Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-2-11
pubmed:abstractText
Polycystic ovary syndrome (PCOS) is common in women of reproductive age and is associated with a high risk for development of type 2 diabetes. Insulin resistance, a key component in the pathogenesis of PCOS and glucose intolerance, is ameliorated by the thiazolidinediones, synthetic ligands for the PPARgamma. In the present study we have examined the relationship of the Pro(12)Ala polymorphism in the PPARgamma gene (PPARG) to clinical and hormonal features of PCOS. Two hundred and eighteen women with PCOS had a 75-g oral glucose tolerance test, and blood was obtained for measurement of serum androgen levels. Sixty percent of the subjects were Caucasian, 26% were African-American, 6% were Hispanic, 6% were South Asian, and 2% were Middle-Eastern. Compared with Caucasians, the African-American group had a higher prevalence of diabetes (19% vs. 5%, respectively), were more obese (body mass index, 40.9 +/- 1.8 vs. 36.3 +/- 0.8 kg/m(2); P < 0.05), and were more insulin resistant. Twenty-eight of 218 subjects had the Ala allele, all in the heterozygous state. The frequency of the Ala allele varied among the groups: 0.01 in African-Americans, 0.08 in Caucasians, and 0.15 in Hispanics. Nondiabetic Caucasians with an Ala allele (Pro/Ala group) were more insulin sensitive than those in the Pro/Pro group, as evidenced by a lower homeostasis model assessment index (5.18 +/- 1.33 vs. 6.54 +/- 0.54; P < 0.05) and lower levels of insulin at both the fasting (132 +/- 27 vs. 165 +/- 12 pmol/liter; P = 0.03) and 2 h (688 +/- 103 vs. 10190 +/- 99 pmol/liter; P = 0.04) time points during the oral glucose tolerance test. We conclude that Pro(12)Ala in PPARG is a modifier of insulin resistance in Caucasian women with PCOS.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0021-972X
pubmed:author
pubmed:issnType
Print
pubmed:volume
87
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
772-5
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:11836319-Adult, pubmed-meshheading:11836319-African Continental Ancestry Group, pubmed-meshheading:11836319-Alleles, pubmed-meshheading:11836319-Amino Acid Sequence, pubmed-meshheading:11836319-Asian Continental Ancestry Group, pubmed-meshheading:11836319-Body Mass Index, pubmed-meshheading:11836319-European Continental Ancestry Group, pubmed-meshheading:11836319-Fasting, pubmed-meshheading:11836319-Female, pubmed-meshheading:11836319-Glucose Tolerance Test, pubmed-meshheading:11836319-Heterozygote, pubmed-meshheading:11836319-Humans, pubmed-meshheading:11836319-Insulin, pubmed-meshheading:11836319-Insulin Resistance, pubmed-meshheading:11836319-Polycystic Ovary Syndrome, pubmed-meshheading:11836319-Polymorphism, Genetic, pubmed-meshheading:11836319-Receptors, Cytoplasmic and Nuclear, pubmed-meshheading:11836319-Transcription Factors
pubmed:year
2002
pubmed:articleTitle
Insulin resistance is attenuated in women with polycystic ovary syndrome with the Pro(12)Ala polymorphism in the PPARgamma gene.
pubmed:affiliation
Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't