The Association of CYP2D6*4 and POR*28 Polymorphisms on Mirtazapine Plasma Level in Subjects with Major Depressive Disorder and Anxiety Disorders

Aims and Objective: The plasma level of mirtazapine (MIR) varies between individuals primarily depending on the differences in metabolism during pharmacotherapy. CYP2D6 takes the role as a major enzyme in MIR metabolism and POR enzyme donates an electron to CYP2D6 for its activity. Single nucleotide polymorphisms in the genes encoding pharmacokinetic enzymes may cause changes in enzyme activity, leading to differences in metabolism of the drug. Our aim was to assess the influence of CYP2D6*4 and POR*28 polymorphisms on MIR plasma levels in Turkish psychiatric patients. Materials and Methods: The association between genetic variations and plasma level of MIR was investigated on 54 patients. CYP2D6*4 and POR*28 polymorphisms were analysed using Polymerase Chain Reaction- Restriction Fragment Length Polymorphism (PCR-RFLP) and plasma MIR levels were measured using HPLC. Results: Allele frequencies of CYP2D6*4 and POR*28 were 0.11 and 0.39, respectively in the study population. The results showed that CYP2D6*4 allele carriers have higher C/D MIR levels while POR*28 allele carriers have lower C/D MIR levels. Combined genotype analyses also revealed that individuals with CYP2D6*1/*1 - POR*28/*28 genotype have a statistically lower C/D MIR level (0.95 ng/ml/dose) when compared with individuals with CYP2D6*1/*1 - POR*1/*1 genotype (1.52 ng/ml/dose). Conclusion: Our results indicate that CYP2D6*4 and POR*28 polymorphisms may have a potential in the explanation of differences in plasma levels in MIR treated psychiatric patients. A combination of these variations may be beneficial in increasing drug response and decreasing adverse drug reactions in MIR psychopharmacotherapy.

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Association of non-synonymous SNPs of <i>OPN</i> gene with litter size traits in pigs

Archives Animal Breeding ◽

10.5194/aab-58-317-2015 ◽

2015 ◽

Vol 58 (2) ◽

pp. 317-323 ◽

Cited By ~ 3

Author(s):

T. Kumchoo ◽

S. Mekchay

Keyword(s):

Litter Size ◽

Reproductive Traits ◽

Snp Markers ◽

Strong Linkage Disequilibrium ◽

Nucleotide Polymorphisms ◽

Large White ◽

Single Nucleotide ◽

Pcr Rflp ◽

Polymerase Chain ◽

Acid Exchange

Abstract. Osteopontin (OPN) gene is a secreted phosphoprotein which appears to play a key function in the conceptus implantation, placentation and maintenance of pregnancy in pigs. The objectives of this study were to verify the non-synonymous single nucleotide polymorphisms (SNPs) and their association with litter size traits in commercial Thai Large White pigs. A total of 320 Thai Large White sows were genotyped using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Three SNPs at c.425G> A, c.573T> C and c.881C> T revealed amino acid exchange rates of p.110Ala> Thr, p.159Val> Ala and p.262Pro> Ser, respectively, and were then segregated. These three SNPs were significantly associated with total number born (TNB) and number born alive (NBA) traits. No polymorphisms of the two SNP markers (c.278A> G and c.452T> G) were observed in this study. Moreover, the SNPs at c.425G> A and c.573T> C were found to be in strong linkage disequilibrium. The association of OPN with litter size emphasizes the importance of porcine OPN as a candidate gene for reproductive traits in pig breeding.

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Impact of Genetic Variation in TLR4 3′UTR on NSCLC Genetic Susceptibility

Journal of Oncology ◽

10.1155/2020/7593143 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Hongjiao Wu ◽

Hui Gao ◽

Ang Li ◽

Yuning Xie ◽

Zhenxian Jia ◽

...

