背景:这项研究的目的是调查轮换夜班工作的关联,时钟,MTNR1A,钢铁工人MTNR1B基因多态性及其与2型糖尿病的相互作用。
方法:在唐山唐钢公司进行了病例对照研究,中国。病例组和对照组的样本量分别为251和451。逻辑回归,采用对数线性模型和广义多因子维数(GMDR)方法研究昼夜节律基因之间的相互作用,褪黑素受体基因和旋转夜班对钢铁工人2型糖尿病的影响。由于相互作用(RERI)和可归因比例(AP)的相对超额风险用于评估加性相互作用。
结果:旋转夜班工作,当前班次状态,夜班时间,校正混杂因素后,平均夜班频率与2型糖尿病风险增加相关.发现MTNR1B中的Rs1387153变体与2型糖尿病的风险增加有关,在MTNR1A基因rs2119882位点之间没有发现,CLOCK基因rs1801260位点与2型糖尿病的风险。MTNR1B基因rs1387153位点(RERI=0.98,(95%CI,0.40-1.55);AP=0.60,(95%CI,0.07-1.12))改变了轮换夜班工作与2型糖尿病风险之间的关联。MTNR1A基因rs2119882位点和CLOCK基因rs1801260位点的交互作用与2型糖尿病风险相关(RERI=1.07,(95%CI,0.23-1.91);AP=0.77,(95%CI,0.36-1.17))。基于GMDR方法的MTNR1A-MTNR1B-CLOCK旋转夜班工作模型的复杂相互作用可能会增加2型糖尿病的风险(P=0.011)。
结论:轮班工作和MTNR1B中的rs1387153变异与钢铁工人患2型糖尿病的风险增加相关。MTNR1A-MTNR1B-CLOCK旋转夜班工作的复杂相互作用可能会增加2型糖尿病的风险。
BACKGROUND: The purpose of this study is to investigate the association of rotating night shift work, CLOCK, MTNR1A, MTNR1B genes polymorphisms and their interactions with type 2 diabetes among steelworkers.
METHODS: A
case-control study was conducted in the Tangsteel company in Tangshan, China. The sample sizes of the
case group and control group were 251 and 451, respectively. The logistic regression, log-linear model and generalized multifactor dimensionality (GMDR) method were used to investigate the interaction between circadian clock gene, melatonin receptor genes and rotating night shift work on type 2 diabetes among steelworkers. Relative excess risk due to interaction (RERI) and attributable proportions (AP) were used to evaluate additive interactions.
RESULTS: Rotating night shift work, current shift status, duration of night shifts, and average frequency of night shifts were associated with an increased risk of type 2 diabetes after adjustment for confounders. Rs1387153 variants in MTNR1B was found to be associated with an increased risk of type 2 diabetes, which was not found between MTNR1A gene rs2119882 locus, CLOCK gene rs1801260 locus and the risk of type 2 diabetes. The association between rotating night shift work and risk of type 2 diabetes appeared to be modified by MTNR1B gene rs1387153 locus (RERI = 0.98, (95% CI, 0.40-1.55); AP = 0.60, (95% CI, 0.07-1.12)). The interaction between MTNR1A gene rs2119882 locus and CLOCK gene rs1801260 locus was associated with the risk of type 2 diabetes (RERI = 1.07, (95% CI, 0.23-1.91); AP = 0.77, (95% CI, 0.36-1.17)). The complex interaction of the MTNR1A-MTNR1B-CLOCK-rotating night shift work model based on the GMDR methods may increase the risk of type 2 diabetes (P = 0.011).
CONCLUSIONS: Rotating night shift work and rs1387153 variants in MTNR1B were associated with an increased risk of type 2 diabetes among steelworkers. The complex interaction of MTNR1A-MTNR1B-CLOCK-rotating night shift work may increase the risk of type 2 diabetes.