首页|青海地区汉族人群2型糖尿病相关基因多态性与临床特征相关性的研究

青海地区汉族人群2型糖尿病相关基因多态性与临床特征相关性的研究

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目的 探讨DM易感位点与青海地区汉族T2DM患者临床特征的相关性.方法 选取2021 年12 月至2023 年7 月于青海省人民医院住院治疗的T2DM患者286 例.通过Illumina测序法对样本DNA进行基因位点测序,运用LASSO回归及Kolmogorov-Smirnov(K-S)检验,分析单核苷酸多态性(SNP)与T2DM患者发病年龄的相关性,采用Logistic回归分析DM家族史、FPG、HbA1c、胰岛素抵抗指数(HOMA-IR)、胰岛β细胞功能指数(HOMA-β)的影响因素.结果 男性患者发病年龄、吸烟史、饮酒史、WC高于女性(P<0.05),HOMA-β、TC、HDL-C、LDL-C低于女性(P<0.05).LASSO回归及K-S检验分析发现,7个SNP与T2DM发病年龄相关(P<0.05).Logistic回归分析显示,13 个SNP是DM家族史的影响因素(P<0.05),13 个SNP是FPG的影响因素(P<0.05),11 个SNP是HbA1c的影响因素(P<0.05),20 个SNP是HOMA-IR的影响因素(P<0.05),16 个SNP是HOMA-β的影响因素(P<0.05).结论 青海地区汉族T2DM患者中,多个SNP变异可能通过不同的生物学途径影响T2DM表型,包括发病年龄、血糖指标及胰岛功能等.
Association between the related gene polymorphisms and clinical features of Han population with type 2 diabetes mellitus in Qinhai region
Objective To investigate the association between polymorphic susceptibility loci for diabetes mellitus and clinical characteristics of type 2 diabetes mellitus(T2DM)in the Han Chinese population in the Qinghai region.Methods A total of 286 T2DM patients treated in Qinghai Provincial People's Hospital from December 2021 to July 2023 were selected as the study subjects.DNA samples were sequenced by Illumina sequencing.LASSO regression model and Kolmogorov-Smirnov(K-S)test were used to analyze the association between SNP and age of onset in T2DM patients.Logistic regression model was used to analyze the association between SNP and DM family history,FPG,HbA1c,HOMA-IR and HOMA-β.Results The age of onset,smoking history,drinking history and WC of male patients were higher than those of female patients(P<0.05),and the HOMA-β,HDL-C,LDL-C and TC were lower than those of female patients(P<0.05).LASSO regression model and K-S test analysis showed that 7 SNPs were associated with the age of onset of T2DM(P<0.05).Logistic regression analysis showed that 13 SNPs were correlated with family history of DM(P<0.05),13 SNPs were correlated with FPG(P<0.05),11 SNPs were correlated with HbA1c(P<0.05),20 SNPs were correlated with HOMA-IR(P<0.05),16 SNPs were associated with HOMA-β(P<0.05).Conclusions In Chinese Han patients with T2DM in Qinghai province,multiple SNPs variants may affect the disease phenotype through different biological pathways,including age of onset,blood glucose index and islet function.

Diabetes mellitus,type 2Single nucleotide polymorphismGene

李春梅、王贝贝、达哇卓玛、罗玮

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810000 西宁,青海省人民医院急诊科

810000 西宁,青海省人民医院内分泌科

810000 西宁,青海省人民医院科教处

糖尿病,2型 单核苷酸多态性 基因

2025

中国糖尿病杂志
北京大学

中国糖尿病杂志

北大核心
影响因子:1.946
ISSN:1006-6187
年,卷(期):2025.33(1)