Skip to main content
Log in

Associations of CKIP-1 and LOX-1 polymorphisms with the risk of type 2 diabetes mellitus with hypertension among Chinese adults

  • Original Article
  • Published:
Acta Diabetologica Aims and scope Submit manuscript

Abstract

Aims

Type 2 diabetes mellitus (T2DM) and hypertension are common high-incidence diseases, closely related, and have common pathogenic basis such as oxidative stress. Casein kinase 2 interacting protein-1 (CKIP-1) and low-density lipoprotein receptor (LOX-1) are considered to be important factors affect the level of oxidative stress in the body. The main purpose of this study was to explore the relationship between CKIP-1 (rs6693817 A > T, rs2306235 C > G) and LOX-1 (rs1050283 G > A, rs11053646 C > G) polymorphisms and the risk of hypertension and diabetes, and try to find new candidate genes for diabetes and diabetes with hypertension etiology in Chinese population.

Methods

574 T2DM patients and 597 controls frequently matched by age and sex were selected for genotyping of CKIP-1 (rs6693817 A > T, rs2306235 C > G) and LOX-1 gene (rs1050283 G > A, rs11053646 C > G). Logistic regression was used to analyze the correlation between different genotypes and the risk of T2DM and T2DM with hypertension, and the results were expressed as odds ratio (OR) and 95% confidence interval (95% CI).

Results

We found that the risk of T2DM in the AA + AT genotype of rs6693817 was higher than that in the TT genotype in Chinese population (OR = 1.318, 95%CI: 1.011–1.717, P = 0.041), and the difference was still significant after adjustment (OR = 1.370, 95%CI: 1.043–1.799, Padjusted = 0.024), the difference of heterozygotes (AT vs TT: OR = 1.374, 95%CI: 1.026–1.840, Padjusted = 0.033) was statistically significant. But after Bonferroni correction, the significance of the above sites disappeared. And rs6693817 was associated with the risk of T2DM combined with hypertension before and after adjustment in dominant model (OR = 1.424, 95% CI: 1.038–1.954, P = 0.028; OR = 1.460, 95% CI: 1.057–2.015, Padjusted = 0.021, respectively) and in heterozygote model (OR = 1.499, 95% CI: 1.069–2.102, P = 0.019; OR = 1.562, 95% CI: 1.106–2.207, Padjusted = 0.011, respectively). However, only the statistical significance of the heterozygous model remained after Bonferroni correction. rs2306235, rs1050283 and rs11053646 were not significantly correlated with T2DM and T2DM combined with hypertension risk (P > 0.05).

Conclusions

The results suggest that CKIP-1 rs6693817 is related to the susceptibility of Chinese people to T2DM with hypertension, providing a new genetic target for the treatment of diabetes with hypertension with in the future.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data availability

The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.

References

  1. Roth GA, Mensah GA, Johnson CO et al (2020) Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol 76(25):2982–3021

    Article  PubMed  PubMed Central  Google Scholar 

  2. So-Armah K, Benjamin LA, Bloomfield GS et al (2020) HIV and cardiovascular disease. Lancet HIV 7(4):e279–e293

    Article  PubMed  PubMed Central  Google Scholar 

  3. China Cardiovascular Health and Disease Report 2020 Official publication. Chin J Cardiol 2021, 26(3):276 (in Chinese)

  4. Wang N, Yang X, Dai GH, Ma T, Zhang CB (2023) Subgroup analysis of endpoint events in patients with myocardial infarction during follow-up: retrospective cohort study. Chin J Integr Tradit West Med 1–9 (in Chinese)

  5. Perrone L, Valente M (2021) The emerging role of metabolism in brain-heart axis: new challenge for the therapy and prevention of Alzheimer disease. May thioredoxin interacting protein (TXNIP) play a role? Biomolecules 11(11):1652

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Yusuf S, Joseph P, Rangarajan S et al (2020) Modifiable risk factors, cardiovascular disease, and mortality in 155722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet 395(10226):795–808

    Article  PubMed  Google Scholar 

  7. Yu ZQ (2023) Prevention and treatment of heart failure from the perspective of hypertension: diagnosis of patients with hypertensive heart failure. Rural Med China 30(1):4–7 ((in Chinese))

    Google Scholar 

  8. International Hypoglycaemia Study G (2019) Hypoglycaemia, cardiovascular disease, and mortality in diabetes: epidemiology, pathogenesis, and management. Lancet Diabetes Endocrinol 7(5):385–396

    Article  Google Scholar 

  9. Lee SW, Kim HC, Lee JM, Yun YM, Lee JY, Suh I (2017) Association between changes in systolic blood pressure and incident diabetes in a community-based cohort study in Korea. Hypertens Res 40(7):710–716

