The A allele of the rs759853 single nucleotide polymorphism in the AKR1B1 gene confers risk for diabetic kidney disease in patients with type 2 diabetes from a Brazilian population.

Autor:	Dieter C; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil., Lemos NE; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil., de Faria Corrêa NR; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil., Pellenz FM; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil., Canani LH; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil., Crispim D; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil., Bauer AC; Divisão Endócrina do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Clínica Médica, Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brasil.; Serviço de Nefrologia do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil, andreacarlabauer@gmail.com.
Jazyk:	angličtina
Zdroj:	Archives of endocrinology and metabolism [Arch Endocrinol Metab] 2022 Mar 08; Vol. 66 (1), pp. 12-18. Date of Electronic Publication: 2022 Jan 13.
DOI:	10.20945/2359-3997000000432
Abstrakt:	Objective: The AKR1B1 gene encodes an enzyme that catalyzes the reduction of glucose into sorbitol. Chronic hyperglycemia in patients with diabetes mellitus (DM) leads to increased AKR1B1 affinity for glucose and, consequently, sorbitol accumulation. Elevated sorbitol increases oxidative stress, which is one of the main pathways related to chronic complications of diabetes, including diabetic kidney disease (DKD). Accordingly, some studies have suggested the rs759853 polymorphism in the AKR1B1 gene is associated with DKD; however, findings are still contradictory. The aim was to investigate the association of the rs759853 polymorphism in the AKR1B1 gene and DKD. Methods: The sample comprised 695 patients with type 2 DM (T2DM) and DKD (cases) and 310 patients with T2DM of more than 10 years' duration, but no DKD (controls). The polymorphism was genotyped by real-time PCR. Results: Allelic and genotype frequencies of this polymorphism did not differ significantly between groups. However, the A/A genotype was associated with risk for DKD after adjustment for gender, triglycerides, BMI, presence of hypertension and diabetic retinopathy, and duration of DM, under both recessive (P = 0.048) and additive (P = 0.037) inheritance models. Conclusion: Our data suggest an association between the AKR1B1 rs759853A/A genotype and risk for DKD in Brazilians T2DM patients.
Databáze:	MEDLINE
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