Keyword(s):

Genetic Susceptibility ◽

Nucleotide Polymorphisms ◽

Single Nucleotide ◽

Lung Cancer Patients ◽

Pathological Type ◽

Gender And Age ◽

Pcr Rflp ◽

Polymerase Chain ◽

Affect Gene Expression ◽

Control Study

Toll-like receptors (TLRs) are expressed not only in immune cells but also in a variety of tumor cells. Single-nucleotide polymorphisms (SNPs) located in the TLRs’ promoter or the 3′ untranslated region may affect gene expression by affecting the activity of the promoter or regulating the binding of mRNA to miRNA. This study aimed to investigate the association of the SNPs in TLR genes with the susceptibility to NSCLC. This case-control study involved 700 lung cancer patients and 700 healthy controls. All individuals were genotyped for all selected SNPs in TLR genes using polymerase chain reaction (PCR) test-based restriction fragment length polymorphism (PCR-RFLP) and TaqMan SNP genotyping assay. The association of genetic variations in TLRs with the susceptibility to NSCLC was evaluated by unconditional logistic regression with OR (95% CI). After evaluating transcriptional factor or miRNA binding capability by bioinformatics methods, six TLRs were identified for further analysis. We did not find that TLR3 rs5743303, TLR4 rs1927914, TLR4 rs11536891, TLR5 rs1640816, and TLR7 rs3853839 were associated with NSCLC risk (P>0.05). Our data showed that TLR4 rs7869402 C > T polymorphism reduced the risk of NSCLC with OR (95% CI) of 0.63 (0.45–0.89). When stratified by gender and age, the individuals carrying at least one rs7869402T allele significantly decreased the NSCLC risk among males (OR = 0.58, 95% CI = 0.38–0.87) and among youngsters (OR = 0.43, 95% CI = 0.27–0.69). Smoking stratification analysis showed that the rs7869402T allele-containing genotype reduced the risk of NSCLC with OR (95% CI) of 0.50 (0.29–0.87) among smokers but not among nonsmokers (P>0.05). When the individuals were classed by the pathological type, we found that the rs7869402T-containing genotype was associated with the risk of adenocarcinoma (OR = 0.62, 95% CI = 0.41–0.92) but not with that of squamous cell carcinoma (OR = 0.71, 95% CI = 0.44–1.13) and other types (OR = 0.23, 95% CI = 0.03–1.70). Compared with the TLR4 Ars1927914-Crs7869402-Trs11536891 haplotype, the Grs1927914-Trs7869402-Trs11536891 haplotype was associated with a decreased risk for developing NSCLC with OR (95% CI) of 0.57 (0.41–0.80). These results indicated that the TLR4 rs7869402 variation affects the genetic susceptibility to NSCLC.

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Association of Toll –like Receptors 1, 2, 4, 6 ,8, 9 and 10 Genes Polymorphisms and Susceptibility to Tuberculosis in Sudanese Patients

10.21203/rs.3.rs-850575/v1 ◽

2021 ◽

Author(s):

Najwa A Mhmoud

Keyword(s):