    Article  CAS  PubMed  Google Scholar 

  10. Grossman A, Grossman E (2017) Blood pressure control in type 2 diabetic patients. Cardiovasc Diabetol 16(1):3

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ferrannini E, Cushman WC (2012) Diabetes and hypertension: the bad companions. Lancet 380(9841):601–610

    Article  PubMed  Google Scholar 

  12. Song J, Sheng CS, Huang QF et al (2016) Management of hypertension and diabetes mellitus by cardiovascular and endocrine physicians: a China registry. J Hypertens 34(8):1648–1653

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Kamalumpundi V, Shams E, Tucker C et al (2022) Mechanisms and pharmacotherapy of hypertension associated with type 2 diabetes. Biochem Pharmacol 206:115304

    Article  CAS  PubMed  Google Scholar 

  14. Yildiz M, Esenboga K, Oktay AA (2020) Hypertension and diabetes mellitus: highlights of a complex relationship. Curr Opin Cardiol 35(4):397–404

    Article  PubMed  Google Scholar 

  15. Yamazaki D, Hitomi H, Nishiyama A (2018) Hypertension with diabetes mellitus complications. Hypertens Res 41(3):147–156

    Article  PubMed  Google Scholar 

  16. Regine I, Husain R, Aswathi RP, Reddy DR, Ahmed S, Ramakrishnan V (2020) Association between PPARgammars1801282 polymorphism with diabetic nephropathy and type-2 diabetes mellitus susceptibility in south India and a meta-analysis. Nefrologia (Engl Ed) 40(3):287–298

    Article  PubMed  Google Scholar 

  17. Meng Y, Liu X, Ma K et al (2019) Association of MTHFR C677T polymorphism and type 2 diabetes mellitus (T2DM) susceptibility. Mol Genet Genomic Med 7(12):e1020

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Demikhova N, Mazur T (2019) The correlation between polymorphism of Cyp7A1 gene and index of left ventricular mass for hypertensive patients with diabetic nephropathy. Atherosclerosis 287:e123

    Article  Google Scholar 

  19. Liu X (2022) Study on the relationship between atherosclerosis related gene polymorphism and genetic susceptibility to lower limb arterial disease in type 2 diabetes doctor. Hebei Medical University (in Chinese)

  20. Huang X, Ma L, Wang X et al (2022) Ckip-1 mediates P. gingivalis-suppressed cementoblast mineralization. J Dent Res 101(5):599–608

    Article  CAS  PubMed  Google Scholar 

  21. Yang Y, Xiao H, Lin Z et al (2022) The ubiquitination of CKIP-1 mediated by Src aggravates diabetic renal fibrosis (original article). Biochem Pharmacol 206:115339

    Article  CAS  PubMed  Google Scholar 

  22. Gong W, Chen C, Xiong F et al (2016) CKIP-1 ameliorates high glucose-induced expression of fibronectin and intercellular cell adhesion molecule-1 by activating the Nrf2/ARE pathway in glomerular mesangial cells. Biochem Pharmacol 116:140–152

    Article  CAS  PubMed  Google Scholar 

  23. Fan J, Liu L, Liu Q et al (2019) CKIP-1 limits foam cell formation and inhibits atherosclerosis by promoting degradation of Oct-1 by REGgamma. Nat Commun 10(1):425

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Fu L, Zhang L (2019) Physiological functions of CKIP-1: from molecular mechanisms to therapy implications. Ageing Res Rev 53:100908

    Article  CAS  PubMed  Google Scholar 

  25. Fan J (2017) Study on the function and molecular mechanism of CKIP-1 in atherosclerosis and megakaryocyte differentiation doctor. Acad Milit Med Sci (in Chinese)

  26. Li MP, Zhang YJ, Hu XL et al (2017) Association of CKIP-1 P21A polymorphism with risk of chronic heart failure in a Chinese population. Oncotarget 8(22):36545–36552

    Article  PubMed  PubMed Central  Google Scholar 

  27. Yao SJ, Lan TH, Zhang XY et al (2023) LOX-1 regulation in anti-atherosclerosis of active compounds of herbal medicine: current knowledge and the new insight. Chin J Integr Med 29(2):179–185

    Article  CAS  PubMed  Google Scholar 

  28. Chistiakov DA, Orekhov AN, Bobryshev YV (2016) LOX-1-mediated effects on vascular cells in atherosclerosis. Cell Physiol Biochem 38(5):1851–1859

    Article  CAS  PubMed  Google Scholar 

  29. Roumeliotis S, Roumeliotis A, Georgianos PI et al (2021) Oxidized LDL is associated with eGFR decline in proteinuric diabetic kidney disease: a cohort study. Oxid Med Cell Longev

