PMID- 12753658 OWN - NLM STAT- MEDLINE DCOM- 20040129 LR - 20190826 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 61 IP - 5 DP - 2003 May TI - TNF-alpha polymorphisms and type 2 diabetes mellitus in Taiwanese patients. PG - 393-7 AB - Type 2 diabetic mellitus (type 2 DM) comprises more than 95% of all Taiwanese patients with DM. Tumor necrosis factor-alpha (TNF-alpha) expression is linked with insulin resistance, and is under strong genetic control. The correlation between TNF promoter genotypes and type 2 DM is still controversial, because discrepancies among different studies exist. Ethnic differences play certain roles in these conflicting results, because the distribution of TNF promoter polymorphisms is different among study subjects with different racial origins. Therefore, we examined the relationship between the incidence of type 2 diabetes in Taiwanese and two polymorphisms of the TNF-alpha promoter region (positions -238 and -308) as well as the correlation between these polymorphisms and the patients' biochemical manifestations. Genomic DNA was extracted from peripheral blood cells of 261 Taiwanese patients with type 2 DM and 189 non-diabetic control study subjects, and their TNF promoter G-238A and G-308A polymorphisms were analyzed by PCR-RFLP analysis. No significant association between TNF-alpha G-238A and G-308A polymorphisms with type 2 diabetic incidence was observed. However, associations between TNF-alpha G-238A and low-density lipoprotein-cholesterol and between G-308A promoter polymorphism and high-fasting plasma glucose levels, using multiple linear regression analysis with adjustment for the subjects' age, sex, body mass index and diabetic status, were found. Our results suggested that though TNF-alpha G-238A and G-308A polymorphisms were not involved in the pathogenesis of type 2 DM, type 2 diabetic patients carrying TNFA-A or TNF-308*2 genotype might be more susceptible to diabetic complications such as atherosclerosis. FAU - Shiau, M-Y AU - Shiau MY AD - Hung Kuang University, Institute of Medicine, and Institute of Immunology, Chung Shan Medical University, Taichung, Taiwan, Republic of China. FAU - Wu, C-Y AU - Wu CY FAU - Huang, C-N AU - Huang CN FAU - Hu, S-W AU - Hu SW FAU - Lin, S-J AU - Lin SJ FAU - Chang, Y-H AU - Chang YH LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, LDL) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-49-2 (DNA) SB - IM MH - Blood Glucose/metabolism MH - Body Mass Index MH - Case-Control Studies MH - Cholesterol, LDL/metabolism MH - DNA/genetics MH - Diabetes Mellitus, Type 2/epidemiology/*genetics MH - Disease Progression MH - Female MH - Genotype MH - Glucose Intolerance/*genetics MH - Humans MH - Insulin Resistance/*genetics MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - *Polymorphism, Genetic MH - Polymorphism, Single-Stranded Conformational MH - *Promoter Regions, Genetic MH - Taiwan/epidemiology MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2003/05/20 05:00 MHDA- 2004/01/30 05:00 CRDT- 2003/05/20 05:00 PHST- 2003/05/20 05:00 [pubmed] PHST- 2004/01/30 05:00 [medline] PHST- 2003/05/20 05:00 [entrez] AID - 059 [pii] AID - 10.1034/j.1399-0039.2003.00059.x [doi] PST - ppublish SO - Tissue Antigens. 2003 May;61(5):393-7. doi: 10.1034/j.1399-0039.2003.00059.x.