首页|上海地区汉族2型糖尿病患者的降糖药物相关基因多态性研究

上海地区汉族2型糖尿病患者的降糖药物相关基因多态性研究

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目的 探索上海地区汉族2型糖尿病(T2DM)患者口服降糖药物相关基因多态性,为T2DM患者个体化药物治疗提供参考.方法 收集2021年8月至2022年12月在上海市浦东新区公利医院就诊的汉族T2DM患者70例,采用核酸质谱法测定患者6类降糖药物相关14个基因多态性位点,统计等位基因频率和基因型频率.结果 70例上海汉族T2DM患者的降糖药物相关基因多态性位点基因型频率均符合Hardy-Weinberg平衡定律,且等位基因分布频率与中国人群比较差异无统计学意义(P>0.05),但Cllorf65(rs11212617)基因分布存在性别差异(P<0.05).此外,糖化血红蛋白(HbA1c)在PPARγ(rs 1801282)、ADIPOQ(rs2241766)、C11orf65(rs11212617)、KCNQ1(rs2237892)和 IGF2BP2(rs1470579)的不同基因型患者间差异有统计学意义(P<0.05).结论 上海地区汉族T2DM患者降糖药物相关基因多态性分布与中国人群类似,临床医师在选择双胍类、非磺脲类和噻唑烷二酮类降糖药前有必要为患者进行药物基因检测,以帮助临床精准用药.
Genetic polymorphism related to hypoglycemic drugs in Han Chinese patients with type 2 diabetes in Shanghai
AIM To explore the genetic polymorphisms related to oral hypoglycemic drugs in Han patients with type 2 diabetes mellitus(T2DM)in Shanghai,and to provide a reference for individualized drug therapy for T2DM patients.METHODS Data on 70 Shanghai Han patients with T2DM treated at Gongli Hospital in the Pudong New District of Shanghai from August 2021 to December 2022 were collected.Nucleic acid mass spectrometry was used to identify polymorphisms in 14 genes associated with 6 types of hypoglycemic drugs,and the allele and genotype frequencies were statistically analyzed.RESULTS The genotype frequencies of hypoglycemic drug-related genes in 70 Han Chinese patients with T2DM in Shanghai were in accordance with the Hardy-Weinberg equilibrium,and the allele distribution frequencies showed no significant statistical difference compared to the Chinese general population(P>0.05).However,there were gender differences in the C11orf65(rs1 1212617)gene(P<0.05).In addition,there were statistically significant differences in glycosylated hemoglobin(HBA1c)among patients with different genotypes of PPARγ(rs1801282),ADIPOQ(rs2241766),C11orf65(rs1 1212617),KCNQ1(rs2237892)and IGF2BP2(rs1470579).CONCLUSION The distribution of gene polymorphism related to hypoglycemic drugs in Han Chinese T2DM patients in Shanghai is similar to that of the Chinese population.It is necessary for clinicians to conduct pharmacogenetic detection before prescribing biguanides,non-sulfonylureas and thiazolidinediones to facilitate precision medicine in clinical practice.

hypoglycemic druggene polymorphismtype 2 diabetes mellitus

董婧、刘瑾瑶、阚悦、陆燕、李文艳

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上海市浦东新区公利医院临床药学部,上海 200135

宁夏医科大学上海市浦东新区公利医院研究生培养基地,上海 200135

降糖药物 基因多态性 2型糖尿病

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PWZy2020-11

2024

中国临床药学杂志
中国药学会

中国临床药学杂志

CSTPCD
影响因子:0.502
ISSN:1007-4406
年,卷(期):2024.33(1)
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