Beta 2-adrenergic receptor gene association with overweight and asthma in children and adolescents and its relationship with physical fitness

Neiva Leite, Leilane Lazarotto, Gerusa Eisfeld Milano, Ana Claudia Kapp Titski, Cássio Leandro Mühe Consentino, Fernanda de Mattos, Fabiana Antunes de Andrade, Lupe Furtado-Alle
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Abstract

Objective

To investigate the association of Arg16Gly and Gln27Glu polymorphisms of β2-adrenergic receptor gene (ADRB2) with the occurrence of asthma and overweight and the gene's influence on anthropometric, clinic, biochemical and physical fitness variables in children and adolescents.

Methods

Subjects were evaluated for allelic frequencies of the β2-adrenergic receptor gene, height, weight, body mass index (BMI), BMI Z-score, waist circumference (WC), pubertal stage, resting heart rate (HRres), blood pressure (BP), total cholesterol (TC), glucose, insulin, high density lipoprotein (HDL-C), low density lipoprotein (LDL-C), triglyceride (TG), Homeostasis Metabolic Assessment (HOMA2-IR), Quantitative Insulin Sensitivity Check Index (QUICKI) and maximal oxygen uptake (VO2max). The participants were divided in four groups: overweight asthmatic (n=39), overweight non-asthmatic (n=115), normal weight asthmatic (n=12), and normal weight non-asthmatic (n=40).

Results

Regarding the Gln27Glu polymorphism, higher total cholesterol was observed in usual genotype individuals than in genetic variant carriers (p=0.04). No evidence was found that the evaluated polymorphisms are influencing the physical fitness. The Arg16 allele was found more frequently among the normal weight asthmatic group when compared to the normal weight non-asthmatic group (p=0.02), and the Glu27 allele was more frequently found in the overweight asthmatics group when compared to the normal weight non-asthmatic group (p=0.03).

Conclusions

The association of Arg16 allele with the occurrence of asthma and of the Glu27 allele with overweight asthmatic adolescents evidenced the contribution of the β2-adrenergic receptor gene to the development of obesity and asthma.

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- 2-肾上腺素能受体基因与儿童和青少年超重和哮喘的关系及其与身体健康的关系
目的探讨儿童青少年β2-肾上腺素能受体基因(ADRB2) Arg16Gly和Gln27Glu多态性与哮喘和超重发生的关系及其对人体测量、临床、生化和体质指标的影响。方法测定受试者的β2-肾上腺素能受体基因等位基因频率、身高、体重、体重指数(BMI)、BMI z评分、腰围(WC)、青春期阶段、静息心率(HRres)、血压(BP)、总胆固醇(TC)、葡萄糖、胰岛素、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、甘油三酯(TG)、稳态代谢评估(HOMA2-IR)、胰岛素敏感性定量检查指数(QUICKI)和最大摄氧量(VO2max)。参与者被分为四组:超重哮喘患者(n=39)、超重非哮喘患者(n=115)、正常体重哮喘患者(n=12)和正常体重非哮喘患者(n=40)。结果在Gln27Glu多态性方面,普通基因型个体的总胆固醇高于变异基因携带者(p=0.04)。没有证据表明所评估的多态性影响身体健康。Arg16等位基因在正常体重哮喘组的出现频率高于正常体重非哮喘组(p=0.02), Glu27等位基因在超重哮喘组的出现频率高于正常体重非哮喘组(p=0.03)。结论Arg16等位基因与哮喘的发生有关,Glu27等位基因与超重哮喘青少年的发生有关,证明β2-肾上腺素能受体基因与肥胖和哮喘的发生有关。
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