Document Detail


Variation within the PPARG gene is associated with residual beta-cell function and glycemic control in children and adolescents during the first year of clinical type 1 diabetes.
MedLine Citation:
PMID:  18466209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Conflicting evidence exists as to whether the Pro12Ala single nucleotide polymorphism of the type 2 diabetes susceptibility gene peroxisome proliferator-activated receptor gamma (PPARG) also confers risk for type 1 diabetes (T1D). OBJECTIVE: The objective of this study was to investigate the PPARG gene in relation to residual beta-cell function and glycemic control in newly diagnosed T1D. DESIGN: Prospective, non-interventional, 12-month follow-up study, conducted in 18 centers in 15 countries. PATIENTS: Two hundred and fifty-seven children and adolescents (aged <16 yr) with newly diagnosed T1D. MAIN OUTCOME MEASURES: Beta-cell function was determined as 90-min meal-stimulated C-peptide (Boost test) 1, 6, and 12 months after diagnosis. Hemoglobin A1c (HbA1c) and daily insulin dose (IU/kg/d) were recorded at 1, 3, 6, 9, and 12 months after diagnosis. Haplotypes within PPARG were estimated by SNPHap program. Statistical analyses were performed in a repeated measurements model. RESULTS: Five haplotypes within PPARG were generated (h1, 68.4%; h2, 16.3%; h3, 8.3%; h4, 3.5%; and hx, 3.5%). Compared with the most frequent h1 haplotype, the haplotypes h3 and h4 of the PPARG associated with residual beta-cell function during the first year of clinical disease: h3 with a 27% lower C-peptide (p = 0.02) and h4 with a 39% lower C-peptide (p = 0.01). Haplotype h4 also associated with a 0.86% (absolute) higher HbA1c, after adjustment for the insulin dose (p = 0.02). CONCLUSION: Variation in the PPARG locus may influence disease progression during the first year after the presentation of T1D.
Authors:
Sven Pörksen; Lotte B Nielsen; Henrik B Mortensen; Thomas Danne; Mirjana Kocova; Luis Castaño; Flemming Pociot; Philip Hougaard; Claus T Ekstrøm; Steen Gammeltoft; Mikael Knip; Lars Hansen;
Related Documents :
20548129 - The role of nitric oxide in airway responsiveness in diabetic-antigen sensitized guinea...
7016719 - On the significance of c2, c4, and factor b polymorphisms in disease.
3878699 - Immunological monitoring of plasma exchange in primary iga nephropathy.
16355419 - The relevance of international consortia in studies on the pathogenesis of type 1 diabe...
18565729 - T-cell reactivity to insulin peptide a1-12 in children with recently diagnosed type 1 d...
8200299 - Analysis of the contribution of the hla system to the inheritance in the wolfram syndrome.
15793259 - The exon 1 cys7gly polymorphism within the betacellulin gene is associated with type 2 ...
21719559 - Systematic kidney disease management in a population with diabetes mellitus: turning th...
1936059 - Radiorespirometric patterns of [14c]-substrates in rats. ii. differences with the natur...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-05-07
Journal Detail:
Title:  Pediatric diabetes     Volume:  9     ISSN:  1399-5448     ISO Abbreviation:  Pediatr Diabetes     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-09-04     Completed Date:  2009-02-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100939345     Medline TA:  Pediatr Diabetes     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  297-302     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Glostrup University Hospital, Glostrup, Denmark. svepor01@glo.regionh.dk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Glucose / metabolism
Child
Diabetes Mellitus, Type 1 / genetics*
Disease Progression*
Female
Follow-Up Studies
Humans
Insulin-Secreting Cells / physiology*
Male
PPAR gamma / genetics,  metabolism*
Time Factors
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/PPAR gamma

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Thyroid autoimmunity in children with features of both type 1 and type 2 diabetes.
Next Document:  Effects of insulin pump vs. injection treatment on quality of life and impact of disease in children...