Abstract
A considerable variability in the incidence and prevalence of diabetic nephropathy (DN) coheres with an important contribution of multigenetic predisposition in the development of DN. Some genes, which probably participate in the pathogenesis of diabetic nephropathy, also play a role in the regulation of blood pressure, familial hyperlipidemia, familial hypertension and other diseases of the cardiovascular system. We have examined the association of diabetic nephropathy, nephropathy of non-diabetic origin, hypertension and of type 2 diabetes itself with several genetic polymorphisms (the insertion/deletion polymorphism in the gene for angiotensin-converting enzyme, the G/T polymorphism in the glucose transporter 1 gene, the G/T (894) polymorphism and the T/C (−786) polymorphism in the eNOS gene in three groups of patients with diabetes mellitus: 1) patients without diabetic nephropathy (DM); 2) patients with DN; 3) patients with nephropathy of non-diabetic origin (NDRD). Angiotensin-converting enzyme is an important factor in a development of arterial hypertension, but in our groups of Central European diabetic patients the I/D polymorphism was not associated with diabetic nephropathy. Furthermore, we have confirmed that the T/C (T786C) polymorphism in the eNOS gene is associated with metabolic syndrome including type 2 diabetes.
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Imperatore G., Knowler W.C., Nelson R.G., Hanson R.L., Genetics of diabetic nephropathy in the pima Indians, Current Diabetes Reports, 2001, 1, 275–281
Miyata T., Novel mechanisms and therapeutic options in diabetic nephropathy, Pol. Arch. Med. Wewn, 2009, 119, 261–264
Maeda Y., Shiigai T., Diet therapy in diabetic nephropathy, Contrib. Nephrol., 2007, 155, 50–58
Pettitt D.J., Forman M.R., Hanson R.L., Knowler W.C., Bennett P.H., Breastfeeding and incidence of non-insulin-dependent diabetes mellitus in Pima Indians, Lancet, 1997, 350, 166–168
Freedman B.I., Bowden D.W., The role of genetic factors in the development of end-stage renal disease, Curr. Opin. Nephrol. Hypertens., 1995, 4, 230–234
Quinn M., Angelico M.C., Warram J.H., Krolewski A.S., Familial factors determine the development of diabetic nephropathy in patients with IDDM, Diabetologia, 1996, 39, 940–945
Schmidt S., Ritz E., Angiotensin I converting enzyme gene polymorphism and diabetic nephropathy in type II diabetes, Nephrol. Dial. Transplant., 1997, 12,Suppl.2, 37–41
Rigat C., Alhenc-Gelas F., Cambien F., Corvol P., Soubrier F., An insertion/deletion polymorphism in the angiotensin I-converting enzyme gene accounting for half the variance of serum enzyme levels, J. Clin. Invest., 1990, 86, 1343–1346
Harden P.N., Geddes C., Rowe P.A., McIlroy J.H., Boulton-Jones M., Rodger R.S., et al., Polymorphisms in angiotensin-converting-enzyme gene and progression of IgA nephropathy, Lancet, 1995, 345, 1540–1542
Niu T., Xu X., Rogus J., Zhou Y., Chen C., Yang J., et al., Angiotensinogen gene and hypertension in Chinese, J. Clin. Invest., 1998, 101, 188–194
Hodgkinson A.D., Page T., Millward B.A., Demaine A.G., A novel polymorphism in the 5′ flanking region of the glucose transporter (GLUT1) gene is strongly associated with diabetic nephropathy in patients with type 1 diabetes mellitus, J. Diabetes Complications, 2005, 19, 65–69