Complex Disease ◽

Toll Like Receptors ◽

Tuberculosis Patients ◽

Wide Range ◽

Pcr Rflp ◽

Genes Encoding ◽

Study Population ◽

Polymerase Chain ◽

Tuberculosis Disease

Abstract Background: Genetic factors are important contributors to the development of a wide range of complex disease. Polymorphisms in genes encoding for toll like receptors (TLRs) usually influence the efficiency of the immune response to infection and are associated with disease susceptibility and progression. Therefore, we aims to describe the first association between TLR1, TLR2, TLR4 TLR6 , TLR8 , TLR9 ,and TLR10 genes polymorphisms and susceptibility to tuberculosis in Sudanese patients.Methodology: Here we performed a case study which included 160 tuberculosis patients and 220 healthy matched controls from Sudan. In the study population, we evaluated the possible association between 86 markers in TLR1, TLR2, TLR4 TLR6 , TLR8 , TLR9 ,and TLR10 genes polymorphisms and susceptibility to tuberculosis disease in Sudanese population using polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) . Result: From our results It appeared that in the tuberculosis population the TLR1 rs5743557, TLR1 rs4833095, TLR1 rs5743596, TLR2 rs5743704, TLR2 rs5743708, TLR2 rs3804099 , TLR4 rs4986790 ,TLR4 rs4986791, TLR6 rs5743810 , TLR8 rs3764879 , TLR8 rs3764880, TLR9 rs352165, TLR9 rs352167, TLR9 rs187084 and TLR10 rs4129009 were significantly more often encountered (p<0.0001) than in the control population and were associated with tuberculosis in the Sudanese population. For the other polymorphisms tested, no association with tuberculosis was found in the population tested. Conclusion: This indicates that the genotypes obtained for TLR1 rs5743557, TLR1 rs4833095, TLR1 rs5743596, TLR2 rs5743704, TLR2 rs5743708, TLR2 rs3804099 , TLR4 rs4986790 ,TLR4 rs4986791, TLR6 rs5743810 , TLR8 rs3764879 , TLR8 rs3764880, TLR9 rs352165, TLR9 rs352167, TLR9 rs187084 and TLR10 rs4129009 allele have a significant role in the genetic susceptibility to development tuberculosis in Sudanese population.

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A Protocol for Rapid and Inexpensive Genotyping of Mutant Mice from Dried Blood Spots: An Update

10.21203/rs.3.rs-895667/v1 ◽

2021 ◽

Author(s):

Antonella Romano ◽

Candida Zuchegna ◽

Giuseppa Zannini ◽

Roberta Grillo ◽

Samantha Messina ◽

...

Keyword(s):

Dna Extraction ◽

Genomic Dna ◽

Fragment Length Polymorphism ◽

Dna Amplification ◽

Dried Blood Spots ◽

Nucleotide Polymorphisms ◽

Single Nucleotide ◽

Pcr Rflp ◽

Polymerase Chain ◽

Sensitivity Specificity

Abstract Background: Dried blood spot (DBS) testing is a well-known method of bio-sampling by which blood samples are blotted and dried on filter paper. The dried samples can then be analyzed by several techniques such as DNA amplification and HPLC. We have developed a homemade DBS method followed by an alternative protocol for genomic DNA extraction from a drop of blood adsorbed on paper support. This protocol consists of two separate steps: (1) organic DNA extraction from the DBS, followed by (2) DNA amplification by polymerase chain reaction (PCR). The PCR-restriction fragment length polymorphism (PCR-RFLP) is an advantageous and simple approach to detect single nucleotide polymorphisms (SNPs). Results: We have evaluated the efficiency of our method for the extraction of genomic DNA from DBS by testing its performance in genotyping mouse models of obesity and herein discuss the sensitivity, specificity and feasibility of this novel procedure. Conclusions: Our protocol is easy to perform, fast and inexpensive and allows the isolation of pure DNA from a miniscule amount of sample.

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Interleukin-18 and its gene single nucleotide polymorphisms (SNPs) influence chronic hepatitis C progression

The Journal of Infection in Developing Countries ◽

10.3855/jidc.9813 ◽

2018 ◽

Vol 12 (04) ◽

pp. 257-264 ◽

Cited By ~ 1

Author(s):

Ebada M Said ◽

Mohamed S Soliman ◽

Hend Ibrahim Shousha ◽

Mohamed Sanad Rashed ◽

Abeer Abo Elazm ◽

...

