Document Detail


Obesity-associated genetic variants in young Asian Indians with the metabolic syndrome and myocardial infarction.
MedLine Citation:
PMID:  21298202     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Associations between obesity-related polymorphisms and the metabolic syndrome in 485 young ( ≤ 45 Years) Asian Indian patients with acute myocardial infarction (AMI), and 300 matched controls were assessed.
METHODS: Genetic variants included the adiponectin 45T→G and 276G→T, LEPR K109R and Q223R, MC4R-associated C→T and FTO A→T polymorphisms.
RESULTS: The metabolic syndrome, as defined by NCEP ATP III and IDF criteria, was diagnosed in 61 and 60% of patients, respectively. No relationship was found between the obesity-associated polymorphisms and the metabolic syndrome, or between AMI patients and controls. The MC4R-associated TT genotype occurred more frequently in patients with lower triglyceride levels (p = 0.024), while the adiponectin 45 TT genotype occurred more commonly in patients with normal fasting glucose levels (p = 0.004). The LEPR Q223R TT genotype was associated with low high-density lipoprotein (HDL) cholesterol levels (p = 0.003).
CONCLUSION: The metabolic syndrome occurs commonly in young Asian Indian patients with AMI. No relationship was found between any obesity-associated polymorphism and the metabolic syndrome. Particular genotypes may exert protective or disadvantageous effects on individual components of the metabolic syndrome.
Authors:
N Ranjith; R J Pegoraro; R Shanmugam
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  22     ISSN:  1995-1892     ISO Abbreviation:  Cardiovasc J Afr     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-02-07     Completed Date:  2011-04-06     Revised Date:  2012-04-09    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  25-30     Citation Subset:  IM    
Affiliation:
Department of Medicine, Coronary Care Unit, RK Khan Hospital, Chemical Pathology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, and Biostatistics Unit, Medical Research Council of South Africa. ranjith@lantic.co.za
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MeSH Terms
Descriptor/Qualifier:
Adiponectin / genetics
Adiposity / ethnology
Adult
Asian Continental Ancestry Group / genetics*
Biological Markers / blood
Case-Control Studies
Chi-Square Distribution
Female
Gene Frequency
Genetic Predisposition to Disease
Humans
Male
Metabolic Syndrome X / blood,  ethnology,  genetics*,  physiopathology
Middle Aged
Myocardial Infarction / blood,  ethnology,  genetics*,  physiopathology
Obesity / blood,  ethnology,  genetics*,  physiopathology
Odds Ratio
Phenotype
Polymorphism, Single Nucleotide*
Proteins / genetics
Receptor, Melanocortin, Type 4 / genetics
Risk Assessment
Risk Factors
South Africa / epidemiology
Chemical
Reg. No./Substance:
0/ADIPOQ protein, human; 0/Adiponectin; 0/Biological Markers; 0/FTO protein, human; 0/MC4R protein, human; 0/Proteins; 0/Receptor, Melanocortin, Type 4

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