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Association of P213S polymorphism of the L-selectin gene with type 2 diabetes and insulin resistance in Chinese population
Authors:Jing Liu  Ju-xiang Liu  San-ni Xu  Jin-xing Quan  Li-min Tian  Qian Guo  Jia Liu  Yun-fang Wang  Zhi-yong Shi
Affiliation:1. Department of Endocrinology, Gansu Provincial People''s Hospital, 204 West Donggang Road, Lanzhou City 730000, Gansu Province, China;2. The First People''s Hospital of Tianshui City, Tianshui City 741000, Gansu Province, China;3. The First Clinical College of Lanzhou University, Lanzhou City 730000, Gansu Province, China
Abstract:

Aims

L-selectin belongs to selectin family of adhesion molecule and participates in the generation and development of type 2 diabetes (T2D). In this study, we evaluated the relationship between the P213S polymorphism of L-selectin gene and T2D and insulin resistance in the Chinese population.

Methods

We genotyped P213S polymorphism in 801 patients with T2D and 834 healthy controls in the Chinese population using polymerase chain reaction–ligase detection reaction (PCR–LDR) technique. Plasma glucose, insulin, lipid, blood urea nitrogen, creatinine and uric acid levels were measured by biochemical technique.

Results

The frequency of 213PP genotype and P allele of the L-selectin gene in patients with T2D was significantly higher than that in controls (P = 0.007; P = 0.019, respectively). The relative risk of allele P suffered from T2D was 1.191 times higher than that of allele S. Moreover, the levels of FPG and HOMA-IR of PP and PS genotype carriers were significantly higher than those of SS genotype carriers in the T2D group (P < 0.05).

Conclusion

These findings indicated that the P213S polymorphism of L‐selectin gene may contribute to susceptibility to T2D and insulin resistance in the Chinese population, and P allele appears to be a risk factor for T2D.
Keywords:T2D, type 2 diabetes   PCR&ndash  LDR, polymerase chain reaction&ndash  ligase detection reaction   SCR, short consensus repeat   CAD, coronary artery disease   SMI, silent myocardial ischemia   GD, Graves' disease   T1D, Type 1 diabetes   WHO, World Health Organization   TC, total cholesterol   TG, triglyceride   HDL-C, high density lipoprotein-cholesterol   LDL-C, low density lipoprotein-cholesterol   BMI, body mass index   WHR, waist hip ratio   FPG, fasting plasma glucose   FINS, fasting insulin   HOMA-IRI, insulin resistance index   HOMA-IR, homeostasis model assessment of insulin resistance   OR, odds ratios   CI, confidence intervals   SBP, systolic blood pressure   DBP, diastolic blood pressure   BUN, blood urea nitrogen   CR, creatinine   UA, uric acid
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