Keyword(s):

Chronic Hepatitis ◽

Liver Disease ◽

Hepatitis C ◽

Plasma Level ◽

Plasma Levels ◽

Control Group ◽

Nucleotide Polymorphisms ◽

Interleukin 18 ◽

Single Nucleotide ◽

Its Gene

Introduction: Interleukin-18 (IL-18) is a pro-inflammatory cytokine that is induced by hepatitis C virus (HCV) infection. Inter-individual variations of IL-18 gene expression may alter HCV-associated liver injury. Variable single nucleotide polymorphisms (SNPs) have been detected within IL-18 gene sequence. Quantitative assessment of IL-18 plasma level and detection of genotype frequencies of 2 functional polymorphisms of its gene (-607 C/A and -137 G/C) were done to assess their impact on the severity of chronic hepatitis C (CHC). Methodology: Cases group (I) comprised 110 treatment naïve CHC Egyptian patients (78 Males and 32 Females, mean age = 40.7 ± 11.8 years) who underwent routine laboratory investigations. Assessment of plasma level of IL-18 was done by enzyme-linked immunosorbent assay (ELISA), detection of IL-18 gene polymorphisms at positions -607 C/A and -137 G/C by polymerase chain reaction sequence specific polymorphism (PCR-SSP) analysis and Liver biopsy with METAVIR scoring were done. The control group (II) comprised 90 healthy participants. Results: Plasma levels of IL-18 were significantly higher in cases than the control group. We found a statistically highly significant (p < 0.001) positive correlation between IL-18 plasma level and both METAVIR necro-inflammatory grade and fibrosis stage. The A/A allele at -607 position was significantly more frequent (p < 0.05) in patients with F ≤ 1. Conclusions: Higher IL-18 plasma levels are found in CHC patients and positively correlate with the severity of liver disease. The presence of A/A allele at -607 position of IL-18 gene promoter is associated with milder liver disease.

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Involvement of MTHFR and TPMT genes in susceptibility to childhood acute lymphoblastic leukemia (ALL) in Mexicans

Drug Metabolism and Personalized Therapy ◽

10.1515/dmpt-2015-0036 ◽

2016 ◽

Vol 31 (1) ◽

Cited By ~ 6

Author(s):

Ossyneidee Gutiérrez-Álvarez ◽

Ismael Lares-Asseff ◽

Carlos Galaviz-Hernández ◽

Elio-Aarón Reyes-Espinoza ◽

Horacio Almanza-Reyes ◽

...

Keyword(s):

Essential Role ◽

Case Control Study ◽

Lymphoblastic Leukemia ◽

Case Control ◽

Nucleotide Polymorphisms ◽

Chain Reaction ◽

Single Nucleotide ◽

Genes Encoding ◽

Polymerase Chain ◽

Control Study

AbstractFolate metabolism plays an essential role in the processes of DNA synthesis and methylation. Deviations in the folate flux resulting from single-nucleotide polymorphisms in genes encoding folate-dependent enzymes may affect the susceptibility to leukemia. This case-control study aimed to assess associations amongDNA samples obtained from 70 children with ALL and 152 age-matched controls (range, 1–15 years) were analyzed by real-time reverse transcription polymerase chain reaction (RT-qPCR) to detect: The frequency of the: The

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Association of Interleukin-8 with Cachexia from Patients with Low-Third Gastric Cancer

Comparative and Functional Genomics ◽

10.1155/2009/212345 ◽

2009 ◽

Vol 2009 ◽

pp. 1-6 ◽

Cited By ~ 13

Author(s):

Bo Song ◽

Dianliang Zhang ◽

Shuchun Wang ◽

Hongmei Zheng ◽

Xinxiang Wang

Keyword(s):