Brosius F.C., Heilig C.W., Glucose transporters in diabetic nephropathy, Pediatr. Nephrol., 2005, 20, 447–451
Nannipieri M., Penno G., Pucci L., Colhoun H., Motti C., Bertacca A., et al., Pronatriodilatin gene polymorphisms, microvascular permeability, and diabetic nephropathy in type 1 diabetes mellitus, J. Am. Soc. Nephrol., 1999, 10, 1530–1541
Watarai A., Nakashima E., Hamada Y., Watanabe G., Naruse K., Miwa K., et al., Aldose reductase gene is associated with diabetic macroangiopathy in Japanese type 2 diabetic patients, Diabet. Med., 2006, 23, 894–899
Romzova M., Hohenadel D., Kolostova K., Pinterova D., Fojtikova M., Ruzickova S., et al., NFkappaB and its inhibitor IkappaB in relation to type 2 diabetes and its microvascular and atherosclerotic complications, Hum. Immunol., 2006, 67, 706–713
Zanchi A., Moczulski D.K., Hanna L.S., Wantman M., Warram J.H., Krolewski A.S., Risk of advanced diabetic nephropathy in type 1 diabetes is associated with endothelial nitric oxide synthase gene polymorphism, Kidney. Int., 2000, 57, 405–413
Liao L., Lim M.C., Chan S.W., Zhao J.J., Lee KO., Nitric oxide synthase gene polymorphisms and nephropathy in Asians with type 2 diabetes, J. Diabetes Complications, 2006, 20, 71–75
Borg H., Arnqvist H.J., Björk E., Bolinder J., Eriksson J.W., Nyström L., et al, Evaluation of the new ADA and WHO criteria for classification of diabetes mellitus in young adult people (15–34 yrs) in the Diabetes Incidence Study in Sweden (DISS), Diabetologia, 2003, 46, 173–181, Erratum in, Diabetologia, 2004, 47, 154
Guldiken B., Sipahi T., Guldiken S., Ustundag S., Budak M., Turgut N., et al., Glu298Asp polymorphism of the endothelial nitric oxide synthase gene in Turkish patients with ischemic stroke, Mol. Biol. Rep, 2009, 36, 1539–1543
Thameem F., Puppala S., Arar N.H., Stern M.P., Blangero J., Duggirala R., et al., Endothelial nitric oxide synthase (eNOS) gene polymorphisms and their association with type 2 diabetes-related traits in Mexican Americans, Diab. Vasc. Dis. Res., 2008, 5, 109–113
Fatini C., Sofi F., Sticchi E., Bolli P., Sestini I., Falciani M., et al., eNOS G894T polymorphism as a mild predisposing factor for abdominal aortic aneurysma, J. Vasc. Surg., 2005, 42, 415–419
Giusti B., Gori A.M., Marcucci R., Sestini I., Saracini C., Sticchi E., et al., Role of C677T and A1298C MTHFR, A2756G MTR and -786 T/C eNOS gene polymorphisms in atrial fibrillation susceptibility, PLoS One, 2007, 2, e495
Freitas-Silva M., Pereira D., Coelho C., Bicho M., Lopes C., Medeiros R., Angiotensin I-converting enzyme gene insertion/deletion polymorphism and endometrial human cancer in normotensive and hypertensive women, Cancer. Genet. Cytogenet., 2004, 155, 42–46
Hodgkinson A.D., Millward B.V., Demaine A.G., Polymorphism of the glucose transporter (GLUT1) gene is associated with diabetic nephropathy, Kidney Int., 2001, 59, 985–989
Schmidt S., Ritz E., Genetic determinants of diabetic renal disease and their impact on therapeutic interventions, Kidney Int. Suppl., 1997, 63, S27–31
Tarnow L., Gluud C., Parving H.H., Diabetic nephropathy and the insertion/deletion polymorphism of the angiotensin-converting enzyme gene, Nephrol. Dial. Transplant., 1998, 13, 1125–1130
