PMID- 16922713 OWN - NLM STAT- MEDLINE DCOM- 20070404 LR - 20221207 IS - 0742-3071 (Print) IS - 0742-3071 (Linking) VI - 23 IP - 9 DP - 2006 Sep TI - Relationship between common functional polymorphisms of the p22phox gene (-930A > G and +242C > T) and nephropathy as a result of Type 2 diabetes in a Chinese population. PG - 1037-41 AB - OBJECTIVE: Genetic determinants are important in diabetic nephropathy (DN). Oxidative stress has also emerged as an important pathogenic factor in DN and vascular NADH oxidase is a major source of reactive oxygen species (ROS). Previous small studies reported a strong but contradictory association between functional genetic variation of p22(phox), an important subcomponent of NADH oxidase, and DN. We investigated the association between two common functional single nucleotide polymorphisms (SNPs) (-930 A > G and +242 C > T) and DN in a much larger group of Chinese patients with Type 2 diabetes mellitus (T2DM). RESEARCH DESIGN AND METHODS: Case-control study of Chinese subjects with long-standing T2DM (> 10 years). Cases (n = 306) were subjects with a spot urinary albumin : creatinine ratio (ACR) of > 113 mg/mmol or elevated serum creatinine. Control subjects (n = 306) had ACR < 3.3 mg/mmol and normal serum creatinine. Genotyping was carried out by standard PCR and restriction fragment length polymorphism analysis. RESULTS: Gender distribution, age, duration of diabetes and HbA(1c) were similar in cases and control subjects. Distribution of genotypes in the control subjects for both SNPs was consistent with the Hardy-Weinberg equilibrium. Distribution of genotypes did not differ significantly between cases and control subjects for both polymorphisms-+2424C > T: cases CC 84.6%, CT 15.0%, TT 0.4% and control subjects CC 87.6%, CT 11.8%, TT 0.6% (P = 0.45); -930 A > G: cases AA 40.5%, AG 41.8%, GG 17.7% and control subjects AA 38.2%, AG 49.0%, GG 12.8% (P = 0.12). Distribution of alleles was also similar-+2424 C > T: cases C 92.2%, T 7.8% and control subjects C 93.5%, T 6.5% (P = 0.66); -930 A > G cases A 61.4%, G 38.6% and control subjects A 62.7%, G 37.3% (P = 0.38). We estimated that our study has approximately 80% power to detect a relative risk of 1.65 (for +242 C > T) and 1.35 (for -930 A > G) conferred by the minor allele, respectively. CONCLUSIONS: In contrast with previous small studies, our data suggest that these SNPs do not confer significantly increased susceptibility to DN secondary to T2DM in Chinese subjects. FAU - Lim, S C AU - Lim SC AD - Department of Medicine, Alexandra Hospital, Singapore. Su_chi_lim@alexhosp.com.sg FAU - Goh, S K AU - Goh SK FAU - Lai, Y R AU - Lai YR FAU - Tee, W W AU - Tee WW FAU - Koh, A AU - Koh A FAU - Xu, X H AU - Xu XH FAU - Wu, Y S AU - Wu YS FAU - Yap, E AU - Yap E FAU - Subramaniam, T AU - Subramaniam T FAU - Sum, C F AU - Sum CF LA - eng PT - Journal Article PT - Multicenter Study PL - England TA - Diabet Med JT - Diabetic medicine : a journal of the British Diabetic Association JID - 8500858 RN - EC 1.6.3.- (NADPH Oxidases) RN - EC 1.6.3.1 (CYBA protein, human) SB - IM MH - Aged MH - Asian People/*genetics MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/ethnology/*genetics MH - Diabetic Nephropathies/ethnology/*genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - NADPH Oxidases/*genetics MH - *Polymorphism, Single Nucleotide MH - Singapore/epidemiology EDAT- 2006/08/23 09:00 MHDA- 2007/04/05 09:00 CRDT- 2006/08/23 09:00 PHST- 2006/08/23 09:00 [pubmed] PHST- 2007/04/05 09:00 [medline] PHST- 2006/08/23 09:00 [entrez] AID - DME1916 [pii] AID - 10.1111/j.1464-5491.2006.01916.x [doi] PST - ppublish SO - Diabet Med. 2006 Sep;23(9):1037-41. doi: 10.1111/j.1464-5491.2006.01916.x.