Gastric Cancer ◽

Cancer Cachexia ◽

Haplotype Analysis ◽

Positive Association ◽

Serum Levels ◽

Nucleotide Polymorphisms ◽

Single Nucleotide ◽

Increased Risk ◽

Pcr Rflp ◽

Polymerase Chain

Background. Interleukin (IL)-8 has been implicated in the development of cancer cachexia. The polymorphism of IL-8 gene, which may affect the production level of IL-8, may be associated with cancer cachexia.Methods. The serum IL-8 level in our study was examined by radioimmunoassay. We also analyzed single nucleotide polymorphisms (SNPs) −251 A/T and +781 C/T of IL-8 gene, using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).Results. The serum levels of IL-8 were significantly elevated in patients with low-third gastric cancer compared with controls, and were further up-regulated in patients with cachexia than those without (Z=−3.134,P=.002). A significantly increased frequency of +781 T allele was noted in patients with cachexia (OR=2.247, 95% CI: 1.351–3.737,P=.002). The +781 TT genotype was observed to be associated with a significantly increased risk of cachexia (OR=3.167, 95% CI: 1.265–7.929,P=.011), and with odds ratio of 3.033 (95% CI: 1.065–8.639,P=.038) for cachexia after adjusting for potential confounding factors. Meanwhile, haplotype analysis indicated a borderline positive association betweenT251T781haplotype and cachexia as compared with theT251C781haplotype (OR=4.92, 95% CI: 1.00–24.28;,P=.053).Conclusions. IL-8 appears to be associated with cachexia from patients with low-third gastric cancer.

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Effect of porcine IL-6 polymorphism on litter size traits in commercial pig breeds

Veterinary Integrative Sciences ◽

10.12982/vis.2021.021 ◽

2020 ◽

Vol 19 (2) ◽

pp. 237-246

Keyword(s):

Polymerase Chain Reaction ◽

Litter Size ◽

Fragment Length Polymorphism ◽

Nucleotide Polymorphisms ◽

Chain Reaction ◽

Large White ◽

Single Nucleotide ◽

Pcr Rflp ◽

Polymerase Chain ◽

Restriction Fragment Length

This study aimed to verify the polymorphisms in the porcine IL-6 gene and to elucidate its effects on litter size traits in Large White and Landrace sows. Four single nucleotide polymorphisms (SNPs) of the porcine IL-6 gene (g.91506415A>G, g.91507983A>G, g.91508173C>T, and g.91508716C>T) were genotyped using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. There was no polymorphism observed on the three SNPs (g.91506415A>G, g.91507983A>G, and g.91508716C>T) of the porcine IL-6 gene. The porcine IL-6 g.91508173C>T polymorphism was found to be segregating in Large White and Landrace sows. The porcine IL-6 g.91508173C>T polymorphism was significantly associated with the total number born (TNB) and the number of piglets weaned alive (NWA) traits in Large White sows (P<0.05). Moreover, the porcine IL-6 g.91508173C>T polymorphism was significantly associated with the TNB, number born alive (NBA), and NWA traits in Landrace sows (P<0.05). These results indicated that the porcine IL-6 g.91508173C>T polymorphism was associated with litter size traits. These findings confirmed the importance of the IL-6 gene as a candidate gene for litter size traits in pigs.

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Pharmacogenetic Markers of Treatment Response of Imatinib Mesylate in Chronic Myeloid Leukemia Brazilian Patients

Blood ◽

10.1182/blood.v128.22.5458.5458 ◽

2016 ◽

Vol 128 (22) ◽

pp. 5458-5458

Author(s):

Natália M Vieira ◽

Renata Leite ◽

Fabíola Reginato ◽

Marília Zandoná ◽

Tito Vanelli Costa ◽

...

Keyword(s):

