Molecular scanning of the insulin receptor substrate-1 (IRS-1) gene in Japanese patients with NIDDM: identification of five novel polymorphisms

Autor: Ryohei Yoshimura, Eiichi Araki, Kohji Matsuda, Nobuhiro Miyamura, Hideki Kishikawa, S. Isami, Seiya Shimoda, Motoaki Shichiri, Tetsuya Shirotani, Mikio Todaka, S. Motoyoshi, S. Ura, C R Kahn
Rok vydání: 1996
Předmět:
Zdroj: Diabetologia. 39(5)
ISSN: 0012-186X
Popis: Since the insulin receptor substrate-1 (IRS-1) is the major substrate of the insulin receptor tyrosine kinase and has been shown to activate phosphatidylinositol (PI) 3-kinase and promote GLUT4 translocation, the IRS-1 gene is a potential candidate for development of non-insulin-dependent diabetes mellitus (NIDDM). In this study, we have identified IRS-1 gene polymorphisms, evaluated their frequencies in Japanese subjects, and analysed the contribution of these polymorphisms to the development of NIDDM. The entire coding region of the IRS-1 gene of 94 subjects (47 NIDDM and 47 control subjects) was screened by polymerase chain reaction-single stranded conformation polymorphism (PCR-SSCP) analysis. Seven SSCP polymorphisms were identified. These corresponded to two previously identified polymorphisms [Gly971 --Arg (GGG --AGG) and Ala804 (GCA --GCG)] as well as five novel polymorphisms [Pro190 --Arg (CCC --CGC), Met209 --Thr (ATG --ACG), Ser809 --Phe (TCT --TTT), Leu142 (CTT --CTC), and Gly625 (GGC --GGT)]. Although the prevalence of each of these polymorphisms was not statistically different between NIDDM and control subjects, the prevalence of the four IRS-1 polymorphisms with an amino acid substitution together was significantly higher in NIDDM than in control subjects (23.4 vs 8.5%, p0.05), and two substitutions (Met 209 --Thr and Ser809 --Phe) were found only in NIDDM patients. Equilibrium glucose infusion rates during a euglycaemic clamp in NIDDM and control subjects with the IRS-1 polymorphisms decreased by 29.5 and 22.0%, respectively on the average when compared to those in comparable groups without polymorphisms, although they were not statistically significant. Thus, IRS-1 polymorphisms may contribute in part to the insulin resistance and development of NIDDM in Japanese subjects; however, they do not account for the major part of the decrease in insulin-stimulated glucose uptake which is observed in subjects with clinically apparent NIDDM.
Databáze: OpenAIRE