SOD2单核苷酸多态性与2型糖尿病患者糖尿病肾病易感性的关联:沙特人群研究

IF 2.7 Q3 ENDOCRINOLOGY & METABOLISM Endocrinology, Diabetes and Metabolism Pub Date : 2023-09-12 DOI:10.1002/edm2.449
Samar Sultan, Meshari Alharbi, Nuha Alrayes, Nehad Makki, Hanan Faruqui, Lama Basuni, Amani Alhozali, Reham Abdulnoor, Anwar Borai, Abdullah Almalki, Abdullah Alzahrani, Reem Alamoudi, Mazin Almaghrabi
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引用次数: 0

摘要

糖尿病肾病(DN)是糖尿病(DM)的并发症之一,在终末期肾脏疾病的进展中起着重要作用。氧化应激与DN的发病机制有关,抗氧化酶如超氧化物歧化酶2 (SOD2)和过氧化氢酶(CAT)的遗传变异可能与DN的易感性有关。本研究旨在探讨沙特人群中抗氧化酶(特别是SOD2 rs4880和CAT rs769217)的单核苷酸多态性(snp)与T2D风险和DN易感性之间的潜在关联。方法本研究共纳入150例患者,其中不伴DN的T2D患者50例(1组),伴DN的T2D患者50例(2组),健康者50例(3组)。采用实时荧光定量PCR检测SOD2 rs4880和CAT rs769217 snp基因型。采用Sanger测序进行验证。统计分析这些snp与伴有或不伴有DN的T2D之间的关系。结果CAT rs769217在各组间表达差异无统计学意义。然而,SOD2 rs4880的表达在健康对照组和T2D合并DN患者之间存在显著差异(p = 0.028)。此外,与健康参与者相比,SOD2 rs4880与T2D患者DN风险增加约三倍相关(优势比[OR] = 2.99[1.31-6.83])。Sanger测序进一步证实了这些发现。结论本研究结果表明,SOD2 rs4880 SNP可能导致抗氧化酶SOD2对dm诱导的氧化应激防御不足,从而导致沙特t2dm患者发生DN。因此,SOD2 rs4880可作为T2D患者预防DN发生发展的预测标志物。
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Association of a single nucleotide polymorphism in SOD2 with susceptibility for the development of diabetic nephropathy in patients with type 2 diabetes: A Saudi population study

Introduction

One of the complications of diabetes mellitus (DM) is diabetic nephropathy (DN), which plays a significant role in the progression of end-stage renal disease. Oxidative stress is implicated in DN pathogenesis, and genetic variations in antioxidant enzymes such as superoxide dismutase 2 (SOD2) and catalase (CAT) may contribute to the susceptibility. This study aimed to investigate the potential association between single nucleotide polymorphisms (SNPs) in antioxidant enzymes, specifically SOD2 rs4880 and CAT rs769217, and the risk of T2D and susceptibility to DN within the Saudi population.

Methods

This case–control study included 150 participants, comprising 50 patients with T2D without DN (group 1), 50 patients with T2D with DN (group 2), and 50 healthy participants (group 3). The samples were genotyped using real-time PCR for SOD2 rs4880 and CAT rs769217 SNPs. Sanger sequencing was used for validation. Statistical analyses were performed to explore associations between these SNPs and T2D with or without DN.

Results

No significant difference was observed in CAT rs769217 expression between the groups. However, a significant difference was observed in SOD2 rs4880 expression between the healthy controls and patients with T2D with DN (p = .028). Furthermore, SOD2 rs4880 was associated with approximately threefold increased risk of DN in patients with T2D compared to that in healthy participants (odds ratio [OR] = 2.99 [1.31–6.83]). Validation through Sanger sequencing further confirmed these findings.

Conclusions

The findings of this study provide evidence that SOD2 rs4880 SNP may contribute to inadequate defence by the antioxidant enzyme, SOD2, against DM-induced oxidative stress and thus cause DN in Saudi patients with T2D. Therefore, SOD2 rs4880 may serve as a predictive marker to prevent the development and progression of DN in patients with T2D.

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来源期刊
Endocrinology, Diabetes and Metabolism
Endocrinology, Diabetes and Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
5.00
自引率
0.00%
发文量
66
审稿时长
6 weeks
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