Chronic Myeloid Leukemia ◽

Imatinib Mesylate ◽

Myeloid Leukemia ◽

Conflicts Of Interest ◽

Response To Treatment ◽

Nucleotide Polymorphisms ◽

Metabolizing Enzymes ◽

Single Nucleotide ◽

Genes Encoding ◽

Polymerase Chain

Abstract The treatment of chronic myeloid leukemia (CML) was revolutionized by the introduction of imatinib mesylate (IM). However, approximately 20% of patients are non-responsive and interpatient variability in response to IM is still a phenomenon lacking explanation. Single nucleotide polymorphisms (SNPs) located in genes encoding proteins involved in IM pharmacokinetics are potentially involved in the causes of this variation. In this study, we investigated the association of SNPs in the genes encoding IM metabolizing enzymes CYP3A4 (rs35599367 and rs2740574) and CYP3A5 (rs776746) and efflux transporter proteins ABCB1 (rs3213619, rs1128503, rs2032582 and rs1045642), ABCG2 (rs2231142) and ABCC4 (rs9561765) with response to treatment and with IM plasma through levels and hair concentrations. The analyzed sample was constituted of 182 CML patients on IM treatment. DNA samples were genotyped for the nine SNPs using real-time polymerase chain reaction. Hair and plasma trough IM concentrations were measured through liquid chromatography coupled to mass spectrometry methods. Clinical response was defined according to the European Leukemia Net guidelines. The number of responders to standard IM therapy was 104. A trend to a higher frequency of CYP3A4 *22 (rs35599367) allele carriers was observed among responders to IM (12.5 vs. 3.4% of non-responders, P = 0.087), although no significant differences in plasma or hair concentrations between genotypes were found. Pharmacogenetics may become a valuable approach to optimize therapy with IM in CML, but many factors still need to be clarified to make possible its application in clinical practice. Disclosures No relevant conflicts of interest to declare.

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Μελέτη παραγόντων της αγγειακής επασβέστωσης σε ασθενείς με διαβητική νεφροπάθεια

10.12681/eadd/45453 ◽

2019 ◽

Author(s):

Στέφανος Ρουμελιώτης

Keyword(s):

