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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1-2
pubmed:dateCreated
2003-12-16
pubmed:abstractText
The objective of this paper is to investigate co-inheritance of specific HSPG and ApoE genotypes in the development of Chinese type 2 diabetic nephropathy. PCR-RFLP was used to detect HSPG and ApoE genotypes in 385 Chinese subjects including 298 patients with type 2 diabetes mellitus (T2DM) and 87 non-diabetic controls (Non-DM). The T2DM group was subdivided into patients with (TDN; n = 218) and without diabetic nephropathy (Non-DN; n = 80). The latter group was further subdivided into groups of patients with microalbuminuria nephropathy (DN-1; n = 129) and severe diabetic nephropathy (DN-2; n = 89). We then compared the relative frequencies of various HSPG and ApoE genotypes and alleles among the groups, searching for predictive trends. The T allele of the HSPG gene occurred more frequently in the DN-2 group than in the Non-DN or DN-1 groups, their Fisher's exact p was 1.05 x 10(-3) and 6.58 x 10(-6); odds ratios were 2.09 (95% CI 1.32-3.30) and 2.48 (95% CI 1.64-3.74), respectively. The E2 allele of the ApoE gene occurred more frequently in the T2DM than in the Non-DM group, the Fisher's exact p was 0.0087; odds ratio was 3.45 (95% CI 1.30-9.81). Genotype analysis showed that the TT or TG of HSPG gene were paired with the E2/2 or E2/3 of ApoE gene significantly more frequently in the TDN group than in the Non-DN group, with an odds ratio of 3.03 (95% CI 1.03-8.90). There was no significant differences in other combinations of genotypes in HSPG and ApoE genes between TDN and Non-DN group. These results suggest that the HSPG T allele is a risk factor for the development of severe diabetic nephropathy in type 2 diabetic patients, and that the ApoE E2 allele is a risk factor for the occurrence of type 2 diabetes mellitus in Chinese general population. In addition, we find that co-inheritance of T/E2 confers a higher risk of type 2 diabetes mellitus progression to diabetic nephropathy in Chinese.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0300-8177
pubmed:author
pubmed:issnType
Print
pubmed:volume
254
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
353-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14674716-Aged, pubmed-meshheading:14674716-Albuminuria, pubmed-meshheading:14674716-Alleles, pubmed-meshheading:14674716-Apolipoproteins E, pubmed-meshheading:14674716-Case-Control Studies, pubmed-meshheading:14674716-Diabetes Mellitus, Type 2, pubmed-meshheading:14674716-Diabetic Nephropathies, pubmed-meshheading:14674716-Female, pubmed-meshheading:14674716-Gene Frequency, pubmed-meshheading:14674716-Genotype, pubmed-meshheading:14674716-Heparan Sulfate Proteoglycans, pubmed-meshheading:14674716-Humans, pubmed-meshheading:14674716-Male, pubmed-meshheading:14674716-Middle Aged, pubmed-meshheading:14674716-Odds Ratio, pubmed-meshheading:14674716-Polymorphism, Genetic, pubmed-meshheading:14674716-Polymorphism, Restriction Fragment Length, pubmed-meshheading:14674716-Risk, pubmed-meshheading:14674716-Risk Factors
pubmed:year
2003
pubmed:articleTitle
Co-inheritance of specific genotypes of HSPG and ApoE gene increases risk of type 2 diabetic nephropathy.
pubmed:affiliation
Department of Endocrinology and Metabolism, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Diabetes Institute, China. liulimei2001@hotmail.com
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't