J 2005

Haplotype analysis of the RAGE gene: identification of a haplotype marker for diabetic nephropathy in type 2 diabetes mellitus

KAŇKOVÁ, Kateřina, Andrea STEJSKALOVÁ, Miluše HERTLOVÁ and Vladimír ZNOJIL

Basic information

Original name

Haplotype analysis of the RAGE gene: identification of a haplotype marker for diabetic nephropathy in type 2 diabetes mellitus

Name in Czech

Haplotypova analyza genu pro RAGE: identifikace haplotypoveho markeru pro diabetickou nefropatii u diabetu 2. typu

Authors

KAŇKOVÁ, Kateřina (203 Czech Republic, guarantor), Andrea STEJSKALOVÁ (203 Czech Republic), Miluše HERTLOVÁ (203 Czech Republic) and Vladimír ZNOJIL (203 Czech Republic)

Edition

Nephrology Dialysis Transplantation, United Kingdom, Oxford University Press, 2005, 0931-0509

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30202 Endocrinology and metabolism

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.976

RIV identification code

RIV/00216224:14110/05:00012342

Organization unit

Faculty of Medicine

UT WoS

000229704600012

Keywords in English

AGEs; complications; diabetic nephropathy; haplotype analysis; polymorphism; RAGE
Změněno: 23/6/2009 15:21, prof. MUDr. Kateřina Kaňková, Ph.D.

Abstract

V originále

Background: Diabetic nephropathy (DN) represents a devastating complication of diabetes. Family clustering, heterogeneity in the onset and progression and results of segregation studies indicate that susceptibility to DN is a complex trait. Methods: Common SNPs in RAGE (Receptor of Advanced Glycation End products) gene (-429T/C, -374T/A, G82S, 1704G/T, 2184A/G and 2245G/A) were studied in the association study comprising 605 Caucasian subjects by means of haplotype analysis in order to identify an eventual haplotype marker for DN in type 2 diabetes. Haplotypes were constructed computationally; frequencies were compared among groups of subjects with type 2 diabetes and DN, diabetics without DN and non-diabetics. Survival analysis was carried out to ascertain whether certain RAGE haplotypes influence onset of DN in type 2 diabetics. Results: Significant differences in haplotype frequencies among DM+DN vs. DM non-DN and non-DM groups were found (P=0.0007 and P=0.0013, respectively, permutation test). Frequency of the RAGE2 haplotype containing minor alleles in positions -429 and 2184 (CTGGGG) in the DN group was significantly higher than in the two control groups (21.7 vs. 12.8 and 13.8%, both Pcorr<0.003, two-tail Fisher-exact test); ORs 1.65 [95% CI 1.08 - 2.50], P=0.020 and 1.79 [95% CI 1.22 - 2.62], P=0.003, respectively. In survival analysis, duration of diabetes until the onset of DN (e.g. appearance of persistent proteinuria) was significantly different among RAGE2 diplotype groups (P<0.05); median DN-free interval was 9.6 years in RAGE2 +/+ homozygotes, 15.2 years in +/- heterozygotes and 17.0 years in the -/- combination. Conclusions: The RAGE2 haplotype is associated with DN in type 2 diabetics and with earlier DN onset, and thus can be regarded a marker for DN.

In Czech

Zjistili jsme statisticky vyznamnou asociaci RAGE2 haplotypu s diabetickou nefropatii a rovnez s casnejsim nastupem diabeicke nefropatie. RAGE2 muze byt tudiz povazovan za geneticky marker diabeticke nefropatie.

Links

GP303/02/D127, research and development project
Name: Vztah genetické variability antioxidačního systému k pozdním komplikacím diabetu mellitu
Investor: Czech Science Foundation, Relationship between genetic variability of antioxidant system and late complications of diabetes mellitus
LZ1K03019, research and development project
Name: Zlepšení hojení ran u pacientů s diabetem: preklinické ověření role proteinu MSF
Investor: Ministry of Education, Youth and Sports of the CR
MSM 141100002, plan (intention)
Name: Molekulární patofyziologie multigenních chorob
Investor: Ministry of Education, Youth and Sports of the CR, Molecular pathophysiology of multigene diseases