Abstract
Background
Diabetes mellitus (DM) is associated with high blood glucose levels and sulfonylureas (SFUs) are one of the treatment options for DM. SFUs bind to sulfonylurea-1 receptor (SUR1), which is encoded by the ABCC8 gene and leads to blood glucose reduction. Genetic variants like rs757110 and rs1799854 of ABCC8 can influence the response to the drug’s efficiency. Therefore, this study aimed to investigate the association between the ABCC8 rs757110 and rs1799854 genetic variants and response to SFUs treatment.
Methods
Totally, 61 DM patients with SFUs treatment were included. Baseline characteristics of the patients were recorded and 5 ml of blood was taken from each patient. After DNA extraction, a sequence containing rs757110 and rs1799854 was synthesized by the PCR method, and the PCR products were used for Sanger sequencing.
Results
Frequencies of GG, GA, and AA genotypes of rs1799854 variant was 12 (40%), 14 (46.7%), and 4 (13.3%), and the frequencies of CC, AC, and AA genotypes for rs757110 variant was 3 (9.7%), 5 (16.1%) and 23 (74.2%) in, respectively. Patients with different genotypes had the same age, BMI (body mass index), initial FBS (Fasting blood sugar), initial HbA1c, treatment duration, gender and history of smoking, alcohol consumption, and exercise. There was no significant difference in FBS and HbA1c changes after SFUs treatment between patients with rs757110 variant (p = 0.39 for FBS and p = 0.76 for HbA1c) and rs1799854 (p = 0.24 for FBS and p = 0.36 for HbA1c).
Conclusion
The rs1799854 and rs757110 variants of the ABCC8 gene had no significant influence on response to SFUs treatment.
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Data availability
This project’s data will be open to the public.
Abbreviations
- DM:
-
diabetes mellitus
- SFUs:
-
Sulfonylureas
- SUR1:
-
sulfonylurea-1 receptor
- PCR:
-
polymerase chain reaction
- BMI:
-
body mass index
- FBS:
-
fasting blood sugar
- HbA1c:
-
Hemoglobin A1c
- T1D:
-
type 2 diabetes
- T2D:
-
type 2 diabetes
- GDM:
-
gestational diabetes
- T1DM:
-
In type 1 diabetes mellitus
- T2DM:
-
type 2 diabetes mellitus
- SD:
-
standard deviation
- EDTA:
-
ethylenediamine tetraacetic acid
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Acknowledgements
The authors thank to T2DM patients who participated in this study.
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MA and MP drafted the manuscript and performed lab genotyping; SGH provided clinical guidance to the research; FSH performed the statistical analysis; FB managed the project; MH provided genetic guidance to the research. All authors contributed to and approved the final version of the manuscript.
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The present study research is approved by the ethics committee of Islamic Azad University and all T2DM patients signed written consent forms.
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Melika Azimi and Melika Paseban both authors contribute the first authorship.
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Azimi, M., Paseban, M., Ghareh, S. et al. Association of ABCC8 gene variants with response to sulfonylurea in type 2 diabetes mellitus. J Diabetes Metab Disord 22, 649–655 (2023). https://doi.org/10.1007/s40200-023-01189-2
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DOI: https://doi.org/10.1007/s40200-023-01189-2