Fragment Length Polymorphism ◽

Matrix Gla Protein ◽

Enzyme Linked Immunosorbent Assay ◽

Nucleotide Polymorphisms ◽

Single Nucleotide ◽

Pcr Rflp ◽

Epoxide Reductase ◽

Polymerase Chain

Η Χρόνια Νεφρική Νόσος (ΧΝΝ) αποτελεί ένα σημαντικό επιδημιολογικό πρόβλημα, με αυξανόμενη συχνότητα και επιπολασμό και υψηλό κόστος στα εθνικά συστήματα υγείας, παγκοσμίως. Η κυριότερη αιτία της ραγδαίας αύξησης του επιπολασμού της νεφρικής νόσου την τελευταία εικοσαετία είναι η αύξηση του επιπολασμού του Σακχαρώδη Διαβήτη Τύπου 2 (ΣΔΤ2), της συχνότερης αιτίας της νεφροπάθειας. Στους ασθενείς με διαβητική νεφροπάθεια (ΔΝ), ακόμα και στα αρχικά στάδια, παρατηρείται επιταχυνόμενη επασβέστωση των αγγείων και συνεπώς η καρδιαγγειακή νόσος αποτελεί την πρώτη αιτία θνητότητας και νοσηρότητας.Η Matrix Gla Protein (MGP) αποτελεί την πρώτη πρωτεΐνη που αναγνωρίστηκε in vitro και in vivo ως ισχυρός αναστολέας αγγειακής επασβέστωσης (ΑΕ). Πρόκειται για μία βιταμινο-Κ εξαρτώμενη πρωτεΐνη 84 αμινοξέων, μοριακού βάρους 12 kDa, που εκφράζεται από τα χονδροκύτταρα και τα λεία μυϊκά κύτταρα του αγγειακού τοιχώματος. Για να γίνει βιολογικά δραστική η MGP πρέπει να υποστεί γ-καρβοξυλίωση και φωσφορυλίωση, διαδικασίες που εξαρτώνται από τις διαθέσιμη ποσότητα βιταμίνης Κ. Η ανενεργός, μη-καρβοξυλιωμένη, μη-φωσφορυλιωμένη μορφή της MGP (dpucMGP) έχει σχετιστεί επανειλημμένως με ανάπτυξη ΑΕ, αλλά και με εξέλιξη της ΧΝΝ.Αρκετές μελέτες έχουν δείξει πως εκτός από διαιτητικούς, εμπλέκονται και γενετικοί παράγοντες στον κύκλο της βιταμίνης Κ (ανακύκλωση της βιταμίνης Κ) και μπορούν να οδηγήσουν σε μειωμένη δραστικότητα της MGP και συνεπώς σε ΑΕ. Η υπομονάδα 1 του συμπλόκου της αναγωγάσης του εποξειδίου της βιταμίνης Κ (Vitamin K Epoxide Reductase Complex Subunit 1 – VKORC1) είναι βασικό συστατικό του κύκλου της βιταμίνης Κ, καθώς είναι το υπεύθυνο ένζυμο για την ολοκλήρωση της μετατροπής του εποξειδίου της βιταμίνης Κ σε βιταμίνη Κ και συνεπώς, της ανακύκλωσής της. Μονονουκλεοτιδικοί γονιδιακοί πολυμορφισμοί (single nucleotide polymorphisms, SNPs) στο γονίδιο που κωδικοποιεί το υπεύθυνο ένζυμο για την ανακύκλωση της βιταμίνης Κ έχουν συσχετιστεί με επιταχυνόμενη ΑΕ της αορτής. Στην περιοχή του υποκινητή του γονιδίου VKORC1 έχει ταυτοποιηθεί ο πολυμορφισμός -1639G>A. Φορείς του G αλληλομόρφου εμφανίζουν αυξημένη κατά 44% δραστικότητα του υποκινητή και αυξημένα επίπεδα ενζύμου VKORC1. Ένας άλλος παράγοντας που επηρεάζει τα επίπεδα της βιταμίνης Κ είναι η απολιποπρωτεϊνη Ε (apoE) η οποία διευκολύνει την κυτταρική πρόσληψη των χυλομικρών που αποτελούν το φορέα μεταφοράς της βιταμίνης Κ στο αίμα. Τα τρία συνηθισμένα αλληλόμορφα της apoE διαφέρουν στην ικανότητά τους να διευκολύνουν την κάθαρση των πλούσιων σε βιταμίνη Κ λιποπρωτεϊνών από την κυκλοφορία με αποτέλεσμα τα επίπεδα πλάσματος της βιταμίνης Κ να μεταβάλλονται στους φορείς των τριών αλληλομόρφων της apoE. Το γονίδιο που κωδικοποιεί την MGP έχει οκτώ SNPs στον υποκινητή και στις περιοχές κωδικοποίησης. O πολυμορφισμός T-138C (rs 1800802) βρίσκεται σε περιοχή του υποκινητή που είναι απαραίτητος για τη μεταγραφή στα λεία μυϊκά κύτταρα των αγγείων. Αρκετοί ερευνητές έχουν δείξει πως η κυκλοφορούσα dpucMGP είναι ανεξάρτητος παράγοντας κινδύνου για ολική και ΚΑ θνητότητα σε διάφορους πληθυσμούς.