Hadjadj S., Tarnow L., Forsblom C., Kazeem G., Michel Marre, Groop P-H., et al., FD Study Group, Hager-Vionnet N, for the EURAGEDIC Study Group, Association between Angiotensin-Converting Enzyme Gene Polymorphisms and Diabetic Nephropathy, Case-Control, Haplotype, and Family-Based Study in Three European Populations, J. Am. Soc. Nephrol., 2007, 18, 1284–1291
Movva S., Alluri R.V., Komandur S., Vattam K., Eppa K., Mukkavali K.K., et al., Relationship of angiotensin-converting enzyme gene polymorphism with nephropathy associated with Type 2 diabetes mellitus in Asian Indians, J Diabetes Complications, 2007, 21, 237–241
Boström K.B., Hedner J., Melander O., Grote L., Gullberg B., Råstam L., et al., Interaction between the angiotensin-converting enzyme gene insertion/deletion polymorphism and obstructive sleep apnoea as a mechanism for hypertension, J. Hypertens., 2007, 25, 779–783
Parving H-H., de Zeeuw D., Cooper M.E., Remuzzi G., Liu N., Lunceford J., et al., ACE Gene Polymorphism and Losartan Treatment in Type 2 Diabetic Patients With Nephropathy, J. Am. Soc. Nephrol., 2008, 19, 771–779
Ruggenenti P., Bettinaglio P., Pinares F., Remuzzi G., Angiotensin Converting Enzyme Insertion/Deletion Polymorphism and Renoprotection in Diabetic and Nondiabetic Nephropathies, Clin. J. Am. Soc. Nephrol., 2008, 3, 1511–1525
Ezzidi I., Mtiraoui N., Kacem M., Chaieb M., Mahjoub T., Almawi W.Y., Identification of specific angiotensin-converting enzyme variants and haplotypes that confer risk and protection against type 2 diabetic nephropathy, Diabetes Metab. Res. Rev., 2009, 25, 717–724
Tarnow L., Grarup N., Hansen T., Parving H-H., Pedersen O., Diabetic microvascular complications are not associated with two polymorphisms in the GLUT-1 and PC-1 genes regulating glucose metabolism in Caucasian type 1 diabetic patients, Nephrol. Dial. Transplant, 2001, 16, 1653–1656
Noiri E., Satoh H., Taguchi J., Brodsky S.V., Nakao A., Ogawa Y., et al., Association of eNOS Glu298Asp Polymorphism With End-Stage Renal Disease, Hypertension, 2002, 40, 535–540
Nagase S., Suzuki H., Wang Y., Kikuchi S., Hirayama A., Ueda A., et al., Association of ecNOS gene polymorphisms with end stage renal diseases, Mol. Cell. Biochem., 2003, 244, 113–118
Ahluwalia T.S., Ahuja M., Rai T.S., Kohli H.S., Sud K., Bhansali A., et al., Endothelial nitric oxide synthase gene haplotypes and diabetic nephropathy among Asian Indians, Mol. Cell. Biochem., 2008, 314, 9–17
Klahr S., The role of nitric oxide in hypertension and renal disease progression, Nephrol. Dial. Transplant., 2001, 16, 60–62
Ezzidi I., Mtiraoui N., Mohamed M.B., Mahjoub T., Kacem M., Almawi W.Y., Endothelial nitric oxide synthase Glu298Asp, 4b/a, and T-786C polymorphisms in type 2 diabetic retinopathy, Clin. Endocrinol. (Oxf), 2008, 68, 542–546
Awata T., Neda T., Iizuka H., Kurihara S., Ohkubo T., Takata N., et al., Endothelial nitric oxide synthase gene is associated with diabetic macular edema in type 2 diabetes, Diabetes Care, 2004, 27, 2184–2190
Liu Y., Burdon K.P., Langefeld C.D., Beck S.R., Wagenknecht L.E., Rich S.S., et al., T-786C polymorphism of the endothelial nitric oxide synthase gene is associated with albuminuria in the diabetes heart study, J. Am. Soc. Nephrol., 2005, 16, 1085–1090
