Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2006-7-20
pubmed:abstractText
Elevated plasma levels of plasminogen activator inhibitor-1 (PAI-1) increase risk for type 2 diabetes. The PAI-1 4G/5G polymorphism is a major genetic determinant of plasma PAI-1 levels, with 4G/4G homozygotes having elevated PAI-1 levels relative to 5G allele carriers. These observations suggest the hypothesis that the PAI-1 4G/5G polymorphism could be a genetic risk factor for diabetes. We tested this hypothesis among 2169 participants of the Framingham Offspring Study followed for seven examinations over 26 years for 216 cases of type 2 diabetes. PAI-1 4G/4G homozygotes (genotype frequency, 27.4%) were not at significantly (p > 0.05) increased risk of incident diabetes compared with 5G allele carriers and did not have elevated levels of diabetes-related quantitative traits including BMI, fasting plasma glucose, or fasting insulin. In proportional hazards regression models accounting for correlation among siblings, with the 5G/5G genotype as the referent, the hazard ratio for incident diabetes for 4G/5G carriers was 0.93 (95% confidence interval, 0.68 to 1.28) and for 4G/4G carriers was 1.20 (95% confidence interval, 0.83 to 1.92). Results were not altered by further adjustment for sex or levels of BMI, triglycerides, or PAI-1. We conclude that the PAI-1 4G/5G polymorphism is not an important genetic risk factor for type 2 diabetes in this community-based sample. Elevated PAI-1 levels may be associated with an increased risk for diabetes as a marker for underlying endothelial dysfunction rather than by a direct effect of genetically mediated elevated levels.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1930-7381
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
753-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:16855181-Adult, pubmed-meshheading:16855181-Aged, pubmed-meshheading:16855181-Aged, 80 and over, pubmed-meshheading:16855181-Blood Glucose, pubmed-meshheading:16855181-Body Mass Index, pubmed-meshheading:16855181-Cohort Studies, pubmed-meshheading:16855181-Diabetes Mellitus, Type 2, pubmed-meshheading:16855181-Female, pubmed-meshheading:16855181-Gene Frequency, pubmed-meshheading:16855181-Genotype, pubmed-meshheading:16855181-Humans, pubmed-meshheading:16855181-Insulin, pubmed-meshheading:16855181-Male, pubmed-meshheading:16855181-Middle Aged, pubmed-meshheading:16855181-Phenotype, pubmed-meshheading:16855181-Plasminogen Activator Inhibitor 1, pubmed-meshheading:16855181-Polymorphism, Genetic, pubmed-meshheading:16855181-Proportional Hazards Models, pubmed-meshheading:16855181-Risk Factors
pubmed:year
2006
pubmed:articleTitle
PAI-1 Gene 4G/5G polymorphism and risk of type 2 diabetes in a population-based sample.
pubmed:affiliation
General Medicine Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. jmeigs@partners.org
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural