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The 5'VNTR proinsulin gene (INS) polymorphism and the functional reserve of β cells in the intravenous glucose tolerance test.
MedLine Citation:
PMID:  21507316     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: Proinsulin 5'VNTR polymorphism determines susceptibility to type 1 diabetes (T1DM). The authors tested whether it affects intravenous glucose tolerance test (IVGTT) results. Aim of the study: To evaluate a possible relationship between 5'VNTR proinsulin gene (INS) polymorphism and glucose, insulin and C-peptide levels during IVGTT among siblings of childen suffering from T1DM. Material and methods: Fourteen patients - siblings of children with type 1 diabetes, positive for at least one autoantibody, underwent IVGTT with glucose, insulin and C-peptide concentrations measurement. Results: Mean age of patients equaled 10.71±4.15 years. Eight individuals were homozygous for class I/I and six were class III/I heterozygotes. No significant differences in blood glucose levels during the IVGTT were observed (p=0.67). However, lower insulin (p=0.03) and C-peptide (p=0.01) levels were observed in I/I homozygotes in post-challenge timepoints. No significant differences were observed in baseline fasting insulin, glucose and C-peptide levels. Conclusions: The class III allele in the 5'VNTR promoter region of INS is associated with a greater functional reserve of β cells in response to a direct hyperglycemic stimulus in individuals with a familial background of T1DM.
Authors:
Wojciech Fendler; Krystyna Wyka; Agnieszka Cieślik-Heinrich; Ewa Polakowska; Justyna Jastrzębska; Wojciech Młynarski
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Pediatric endocrinology, diabetes, and metabolism     Volume:  17     ISSN:  2081-237X     ISO Abbreviation:  -     Publication Date:  2011  
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518750     Medline TA:  Pediatr Endocrinol Diabetes Metab     Country:  -    
Other Details:
Languages:  ENG     Pagination:  5-9     Citation Subset:  -    
Vernacular Title:
Polimorfizm 5'VNTR genu proinsuliny (INS) a rezerwa czynnościowa komórek β trzustki podczas dożylnej próby obciążenia glukozą
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