Abstract | BACKGROUND: Non-enzymatic glycation is a process, which leads to the formation of advanced glycation endproducts. These compounds are involved in the development of diabetic microvascular complications. Fructosamine-3-kinase (FN3K) is an intracellular enzyme that phosphorylates fructosamines resulting in fructosamine-3-phosphate, which subsequently decomposes to inorganic phosphate, 3-deoxyglucasone and the unmodified amine. Recently, the G900C (rs1056534) single nucleotide polymorpism (SNP) of the FN3K gene was found to be associated with the enzyme activity. OBJECTIVE/DESIGN: The aim of the study was to investigate the impact of the SNP on clinical and biochemical features and microvascular complications of type 2 diabetes. PATIENTS: A total of 859 type 2 diabetic subjects and 265 healthy controls were enrolled in the study and were genotyped with PCR-RFLP method. RESULTS: Genotype frequencies were as follows, CC: 5%, GC: 54%, GG: 41% in subjects with type 2 diabetes and CC: 6%, GC: 51%, GG: 43% in the controls. Diabetic subjects with the CC variant had lower HbA (1c) levels compared with the others (CC: 6.48+/-0.05%; GC: 7.66+/-0.09%; GG: 7.68+/-0.09%; p<0.001). Furthermore, in case of the CC allelic variant type 2 diabetes was diagnosed at a later age than in case of GC or GG variants (CC: 56.0+/-1.90 years; GC: 52.0+/-0.62 years; GG: 50.1+/-0.71 years; p<0.05). Logistic regression analysis did not reveal association between CC genotype and diabetic complications, such as diabetic nephropathy, neuropathy and retinopathy (OR=1.036, CI 95% 0.652-1.647, p=0.880; OR=0.985, CI 95% 0.564-1.721 p=0.958; OR=1.213, CI 95% 0.470-3.132, p=0.690, respectively). CONCLUSION: We conclude that the G900C polymorphism associates with the level of HbA (1c) and the onset of the disease, but not with either of the diabetic microvascular complications.
|
Authors | M Mohás, P Kisfali, E Baricza, A Mérei, A Maász, J Cseh, E Mikolás, I A Szijártó, B Melegh, I Wittmann |
Journal | Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
(Exp Clin Endocrinol Diabetes)
Vol. 118
Issue 3
Pg. 209-12
(Mar 2010)
ISSN: 1439-3646 [Electronic] Germany |
PMID | 19834870
(Publication Type: Journal Article)
|
Copyright | J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart * New York. |
Chemical References |
- Blood Glucose
- Glycated Hemoglobin A
- hemoglobin A1c protein, human
- Phosphotransferases (Alcohol Group Acceptor)
- fructosamine-3-kinase
|
Topics |
- Age of Onset
- Blood Glucose
(analysis)
- Body Mass Index
- Diabetes Mellitus, Type 2
(complications, genetics)
- Diabetic Angiopathies
(enzymology, genetics)
- Female
- Genetic Association Studies
- Glycated Hemoglobin
(analysis, metabolism)
- Humans
- Male
- Middle Aged
- Phosphotransferases (Alcohol Group Acceptor)
(genetics)
- Polymorphism, Genetic
- Polymorphism, Single Nucleotide
|