2型糖尿病肾病并发症中转化生长因子β 1基因分型与氧化状态的关系

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引用次数: 0

摘要

目的:评价伊拉克克尔巴拉省2型糖尿病伴/不伴肾病并发症患者中转化生长因子β1基因多态性(T869C)与2型糖尿病伴/不伴肾病并发症及内源性抗氧化剂还原性谷胱甘肽水平的相关性。方法:采用病例对照研究方法,选取100例糖尿病肾病患者、100例单纯2型糖尿病患者和另外100例表面健康个体作为对照。采用酶法分光光度法测定空腹血糖、糖化血红蛋白%、尿素、肌酐和谷胱甘肽。采用PCR-ARMS技术对转化生长因子β1基因进行T>C (T869C) SNP分型。结果:检测2型糖尿病患者、2型糖尿病肾病患者和对照组tgf - β1基因多态性的基因型和等位基因频率。转化生长因子β1 (T869C) C等位基因、TC和TC + CC基因型在患者中显著升高;对照组T等位基因和TT基因型显著高于对照组(P≤0.001)。与对照组相比,谷胱甘肽给药在伴有或不伴有肾病的糖尿病患者中也有显著效果。结论:TGFβ1 (T869C)密码子10、等位基因C和含C等位基因的基因型可能是2型糖尿病肾病并发症的易感因素,T等位基因/ TT基因型可能是2型糖尿病肾病并发症的保护因素。谷胱甘肽的结果表明,它可能是导致细胞DNA突变的损伤和破坏的高氧化剂化合物存在的原因之一。
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Association between genotyping of transforming growth factor Beta 1 with oxidative status in type 2 diabetic nephropathy Complications
Objectives: To assess the association between Transforming Growth Factor β1 gene polymorphism (T869C) and type 2 diabetes mellitus with and without nephropathy complications with endogenous antioxidant reduced glutathione levels in type 2 diabetic patients with/without nephropathy complications of Kerbala province: Iraq. Methods: A case-control study was performed at which 100 patients with diabetic nephropathy, 100 patients with only type 2 diabetic and another 100 apparently healthy individuals as control were recruited. Fasting blood glucose, HbA1c%, urea, creatinine and glutathione were measured by spectrophotometric methods using enzymatic procedures. Transforming growth factor β1 gene was genotyped for the T>C (T869C) SNP by PCR-ARMS technique. Results: The genotype and allele frequencies of TGFβ1 gene polymorphism in type 2 diabetes mellitus, type 2 diabetic nephropathy, and control were examined. The transforming growth factor β1 (T869C) C allele, TC and TC + CC genotypes were significantly higher in patients; the T allele and TT genotype were significantly higher in controls (P ≤ 0.001). Glutathione give also a significant result in diabetic patients with and without nephropathy in when compared with controls. Conclusion: The observed data indicated that TGFβ1 (T869C) codon 10, allele C, and C allele-containing genotypes may be susceptible, and the T allele / TT genotype may be protective factors for type 2diabetic nephropathy complications. The results of glutathione showed that it may be one of the causes of presence high oxidants compounds, which is lead to the damage and destruction of mutations in the DNA of the cell.
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