  30. Islam J, Lee HJ, Yang SH et al (2020) Expansion of myeloid-derived suppressor cells correlates with renal progression in type 2 diabetic nephropathy. Immune Netw 20(2):e18

    Article  PubMed  PubMed Central  Google Scholar 

  31. Dominguez JH, Mehta JL, Li D et al (2008) Anti-LOX-1 therapy in rats with diabetes and dyslipidemia: ablation of renal vascular and epithelial manifestations. Am J Physiol Renal Physiol 294(1):F110-119

    Article  CAS  PubMed  Google Scholar 

  32. Li Y, Duan Z, Gao D, Huang S, Yuan H, Niu X (2012) The new role of LOX-1 in hypertension induced neuronal apoptosis. Biochem Biophys Res Commun 425(4):735–740

    Article  CAS  PubMed  Google Scholar 

  33. Chang WW, Wen LY, Zhang L, Tong X, Jin YL, Chen GM (2022) Association of rs2910164 in miR-146a with type 2 diabetes mellitus: a case-control and meta-analysis study. Front Endocrinol (Lausanne) 13:961635

    Article  PubMed  Google Scholar 

  34. Consensus of Experts on the Prevention and Treatment of Adult Obesity in China. Chin J Endocrinol Metab 2011; 09:711–717 (in Chinese)

  35. Chang WW, Zhang L, Wen LY et al (2023) Association of tag single nucleotide polymorphisms (SNPs) at lncRNA MALAT1 with type 2 diabetes mellitus susceptibility in the Chinese Han population: a case–control study. Gene 851:147008

    Article  CAS  PubMed  Google Scholar 

  36. Curtin F, Schulz P (1998) Multiple correlations and Bonferroni’s correction. Biol Psychiatry 44(8):775–777

    Article  CAS  PubMed  Google Scholar 

  37. Liu W, Lu L, Pan H et al (2022) Heme oxygenase-1 and hemopexin gene polymorphisms and the risk of anti-tuberculosis drug-induced hepatotoxicity in China. Pharmacogenomics 23(7):431–441

    Article  CAS  PubMed  Google Scholar 

  38. Wang YW (2014) Research on the function and regulatory mechanism of CKIP-1 in macrophage proliferation and polarization doctor Chinese People's liberation army academy of military medical sciences (in Chinese)

  39. Liu DC (2014) The association between AKT2 gene polymorphism and coronary heart disease with diabetes in northern China. Master, Jilin University (in Chinese)

  40. Huang X, Liu G, Guo J, Su Z (2018) The PI3K/AKT pathway in obesity and type 2 diabetes. Int J Biol Sci 14(11):1483–1496

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Gao Q, Ma E, Chen J et al (2022) Qingda granule prevents obesity-induced hypertension and cardiac dysfunction by inhibiting adverse Akt signaling activation. Heliyon 8(12):e12099

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Zhao X, Wang J, Li P, Tang L, Bai Y (2021) Casein kinase 2-interacting protein-1 alleviates high glucose-reduced autophagy, oxidative stress, and apoptosis in retinal pigment epithelial cells via activating the p62/KEAP1/NRF2 signaling pathway. J Ophthalmol 2021:6694050

    Article  PubMed  PubMed Central  Google Scholar 

  43. Chen SM, Hu YJ, Yan WR et al (2023) Construction and evaluation of rat model of streptozotocin induced diabetes encephalopathy. Res Tissue Eng China 1–5 (in Chinese)

  44. Huang Y, Zhang J, Xu D, Peng Y, Jin Y, Zhang L (2021) SIRT6-specific inhibitor OSS-128167 exacerbates diabetic cardiomyopathy by aggravating inflammation and oxidative stress. Mol Med Rep 23(5):367

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Barrows IR, Ramezani A, Raj DS (2019) Inflammation, immunity, and oxidative stress in hypertension-partners in crime? Adv Chronic Kidney Dis 26(2):122–130

    Article  PubMed  PubMed Central  Google Scholar 

  46. Jia X, Gao X, Li X et al (2023) Demonstration of safety characteristics and effects on gut microbiota of Lactobacillus gasseri HMV18. Food Sci Hum Wellness 1–21

  47. Zheng J (2013) An association study between BSG and CKIP-1 gene polymorphisms and susceptibility to chronic congestive heart failure in Chinese Han population. Doctor, Central South University (in Chinese)

  48. Li MP, Zhou JP, Sun T et al (2011) Genetic susceptibility of CKIP-1 rs2306235 polymorphism to chronic heart failure In: Inheritance and development, creating a new high in the cause of physiological sciences in Hunan Province-2011 Academic Annual Meeting of the Hunan Physiological Science Association. Changsha, Hunan, China, 22–23 (in Chinese)

