotype carries. According to Combined Haplotype ([rs17300539, rs2241766, rs1501299] / [rs17300539, rs2241766, rs1501299]) analysis, GTT- homozygote carriers displayed the highest plasma adiponectin levels. In contrast, GGG/GTG, ATG/GTG, and GGG/GGG showed the lowest plasma adiponectin levels in the controls.
CONCLUSIONS: The adiponectin gene haplotype combinations were associated with plasma adiponectin concentrations in healthy people. In T2DM, adiponectin genetic variants displayed less effect on adiponectin plasma concentrations.
方法:本病例对照和横断面研究对182例T2DM患者和155例健康对照进行。使用扩增难治性突变系统-PCR(ARMS-PCR)对rs17300539G/A进行基因分型,rs2241766T/G,和ADIPOQ基因的rs1501299G/T,AdipoR1基因的rs1342387C/T,和AdipoR2基因的rs10773989T/C。
结果:所有多态性均满足Hardy-Weinberg平衡(p>0.05)。研究的SNPs;ADIPOQ基因的rs17300539,rs2241766和AdipoR2基因的rs10773989,与T2DM风险增加显著相关。双向方差分析表明rs2241766T/G的GG携带者与TT携带者相比,腰臀比和体重指数明显降低,与任何其他基因型相比,rs2241766T/G的GG显示出最高的HbA1c水平。rs10773989T/C的CC携带者与其他两种基因型携带者相比显示出明显更高的LDL水平。根据组合单倍型([rs17300539,rs2241766,rs1501299]/[rs17300539,rs2241766,rs1501299])分析,GTT纯合子携带者显示出最高的血浆脂联素水平。相比之下,GGG/GTG,ATG/GTG,GGG/GGG在对照组中显示最低的血浆脂联素水平。
结论:脂联素基因单倍型组合与健康人血浆脂联素浓度相关。在T2DM中,脂联素遗传变异对血浆脂联素浓度的影响较小。