Ⅱ型糖尿病NAT2基因变异及脂质调节的临床意义。

IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pharmacogenomics & Personalized Medicine Pub Date : 2023-09-13 eCollection Date: 2023-01-01 DOI:10.2147/PGPM.S422495
Yazun Jarrar, Sara Abudahab, Ghasaq Abdul-Wahab, Dana Zaiter, Abdalla Madani, Sara J Abaalkhail, Dina Abulebdah, Hussam Alhawari, Rami Musleh, Su-Jun Lee
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引用次数: 0

摘要

背景:N-乙酰基转移酶2(NAT2)是一种代谢不同化合物的II期药物代谢酶。NAT2的遗传变异会影响酶的活性,并可能导致某些疾病的发展。目的:本研究旨在调查约旦患者NAT2变异与II型糖尿病(T2DM)风险和脂质状况的关系。方法:我们使用Sanger方法对45名约旦T2DM患者和50名对照受试者的NAT2全蛋白编码区进行了测序。此外,我们分析了患者的脂质状况,并检查了与NAT2变体的任何潜在关联。结果:杂合NAT2*13C/T基因型在T2DM患者中(44%)比非T2DM患者(23.5%)更常见(P=0.03)。此外,纯合子NAT2*13T/T基因型的频率在T2DM人群中(26.7%)显著高于非T2DM人群(11%)。杂合子NAT2*7G/A基因型仅在T2DM患者中观察到(11.1%),而在对照非T2DM组中不存在。此外,在T2DM患者中,与杂合子NAT2*11C/T(136.23±51.12 ng/dL)或野生型NAT2*11C/C(193.65±109.89 ng/dL。具有纯合NAT2*12G/G基因型的T2DM患者的甘油三酯水平(275.67±183.42 ng/dL)显著(P=0.04)高于杂合NAT2*12 a/G(140.02±49.53 ng/dL在约旦人中。然而,需要注意的是,我们的样本量是有限的;因此,有必要对更大的队列进行进一步的临床研究来验证这些发现。
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Clinical Significance of NAT2 Genetic Variations in Type II Diabetes Mellitus and Lipid Regulation.

Background: N-acetyltransferase 2 (NAT2) enzyme is a Phase II drug-metabolizing enzyme that metabolizes different compounds. Genetic variations in NAT2 can influence the enzyme's activity and potentially lead to the development of certain diseases.

Aim: This study aimed to investigate the association of NAT2 variants with the risk of Type II diabetes mellitus (T2DM) and the lipid profile among Jordanian patients.

Methods: We sequenced the whole protein-coding region in NAT2 using Sanger's method among a sample of 45 Jordanian T2DM patients and 50 control subjects. Moreover, we analyzed the lipid profiles of the patients and examined any potential associations with NAT2 variants.

Results: This study revealed that the heterozygous NAT2*13 C/T genotype is significantly (P = 0.03) more common among T2DM (44%) than non-T2DM subjects (23.5%). Furthermore, the frequency of homozygous NAT2*13 T/T genotype was found to be significantly higher (P = 0.03) among T2DM patients (26.7%) compared to that of non-T2DM subjects (11%). The heterozygous NAT2*7 G/A genotype was exclusively observed in T2DM patients (11.1%) and absent in the control non-T2DM group. Moreover, among T2DM patients, those with a homozygous NAT2*11 T/T genotype exhibited significantly higher levels of triglycerides (381.50 ± 9.19 ng/dL) with a P value of 0.01 compared to those with heterozygous NAT2*11 C/T (136.23 ± 51.12 ng/dL) or wild-type NAT2*11 C/C (193.65 ± 109.89 ng/dL) genotypes. T2DM patients with homozygous NAT2*12 G/G genotype had a significantly (P = 0.04) higher triglyceride levels (275.67 ± 183.42 ng/dL) than the heterozygous NAT2*12 A/G (140.02 ± 49.53 ng/dL) and the wild NAT2*12 A/A (193.65 ± 109.89 ng/dL).

Conclusion: The finding in this study suggests that the NAT2 gene is a potential biomarker for the development of T2DM and changes in triglyceride levels among Jordanians. However, it is important to note that our sample size was limited; therefore, further clinical studies with a larger cohort are necessary to validate these findings.

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来源期刊
Pharmacogenomics & Personalized Medicine
Pharmacogenomics & Personalized Medicine Biochemistry, Genetics and Molecular Biology-Molecular Medicine
CiteScore
3.30
自引率
5.30%
发文量
110
审稿时长
16 weeks
期刊介绍: Pharmacogenomics and Personalized Medicine is an international, peer-reviewed, open-access journal characterizing the influence of genotype on pharmacology leading to the development of personalized treatment programs and individualized drug selection for improved safety, efficacy and sustainability. In particular, emphasis will be given to: Genomic and proteomic profiling Genetics and drug metabolism Targeted drug identification and discovery Optimizing drug selection & dosage based on patient''s genetic profile Drug related morbidity & mortality intervention Advanced disease screening and targeted therapeutic intervention Genetic based vaccine development Patient satisfaction and preference Health economic evaluations Practical and organizational issues in the development and implementation of personalized medicine programs.
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