ORIGINAL ARTICLE
Role of Peroxisome Proliferator-Activated Receptor gamma 2 (PPAR-γ2) Gene Polymorphism in Type 2 Diabetes Mellitus
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1
Tanta University, Faculty of
Medicine,Department of Clinical
Pathology, Egypt
2
Tanta University, Faculty of
Medicine,Department of Internal
Medicine, Egypt
Online publication date: 2009-04-15
Publication date: 2009-04-15
Corresponding author
Kamal Okasha
Tanta University, Medical Faculty
Department of Internal Medicine
Eur J Gen Med 2009;6(2):78-86
KEYWORDS
ABSTRACT
Objective: To find out the relation between Pro 12 Ala polymorphism
of peroxisome proliferator- activated receptor gamma2
(PPAR-g2) gene with type 2 diabetes mellitus and the possible role
of this gene polymorphism as a link between obesity and type 2
diabetes mellitus.
Subjects and Methods: Subjects of this study were classified
into 3 groups: (15) Apparently healthy lean individuals (Group I),
(15) obese non diabetic individuals (group II) and (24) patients
with type 2 diabetes mellitus (group III). This group divided into:
Diabetic non obese patients (12 patients) (Group IIIa) and: Diabetic
obese patients (12 patients) (Group IIIb). The subjects were subjected
to clinical examination, serum insulin level and estimation
of PPAR-g2 gene polymorphism by Restriction fragment length polymorphism
(RFLP) polymerase chain reaction (PCR).
Results: Frequency of Pro allele was significant increase in diabetic
non obese patients& diabetic non obese patients when compared
to control group (P= 0.048 and 0.003, respectively). However, there
was no difference between obese non diabetic group and control
group as regard the allelic frequencies (p= 0.462). While diabetic
non obese patients had higher Pro allele frequency (p= 0.003) than
in diabetic obese patients (p= 0.048). Insulin resistance by homeostasis
model assessment (HOMA-IR) was significantly increased in
Pro/Pro carriers in group II and group III when compared to that
of Pro/Ala plus Ala/Ala carriers (p= 0.004 and 0.023; respectively).
Conclusion: Pro12 allele of PPAR-g2 gene could be a genetic risk
factor for insulin resistance and type 2 diabetes mellitus.