Brenol C.V., Chies J.A., Brenol J.C., Xavier R.M., Role of endothelial nitric oxide synthase (eNOS) polymorphisms in cardiovascular disease and rheumatoid arthritis, Clin. Exp. Rheumatol., 2010, 28, 84
Rossing P., Tarnow L., Nielsen F.S., Boelskifte S., Brenner B.M., Parving H-H., Short stature and diabetic nephropathy, BMJ., 1995, 310, 296–297
Ciftçi C., Melil S., Cebi Y., Ersöz M., Cağatay P., Kiliçgedik M., et al., Association of endothelial nitric oxide synthase promoter region (T-786C) gene polymorphism with acute coronary syndrome and coronary heart disease, Lipids Health Dis., 2008, 25,7:5
Nurkalem Z., Tangurek B., Zencirci E., Alper A.T., Aksu H., Erer B., et al., Endothelial nitric oxide synthase gene (T-786C) polymorphism in patients with slow coronary flow, Coron. Artery Dis., 2008, 19, 85–88
Colombo M.G., Paradossi U., Andreassi M.G., Botto N., Manfredi S., Masetti S., et al., Endothelial nitric oxide synthase gene polymorphisms and risk of coronary artery disease, Clin. Chem., 2003, 49, 389–395
Hyndman M.E., Parsons H.G., Verma S., Bridge P.J., Edworthy S., Jones C., et al., The T-786—>C mutation in endothelial nitric oxide synthase is associated with hypertension, Hypertension, 2002, 39, 919–922
Sandrim V.C., de Syllos R.W., Lisboa H.R., Tres G.S., Tanus-Santos J.E., Endothelial nitric oxide synthase haplotypes affect the susceptibility to hypertension in patients with type 2 diabetes mellitus, Atherosclerosis, 2006, 189, 241–246
Erbs S., Baither Y., Linke A., Adams V., Shu Y., Lenk K., et al., Promoter but not exon 7 polymorphism of endothelial nitric oxide synthase affects traininginduced correction of endothelial dysfunction, Arterioscler. Thromb Vasc. Biol., 2003, 23, 1814–1819
Kaplan N.M., The deadly quartet, Upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension, Arch. Intern. Med., 1989, 149, 1514–1520
Groop L.C., Insulin resistance, the fundamental trigger of type 2 diabetes, Diabetes Obes. Metab., 1999, 1, S1–7
Imamura A., Takahashi R., Murakami R., Kataoka H., Cheng X.W., Numaguchi Y., et al., The effects of endothelial nitric oxide synthase gene polymorphisms on endothelial function and metabolic risk factors in healthy subjects, the significance of plasma adiponectin levels, Eur. J. Endocrinol., 2008, 158, 189–195
Ohtoshi K., Yamasaki Y., Gorogawa S., Hayaishi-Okano R., Node K., Matsuhisa M, et al., Association of (-)786T-C mutation of endothelial nitric oxide synthase gene with insulin resistance, Diabetologia, 2002, 45, 1594–1601
González-Sánches J.L., Martínez-Larrad M.T., Sáez M.E., Zabena C., Martínez-Calatrava M.J., Serrano-Rios M., Endothelial nitric oxide synthase haplotypes are associated with features of metabolic syndrome, Clin Chem., 2007, 53, 91–97
Monti L.D., Barlassina C., Citterio L., Galluccio E., Berzuini C., Setola E., et al., Endothelial nitric oxide synthase polymorphisms are associated with type 2 diabetes and the insulin resistance syndrome, Diabetes, 2003, 52, 1270–1275
Bedir A., Arik N., Adam B., Kilinç K., Gümüş T., Güner E., Angiotensin converting enzyme gene polymorphism and activity in Turkish patients with essential hypertension, Am J Hypertens, 1999, 12, 1038–1043
Bawazier L.A., Sja’bani M., Haryana S.M., Soesatyo M.H., Sadewa A.H., Relationship of angiotensin converting enzyme gene polymorphism and hypertension in Yogyakarta, Indonesia, Acta Med. Indones., 2010, 42, 192–198
