Abstract
Objective
Genome-wide association studies (GWASs) identified that SLC30A8 genetic polymorphism was a risk of type 2 diabetes mellitus (T2DM) in several populations. This study aimed to investigate whether the SLC30A8 rs13266634 and rs16889462 polymorphisms were associated with T2DM susceptibility and repaglinide therapeutic efficacy in Chinese T2DM patients.
Methods
We conducted a case–control study of 443 T2DM patients and 229 healthy volunteers to identify SLC30A8 rs13266634 and rs16889462 genotypes by polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) assay. Forty-eight patients were randomly selected and underwent an 8-week repaglinide treatment (3 mg/d). Fasting plasma glucose (FPG), postprandial plasma glucose (PPG), glycated hemoglobin (HbAlc), fasting serum insulin (FINS), postprandial serum insulin (PINS), homeostasis model assessment for insulin resistance (HOMA-IR), serum triglyceride, total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-c) and high-density lipoprotein-cholesterol (HDL-c) were determined before and after repaglinide treatment.
Results
SLC30A8 rs13266634 risk C allele frequency was higher in T2DM patients than in healthy controls (P < 0.05). There was a better repaglinide response on FINS (P < 0.05) and PINS (P < 0.01) in patients with rs13266634 CT+TT genotypes compared with CC genotype carriers. Patients with rs16889462 GA genotype showed an enhanced repaglinide efficacy on FPG (P < 0.01), PPG (P < 0.01) and HbAlc (P < 0.05) compared with GG genotype individuals.
Conclusions
SLC30A8 rs13266634 and rs16889462 polymorphisms were associated with repaglinide therapeutic efficacy in Chinese T2DM patients.
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Abbreviations
- GWASs:
-
genome-wide association studies
- SNPs:
-
single nucleotide polymorphisms
- T2DM:
-
type 2 diabetes mellitus
- PCR-RFLP:
-
polymerase chain reaction–restriction fragment length polymorphism
- ZnT-8:
-
zinc transporter protein member 8
- SLC30A8:
-
zinc transporter solute carrier family 30 member 8 gene
- BMI:
-
body mass index
- WHR:
-
waist to hip ratio
- FPG:
-
fasting plasma glucose
- PPG:
-
postprandial plasma glucose
- HbAlc:
-
glycated hemoglobin
- FINS:
-
fasting serum insulin
- PINS:
-
postprandial serum insulin
- HOMA-IR:
-
homeostasis model assessment for insulin resistance
- TC:
-
total cholesterol
- LDL-c:
-
low-density lipoprotein-cholesterol
- HDL-c:
-
high-density lipoprotein-cholesterol
- DV:
-
differential value (postadministration minus preadministration)
- IFG:
-
impaired fasting glycemia
- [Ca2+]i:
-
intracellular free calcium
- ABCC8:
-
adenosine triphosphate (ATP)-binding cassette superfamily subfamily C (CFTR/MRP), member 8
- KCNJ11:
-
potassium inwardly rectifying channel subfamily J, member 11
- VDCC:
-
voltage-dependent calcium channels
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Acknowledgments
We thank all study participants for their cooperation. This work was supported by the National “created a major new drugs”-Science and Technology Major Project (No. 2009ZX09304), the National Natural Science Foundation of China Grants 30572230, 30873089, and by the Hunan Provincial Natural Science Foundation of China Grants 08JJ3058.
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The authors declare that there is no conflict of interest associated with this manuscript.
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This work was supported by the National “created a major new drugs”-Science and Technology Major Project (No. 2009ZX09304), the National Natural Science Foundation of China Grants 30572230, 30873089, and the Hunan Provincial Natural Science Foundation of China Grants 08JJ3058.
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Huang, Q., Yin, JY., Dai, XP. et al. Association analysis of SLC30A8 rs13266634 and rs16889462 polymorphisms with type 2 diabetes mellitus and repaglinide response in Chinese patients. Eur J Clin Pharmacol 66, 1207–1215 (2010). https://doi.org/10.1007/s00228-010-0882-6
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DOI: https://doi.org/10.1007/s00228-010-0882-6