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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2000-7-24
pubmed:abstractText
We investigated the relationship of codon 972 polymorphism of the insulin receptor substrate-1 (IRS-1) gene with insulin resistance in the Japanese population. Among 130 patients with type-2 diabetes mellitus (DM), we identified 6 who were heterozygous for the Gly972Arg mutation. Among 144 healthy subjects, 6 were heterozygous and 1 was homozygous for the mutation. A hyperinsulinemic euglycemic clamp study was performed in 3 of 6 diabetic patients with the heterozygous Gly972Arg mutation and in 60 without it. Both groups showed almost the same levels of insulin sensitivity (glucose infusion rate, GIR = 50.2 +/- 3.0 vs. 51.3 +/- 12.1 micromol/kg/min). Similarly, there was no difference in insulin sensitivity between healthy subjects with and without the mutation using the homeostasis model assessment (HOMA index = 1.14 +/- 0.50 vs. 1.02 +/- 0.63). The frequency of the Gly972Arg allele was not increased in diabetic patients compared with control subjects even in aged (>50 years old) or obese (BMI >/=25) subjects. Among healthy subjects, we identified a 25-year-old male with the homozygous Gly972Arg allele. He was slightly obese (BMI = 25.5) but showed relatively high insulin sensitivity, almost equal to that of healthy subjects without the mutation (GIR = 67.2 vs. 71.8 +/- 22.0 micromol/kg/min). Because the GIR in healthy subjects was significantly higher compared with that in type-2 DM patients, we speculate that another genetic or environmental factor producing a more deleterious effect on insulin sensitivity may exist in diabetic patients. We conclude that this gene abnormality does not play a role in the pathogenesis of insulin resistance and type-2 DM.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0301-0163
pubmed:author
pubmed:copyrightInfo
Copyright 2000 S. Karger AG, Basel
pubmed:issnType
Print
pubmed:volume
52
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
230-4
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:10844412-Adult, pubmed-meshheading:10844412-Aged, pubmed-meshheading:10844412-Alleles, pubmed-meshheading:10844412-Base Sequence, pubmed-meshheading:10844412-Case-Control Studies, pubmed-meshheading:10844412-Codon, pubmed-meshheading:10844412-DNA Primers, pubmed-meshheading:10844412-Diabetes Mellitus, Type 2, pubmed-meshheading:10844412-Female, pubmed-meshheading:10844412-Gene Frequency, pubmed-meshheading:10844412-Heterozygote, pubmed-meshheading:10844412-Homozygote, pubmed-meshheading:10844412-Humans, pubmed-meshheading:10844412-Insulin Receptor Substrate Proteins, pubmed-meshheading:10844412-Insulin Resistance, pubmed-meshheading:10844412-Male, pubmed-meshheading:10844412-Middle Aged, pubmed-meshheading:10844412-Phosphoproteins, pubmed-meshheading:10844412-Point Mutation, pubmed-meshheading:10844412-Polymorphism, Genetic, pubmed-meshheading:10844412-Receptor, Insulin
pubmed:year
1999
pubmed:articleTitle
Insulin sensitivity is not affected by mutation of codon 972 of the human IRS-1 gene.
pubmed:affiliation
Third Department of Internal Medicine, Mie University School of Medicine, Mie, Japan.
pubmed:publicationType
Journal Article