Akra-Ismail M., Makki R.F., Chmaisse H.N., Kazma A., Zgheib N.K., Association between angiotensinconverting enzyme insertion/deletion genetic polymorphism and hypertension in a sample of Lebanese patients, Genet. Test Mol. Biomarkers 2010, 14, 787–792
Araz M., Aynacioglu S., Aktaran S., Alasehirli B., Okan V., Association between polymorphism of the angiotensin I converting enzyme gene and hypertension in Turkish type II diabetic patients, Acta Medica (Hradec Kralove), 2001, 44, 29–32
Fradin S., Goulet-Salmon B., Chantepie M., Grandhomme F., Morello R., Jauzac P., et al., Relationship between polymorphisms in the renin-angiotensin system and nephropathy in type 2 diabetic patients, Diabetes Metab., 2002, 28, 27–32
Hadjadj S., Gallois Y., Alhenc-Gelas F., Chatellier G., Marre M., Genes N., et al., Diabhycar Study Group, Angiotensin-I-converting enzyme insertion/deletion polymorphism and high urinary albumin concentration in French Type 2 diabetes patients, Diabet. Med., 2003, 20, 677–682
Gutiérrez C., Vendrell J., Pastor R., Llor C., Aguilar C., Broch M., et al., Angiotensin I-converting enzyme and angiotensinogen gene polymorphisms in non-insulin-dependent diabetes mellitus, Lack of relationship with diabetic nephropathy and retinopathy in a Caucasian Mediterranean population, Metabolism, 1997, 46, 976–980
Schmidt S., Schöne N., Ritz E., Association of ACE gene polymorphism and diabetic nephropathy? The Diabetic Nephropathy Study Group, Kidney In., 1995, 47, 1176–1181
Fujisawa T., Ikegami H., Kawaguchi Y., Hamada Y., Ueda H., Shintani M., et al., Meta-analysis of association of insertion/deletion polymorphism of angiotensin I-converting enzyme gene with diabetic nephropathy and retinopathy, Diabetologia, 1998, 41, 47–53
Gohda T., Makita Y., Shike T., Kobayashi M., Funabiki K., Haneda M., et al., Association of the DD genotype and development of Japanese type 2 diabetic nephropathy, Clin. Nephrol., 2001, 56, 475–480
Ha S.K., Park HC., Park H.S., Kang B.S., Lee T.H., Hwang H.J., et al., ACE gene polymorphism and progression of diabetic nephropathy in Korean type 2 diabetic patients, effect of ACE gene DD on the progression of diabetic nephropathy, Am. J. Kidney. Dis., 2003, 41, 943–949
Jeffers B.W., Estacio R.O., Raynolds M.V., Schrier R.W., Angiotensin-converting enzyme gene polymorphism in non-insulin dependent diabetes mellitus and its relationship with diabetic nephropathy, Kidney Int., 1997, 52, 473–477
Ohno T., Kawazu S., Tomono S., Association analyses of the polymorphisms of angiotensinconverting enzyme and angiotensinogen genes with diabetic nephropathy in Japanese non-insulin-dependent diabetics, Metabolism, 1996, 45, 218–222
Movva S., Alluri R.V., Komandur S., Vattam K, Eppa K., Mukkavali K.K., et al., Relationship of angiotensin-converting enzyme gene polymorphism with nephropathy associated with Type 2 diabetes mellitus in Asian Indians, J. Diabetes Complications, 2007, 21, 237–241
Tomino Y., Makita Y., Shike T., Gohda T., Haneda M., Kikkawa R., et al., Relationship between polymorphism in the angiotensinogen, angiotensinconverting enzyme or angiotensin II receptor and renal progression in Japanese NIDDM patients, Nephron, 1999, 82, 139–144
Wang X.L., Wang J., Endothelial nitric oxide synthase gene sequence variations and vascular disease, Mol. Genet. Metab., 2000, 70, 241–251