  49. Yang X, Yao W, Liu H, Gao Y, Liu R, Xu L (2017) Tangluoning, a traditional Chinese medicine, attenuates in vivo and in vitro diabetic peripheral neuropathy through modulation of PERK/Nrf2 pathway. Sci Rep 7(1):1014

    Article  PubMed  PubMed Central  Google Scholar 

  50. Dong Y, Xing Y, Sun J, Sun W, Xu Y, Quan C (2020) Baicalein alleviates liver oxidative stress and apoptosis induced by high-level glucose through the activation of the PERK/Nrf2 signaling pathway. Molecules 25(3):599

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Zhuang WW (2022) Study on the mechanism of Nrf2 regulating LOX-1 pathway in the proliferation and migration of atherosclerotic vascular smooth muscle cells. Master, Yangzhou university (in Chinese)

  52. Jaganjac M, Milkovic L, Gegotek A et al (2020) The relevance of pathophysiological alterations in redox signaling of 4-hydroxynonenal for pharmacological therapies of major stress-associated diseases. Free Radic Biol Med 157:128–153

    Article  CAS  PubMed  Google Scholar 

  53. Huo CJ, Yu XJ, Sun YJ et al (2020) Irisin lowers blood pressure by activating the Nrf2 signaling pathway in the hypothalamic paraventricular nucleus of spontaneously hypertensive rats. Toxicol Appl Pharmacol 394:114953

    Article  CAS  PubMed  Google Scholar 

  54. Arcambal A, Taile J, Couret D et al (2020) Protective effects of antioxidant polyphenols against hyperglycemia-mediated alterations in cerebral endothelial cells and a mouse stroke model. Mol Nutr Food Res 64(13):e1900779

    Article  PubMed  Google Scholar 

  55. Zhang Q (2019) Correlation analysis between LOX-1, LAL and ACAT1 single nucleotide polymorphisms and carotid atherosclerosis in Han population in northern China. Master, China Medical University (in Chinese)

  56. Salehipour P, Rezagholizadeh F, Mahdiannasser M, Kazerani R, Modarressi MH (2021) Association of OLR1 gene polymorphisms with the risk of coronary artery disease: a systematic review and meta-analysis. Heart Lung 50(2):334–343

    Article  PubMed  Google Scholar 

  57. Wang ZT, Zhong XL, Tan MS et al (2018) Association of lectin-like oxidized low density lipoprotein receptor 1 (OLR1) polymorphisms with late-onset Alzheimer disease in Han Chinese. Ann Transl Med 6(10):172

    Article  PubMed  PubMed Central  Google Scholar 

  58. Guo X, Xiang Y, Yang H, Yu L, Peng X, Guo R (2017) Association of the LOX-1 rs1050283 polymorphism with risk for atherosclerotic cerebral infarction and its effect on sLOX-1 and LOX-1 expression in a Chinese population. J Atheroscler Thromb 24(6):572–582

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Predazzi IM, Norata GD, Vecchione L et al (2012) Association between OLR1 K167N SNP and intima media thickness of the common carotid artery in the general population. PLoS ONE 7(2):e31086

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Paquette M, Dufour R, Baass A (2017) Scavenger receptor LOX1 genotype predicts coronary artery disease in patients with familial hypercholesterolemia. Can J Cardiol 33(10):1312–1318

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Gratitude was given to all participants and contributors who had participated in this study. The authors would also like to thank the editors of this manuscript.

Funding

This project was supported by Grants from the National Natural Science Foundation of China (82003546), the Anhui Natural Science Foundation (1808085MH297;1808085QH252), Anhui Province Excellent Young Talents Fund Program of Higher Education Institutions (gxgnfx2022039), and Talents Program for Academic Leaders and Reserve Candidates of Wannan Medical College (No. School Administration Letter [2021] No. 46).

Author information

Authors and Affiliations

Authors

Contributions

CWW and JYL designed the study. XJJ, TJN, LN, and HL contributed to literature searching, data collection and analysis. CWW and JYL assessed study quality. XJJ, ZL and CGM wrote the manuscript. WLY and ZLJ revised the manuscript. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Weiwei Chang or Yuelong Jin.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval and consent to participate

Not applicable.

Consent for publication

All authors read and approved the final manuscript. 

Informed consent

Informed consent was obtained from all individuals included in the study.

Additional information

Managed by Antonio Secchi.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file 1

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xiong, J., Zhang, L., Chen, G. et al. Associations of CKIP-1 and LOX-1 polymorphisms with the risk of type 2 diabetes mellitus with hypertension among Chinese adults. Acta Diabetol 61, 43–52 (2024). https://doi.org/10.1007/s00592-023-02175-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00592-023-02175-z

Keywords

Navigation