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Association between the ghrelin Leu72Met polymorphism and type 2 diabetes risk: A meta-analysis
Authors:Ning Liao  Zi-Kang Xie  Jian Huang  Zheng-Fu Xie
Affiliation:1. Department of Geriatrics and Gerontology, First Affiliated Hospital, Guangxi Medical University, Nanning, PR China;2. Department of Clinical Medicine, Grade 2011, Guangxi Medical University, Nanning, PR China
Abstract:

Aims

Data on the association between the ghrelin Leu72Met polymorphism and type 2 diabetes are conflicting. A meta-analysis was performed on this topic.

Methods

We searched for case–control studies using electronic databases (Medline and PubMed) and reference lists of studies. Odds ratios (OR) and 95% confidence intervals (CI) assuming dominant, recessive and homozygote comparison genetic models were calculated.

Results

Six case–control studies involving a total of 3417 cases and 3081 controls were included in this meta-analysis. No association was found between the ghrelin Leu72Met polymorphism and type 2 diabetes risk in the overall population in dominant, recessive and homozygote comparison models. However, in subgroup analyses stratified by ethnicity, we found that the risk for type 2 diabetes was decreased in subjects with Met72 + genotypes in Caucasians (OR = 0.79, 95% CI: 0.64–0.98, Pz = 0.030).

Conclusion

The ghrelin Leu72Met polymorphism was protective against type 2 diabetes in Caucasians. Future studies performed in larger sample size are needed to allow a more definitive conclusion.
Keywords:AG, acylated ghrelin   BMI, body mass index   CI, confidence interval   GHSR-1a, growth hormone secretagogue receptor 1a   GOAT, ghrelin O-acyltransferase   GWAS, genome-wide association studies   HWE, Hardy&ndash  Weinberg equilibrium   IDF, international diabetes federation   IFG, impaired fasting glucose   IGT, impaired glucose tolerance   IR, insulin resistance   LD, linkage disequilibrium   OGTT, oral glucose tolerance test   OR, odds ratio   SNPs, single nucleotide polymorphisms   UAG, unacylated ghrelin   WHO, World Health Organization
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