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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2002-3-27
pubmed:abstractText
A polymorphism in the ecto-nucleotide pyrophosphatase/phosphodiesterase 1 gene (ENPP1) (previously known as PC-1), resulting in an amino acid change from lysine to glutamine at codon 121 (K121Q), is associated with insulin resistance. A small follow-up study of patients with type 1 diabetes and proteinuria found that renal function declines more rapidly in carriers of the Q variant than in noncarriers. To examine this finding further, we conducted a large case-control study and a family-based study. Genomic DNA was obtained from 659 patients: 307 with normal urinary albumin excretion despite diabetes duration of >15 years (control subjects) and 352 with advanced diabetic nephropathy, of whom 200 had persistent proteinuria and 152 had end-stage renal disease (ESRD). Individuals were genotyped for Q and K variants using a previously described protocol. The frequency of Q variant carriers was 21.5% in control subjects, 31.5% in subjects with proteinuria, and 32.2% in subjects with ESRD (P = 0.012). In a stratified analysis according to duration of diabetes, the risk of early-onset ESRD for carriers of the Q variant was 2.3 times that for noncarriers (95% CI, 1.2-4.6). The Q variant was not associated with late-onset ESRD. Similar findings were obtained in a family-based study. We conclude that carriers of the Q variant of ENPP1 are at increased risk for developing ESRD early in the course of type 1 diabetes.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0012-1797
pubmed:author
pubmed:issnType
Print
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1188-93
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:11916943-Adult, pubmed-meshheading:11916943-Boston, pubmed-meshheading:11916943-Diabetes Mellitus, Type 1, pubmed-meshheading:11916943-Diabetic Nephropathies, pubmed-meshheading:11916943-Disease Progression, pubmed-meshheading:11916943-European Continental Ancestry Group, pubmed-meshheading:11916943-Female, pubmed-meshheading:11916943-Genetic Variation, pubmed-meshheading:11916943-Genotype, pubmed-meshheading:11916943-Heterozygote Detection, pubmed-meshheading:11916943-Humans, pubmed-meshheading:11916943-Kidney Failure, Chronic, pubmed-meshheading:11916943-Male, pubmed-meshheading:11916943-Middle Aged, pubmed-meshheading:11916943-Phosphoric Diester Hydrolases, pubmed-meshheading:11916943-Polymorphism, Genetic, pubmed-meshheading:11916943-Proteinuria, pubmed-meshheading:11916943-Pyrophosphatases, pubmed-meshheading:11916943-Retrospective Studies
pubmed:year
2002
pubmed:articleTitle
Polymorphism in ecto-nucleotide pyrophosphatase/phosphodiesterase 1 gene (ENPP1/PC-1) and early development of advanced diabetic nephropathy in type 1 diabetes.
pubmed:affiliation
Research Division, Joslin Diabetes Center, and the Department of Medicine, Harvard Medical School, Boston, Massachusetts.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't