Panagiotopoulos S., Smith T.J., Aldred G.P., Baker E.J., Jacklin C.J., Jerums G., Angiotensinconverting enzyme (ACE) gene polymorphism in type II diabetic patients with increased albumin excretion rate, J. Diabetes Complications, 1995, 9, 272–276
Taniwaki H., Ishimura E., Matsumoto N., Emoto M., Inaba M., Nishizawa Y., Relations between ACE gene and eNOS gene polymorphisms and resistive index in type 2 diabetic patients with nephropathy, Diabetes Care, 2001, 24, 1653–1660
Liao L., Lei M.X., Chen H.L., Angiotensin converting enzyme gene polymorphism and type 2 diabetic nephropathy, Hunan Yi Ke Da Xue Xue Bao, 2003, 28, 553–556 (in Chinese)
Shin Shin Y., Baek S.H., Chang K.Y., Park C.W., Yang C.W., Jin D.C., et al., Relations between eNOS Glu298Asp polymorphism and progression of diabetic nephropathy, Diabetes Res. Clin. Pract., 2004, 65, 257–265
Liu Z.H., Guan T.J., Chen Z.H., Li LS., Glucose transporter (GLUT1) allele (XbaI-) associated with nephropathy in non-insulin-dependent diabetes mellitus, Kidney Int., 1999, 55, 1843–1848
Hodgkinson A.D., Millward B.A., Demaine A.G., Polymorphisms of the glucose transporter (GLUT1) gene are associated with diabetic nephropathy, Kidney Int., 2001, 59, 985–989
Ng D.P., Canani L., Araki S., Smiles A., Moczulski D., Warram J.H., et al., Minor effect of GLUT1 polymorphisms on susceptibility to diabetic nephropathy in type 1 diabetes, Diabetes, 2002, 51, 2264–2269
Gutierrez C., Vendrell J., Pastor R., Broch M., Aguilar C., Llor C., et al., GLUT1 gene polymorphism in non-insulin-dependent diabetes mellitus: genetic susceptibility relationship with cardiovascular risk factors and microangiopathic complications in a Mediterranean population, Diabetes Res. Clin. Pract., 1998, 41, 113–120
Tarnow L., Grarup N., Hansen T., Parving H.H., Pedersen O., Diabetic microvascular complications are not associated with two polymorphisms in the GLUT-1 and PC-1 genes regulating glucose metabolism in Caucasian type 1 diabetic patients, Nephrol. Dial. Transplant. 2001, 16, 1653–1656
Noiri E., Satoh H., Taguchi J., Brodsky S.V., Nakao A., Ogawa Y., et al., Association of eNOS Glu298Asp polymorphism with end-stage renal disease, Hypertension, 2002, 40, 535–540
Nagase S., Suzuki H., Wang Y., Kikuchi S., Hirayama A., Ueda A., et al., Association of ecNOS gene polymorphisms with end stage renal diseases, Mol. Cell. Biochem., 2003, 244, 113–118
Chen Y., Huang H., Zhou J., Doumatey A., Lashley K., Chen G., et al., Polymorphism of the endothelial nitric oxide synthase gene is associated with diabetic retinopathy in a cohort of West Africans, Mol. Vis., 2007, 13, 2142–2147
Thameem F., Puppala S., Arar N.H., Stern M.P., Blangero J., Duggirala R., et al., Endothelial nitric oxide synthase (eNOS) gene polymorphisms and their association with type 2 diabetes-related traits in Mexican Americans, Diab. Vasc. Dis. Res., 2008, 5, 109–113
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Demova, H., Boleckova, J., Rose, D. et al. Gene polymorphisms in patients with type 2 diabetes and diabetic nephropathy. cent.eur.j.biol. 7, 210–218 (2012). https://doi.org/10.2478/s11535-012-0003-x
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DOI: https://doi.org/10.2478/s11535-012-0003-x