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KMID : 1199120080320050402
Korean Diabetes Journal
2008 Volume.32 No. 5 p.402 ~ p.408
Association Study of the Peroxisome Proliferators-Activated Receptor ¥ã2 Prol2Ala Polymorphism with Diabetic Nephropathy
Lee Kyu-Ho

Jung Hui-Seok
Choi Khan-Young
Kim Hyun
Lee Dal-Sic
Kang Ji-Young
Jeon Hwang-Gyun
Oh Tae-Geun
Abstract
Background: Peroxisome proliferators-activated receptor ¥ã (PPAR¥ã) is a member of the nuclear hormone receptor superfamily of ligand-activated transcription factors and known to play a role in regulating the expression of numerous genes involved in lipid metabolism, metabolic syndrome, inflammation, and atherosclerosis. The PPAR¥ã2 Pro12Ala polymorphism has recently been shown to be associated with diabetic nephropathy. In this study, we evaluated the relationship between PPAR¥ã2 Pro12Ala polymorphism and type 2 diabetic nephropathy whose duration of diabetes was over 10 years.

Methods: We conducted a case-control study, which enrolled 367 patients with type 2 diabetes. Genotyping of PPAR¥ã2 Pro12Ala polymorphism was performed using polymerase chain reaction followed by digestion with Hae III restriction enzyme.

Results: The genotype or allele frequencies of PPAR¥ã2 Pro12Ala polymorphism were not significantly different in diabetic patients with or without diabetic nephropathy. The genotype frequencies in terms of diabetic retinopathy and acrovascular complications such as coronary artery disease or stroke were not different either. Interestingly, nephropathy patients with Ala/Pro genotype showed lower C-peptide levels than those of Pro/Pro genotype.

Conclusion: Our results suggest that PPAR¥ã2 Pro12Ala polymorphism is not associated with diabetic nephropathy in type 2 diabetic patients.
KEYWORD
Diabetic nephropathy, PPAR ¥ã2 Pro12Ala polymorphism, Type 2 diabetes
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