BACKGROUND:New-onset diabetes after transplantation(NODAT) has become one of the major factors that affect the overall survival and long-term life quality in liver transplantation(LT) recipients. Previous studies foun...BACKGROUND:New-onset diabetes after transplantation(NODAT) has become one of the major factors that affect the overall survival and long-term life quality in liver transplantation(LT) recipients. Previous studies found that the serum adiponectin concentration of diabetic patients is significantly lower than that of healthy subjects. Adiponectin regulates the blood glucose level by increasing body sensitivity to insulin through various mechanisms. In this study, we aimed to investigate the impact of diabetes related gene polymorphisms on the development of NODAT in liver recipients.METHODS:A total of 256 LT patients in a single-center were selected retrospectively for the study. Genomic DNA was extracted from explanted liver tissues, and tested for twelve diabetes mellitus associated single nucleotide polymorphisms by Sequenom Mass ARRAY. Modified clinical models in predicting NODAT were established and evaluated.RESULTS:The GG genotype of ADIPOQ rs1501299 gene polymorphism was significantly more frequent in NODAT than non-NODAT LT patients(56% vs 39%, P=0.014). Dominant model(GG vs GT+TT, P=0.030) and recessive model(GT+GG vs TT, P=0.005) also confirmed the genotype distribution difference between NODAT and non-NODAT groups. Age(OR=1.048, P=0.004), BMI(OR=1.107, P=0.041), and blood tacrolimus level at 1-month LT(OR=1.170, P=0.003) were clinical independent risk factors of NODAT. Furthermore, rs1501299 could improve the ability of clinical model in predicting NODAT(AUROC=0.743, P<0.001).CONCLUSION:ADIPOQ rs1501299 gene polymorphism is associated with an increased risk of NODAT, which should be added to the clinical models in predicting the occurrence of NODAT in LT recipients.展开更多
目的:探讨中国人脂联素基因(ADIP0Q)rs2241766单核苷酸多态性与高血压的相关性。方法:通过文献检索收集2016年4月以前完成或公开发表的,脂联素基因rs2241766单核苷酸多态性与高血压相关性的病例对照研究,剔除不符合要求的文献,以漏斗图...目的:探讨中国人脂联素基因(ADIP0Q)rs2241766单核苷酸多态性与高血压的相关性。方法:通过文献检索收集2016年4月以前完成或公开发表的,脂联素基因rs2241766单核苷酸多态性与高血压相关性的病例对照研究,剔除不符合要求的文献,以漏斗图检验入选文献的偏倚性,并根据各入选文献结果的同质性检验结果进行数据合并,计算总比值比,Meta分析采用Review Manager 5.3版软件。结果:总共有8篇文献纳入本次研究,其中有1 907例高血压患者和2 263例正常对照组。Meta分析结果显示:脂联素基因rs2241766等位基因模型(G VS T)合并后的总[OR=1.13,95%CI:1.03,1.24];共显性模型(GG VS TT)合并后的总[OR=1.33,95%CI:1.08,1.65]。结论:中国人脂联素基因rs2241766单核苷酸多态性可增加患高血压的风险。展开更多
基金supported by grants from the National Natural Science Foundation of China(81470893)Zhejiang Provincial Natural Science Foundation of China(LY14H030003)Zhejiang Provincial Medical & Hygienic Science and Technology Project of China(2018KY385)
文摘BACKGROUND:New-onset diabetes after transplantation(NODAT) has become one of the major factors that affect the overall survival and long-term life quality in liver transplantation(LT) recipients. Previous studies found that the serum adiponectin concentration of diabetic patients is significantly lower than that of healthy subjects. Adiponectin regulates the blood glucose level by increasing body sensitivity to insulin through various mechanisms. In this study, we aimed to investigate the impact of diabetes related gene polymorphisms on the development of NODAT in liver recipients.METHODS:A total of 256 LT patients in a single-center were selected retrospectively for the study. Genomic DNA was extracted from explanted liver tissues, and tested for twelve diabetes mellitus associated single nucleotide polymorphisms by Sequenom Mass ARRAY. Modified clinical models in predicting NODAT were established and evaluated.RESULTS:The GG genotype of ADIPOQ rs1501299 gene polymorphism was significantly more frequent in NODAT than non-NODAT LT patients(56% vs 39%, P=0.014). Dominant model(GG vs GT+TT, P=0.030) and recessive model(GT+GG vs TT, P=0.005) also confirmed the genotype distribution difference between NODAT and non-NODAT groups. Age(OR=1.048, P=0.004), BMI(OR=1.107, P=0.041), and blood tacrolimus level at 1-month LT(OR=1.170, P=0.003) were clinical independent risk factors of NODAT. Furthermore, rs1501299 could improve the ability of clinical model in predicting NODAT(AUROC=0.743, P<0.001).CONCLUSION:ADIPOQ rs1501299 gene polymorphism is associated with an increased risk of NODAT, which should be added to the clinical models in predicting the occurrence of NODAT in LT recipients.
文摘目的:探讨中国人脂联素基因(ADIP0Q)rs2241766单核苷酸多态性与高血压的相关性。方法:通过文献检索收集2016年4月以前完成或公开发表的,脂联素基因rs2241766单核苷酸多态性与高血压相关性的病例对照研究,剔除不符合要求的文献,以漏斗图检验入选文献的偏倚性,并根据各入选文献结果的同质性检验结果进行数据合并,计算总比值比,Meta分析采用Review Manager 5.3版软件。结果:总共有8篇文献纳入本次研究,其中有1 907例高血压患者和2 263例正常对照组。Meta分析结果显示:脂联素基因rs2241766等位基因模型(G VS T)合并后的总[OR=1.13,95%CI:1.03,1.24];共显性模型(GG VS TT)合并后的总[OR=1.33,95%CI:1.08,1.65]。结论:中国人脂联素基因rs2241766单核苷酸多态性可增加患高血压的风险。