Στην παρούσα μελέτη, σε διαβητικούς ασθενείς με ΔΝ και σε διαβητικούς χωρίς ΔΝ, μετρήθηκαν τα επίπεδα της κυκλοφορούσας dpucMGP, το πάχος του Ε-ΜΧΚ -ως υποκλινικού δείκτη αθηροσκλήρωσης-, και εκτιμήθηκε η επίδραση γενετικών πολυμορφισμών των γονιδίων των MGP, VKORC1 και apoE σε σχέση με το πάχος του Ε-ΜΧΚ και τα επίπεδα της dpucMGP. Επίσης αξιολογήθηκε η επίδραση των παραπάνω παραγόντων στην ολική και ΚΑ θνητότητα, τα ΚΑ επεισόδια και την εξέλιξη της νεφρικής νόσου στον πληθυσμό αυτό.Η γονοτύπηση των πολυμορφισμών του VKORC1-1639G>A, της MGP -138 T>C και της apoE πραγματοποιήθηκε με τη μέθοδο PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism) σε 40 ασθενείς με ΣΔΤ2 και φυσιολογική νεφρική λειτουργία (ομάδα ελέγχου) και 118 ασθενείς με διάφορα στάδια διαβητικής ΧΝΝ (1-5, συμπεριλαμβανομένων ασθενών υπό αιμοκάθαρση με τεχνητό νεφρό- ΤΝ). Τα επίπεδα της dp-ucMGP του πλάσματος υπολογίστηκαν με τη μέθοδο ELISA (enzyme-linked immunosorbent assay). Σε όλους τους ασθενείς της μελέτης μετρήθηκε υπερηχογραφικά το πάχος του έσω-μέσου χιτώνα της κοινής καρωτίδας αρτηρίας (Ε-ΜΧΚ), με υψηλής ευκρίνειας υπερηχογραφικό μηχάνημα Doppler. Ο πληθυσμός της μελέτης παρακολουθήθηκε για μια 7ετία, με καταληκτικά σημεία την ολική θνητότητα, την ΚΑ θνητότητα και τα ΚΑ συμβάντα (θανατηφόρα και μη).Τα επίπεδα πλάσματος dpucMGP και η τιμή του πάχους Ε-ΜΧΚ σχετίστηκαν στατιστικά σημαντικά με την εξέλιξη της ΔΝ (P<0,0001 και P=0,004 αντιστοίχως). Η συγκέντρωση της dpucMGP ορού δε σχετίστηκε με κανέναν από τους τρεις πολυμορφισμούς ή το πάχος E-MXK. Ενώ οι πολυμορφισμοί VKORC1 -1639G > A και apoE δε σχετίστηκαν, ο πολυμορφισμός MGP T-138C σχετίστηκε με το πάχος του Ε-ΜΧΚ. Οι TT ομοζυγώτες εμφάνιζαν υψηλότερες πάχους Ε-ΜΧΚ συγκριτικά με τους γονότυπους TC και CC μαζί (P=0,006). Ο MGP T-138C ήταν ανεξάρτητος προγνωστικός παράγοντας του πάχους Ε-ΜΧΚ, μετά από προσαρμογή για αρκετούς παράγοντες κινδύνου για ΑΕ (P<0,0001). Επιπλέον, οι ομοζυγώτες ΤΤ εμφάνισαν μεγαλύτερη συχνότητα στην ομάδα των ασθενών υπό ΤΝ σε σύγκριση με την ομάδα της ΧΝΝ σταδίων 1-4 (P= 0,002). Κατόπιν προσαρμογής για αρκετούς παράγοντες κινδύνου, η πολυπαραγοντική ανάλυση Cox έδειξε πως οι ασθενείς με τον γονότυπο TT είχαν σχεδόν 5-πλάσιο κίνδυνο για ολική θνητότητα (Hazard Ratio -HR 4,67, 95% Confidence Interval -CI 1,37-15,94, P=0,01) και ΚΑ θνητότητα (HR 5,07, 95% CI 1,07-24,09, P=0,04) σε σχέση με τους ασθενείς που είχαν τους γονότυπους TC/CC. Στην υπο-ομάδα των ασθενών που μετρήθηκε η dpucMGP, η πολυπαραγοντική ανάλυση Cox έδειξε πως η υψηλή dpucMGP πλάσματος> 646 pM είναι ανεξάρτητος παράγοντας κινδύνου για ολική θνητότητα – [HR 2,97, 95% CI 1,27-6,95, P=0,012], KA θνητότητα - (HR 5,49, 95% CI 1,85-16,33, P=0,002) και εμφάνιση ΚΑ συμβάματος- (HR 2,07 95% CI 1,00-4,20, P=0,047) συγκριτικά με τους ασθενείς στην ομάδα της χαμηλής dpucMGP.Καθώς η MGP αποτελεί σημαντικό αναστολέα της ιστικής και αγγειακής επασβέστωσης, η μελέτη μας υποδεικνύει ότι μάλλον υπάρχει γενετική βάση στην επασβέστωση των ασθενών με διαβητική νεφροπάθεια. Θα μπορούσαμε να υποθέσουμε ότι ο πολυμορφισμός T-138C της MGP ίσως προδιαθέτει γενετικά στην έκφραση της αγγειακής επασβέστωσης.

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