PMID- 18713300 OWN - NLM STAT- MEDLINE DCOM- 20090507 LR - 20221207 IS - 1440-1746 (Electronic) IS - 0815-9319 (Linking) VI - 24 IP - 2 DP - 2009 Feb TI - Polymorphism of human leptin receptor gene is associated with type 2 diabetic patients complicated with non-alcoholic fatty liver disease in China. PG - 228-32 LID - 10.1111/j.1440-1746.2008.05544.x [doi] AB - BACKGROUND AND AIM: To investigate the relationship between human leptin receptor (LEPR) gene G3057A polymorphism and type 2 diabetes mellitus (T2DM) patients complicated with or without non-alcoholic fatty liver disease (NAFLD). METHODS: Two hundred and sixteen cases of newly diagnosed T2DM patients (104 cases complicated with NAFLD) and 108 cases of normal glucose tolerances (NGT) were recruited. Hemi-nested polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) and PCR-direct sequence analysis were conducted to detect the polymorphism of LEPR G3057A variation. Plasma leptin levels were measured by enzyme-linked immunosorbent assay kit. Plasma lipid and glucose metabolic parameters were measured routinely. Liver ultrasound was carried out for all subjects. RESULTS: T2DM patients complicated with NAFLD had higher plasma insulin, leptin, triglycerides (TG) and low-density lipoprotein cholesterol (LDL-C) levels than those without NAFLD and NGT subjects. The variant frequency at nucleotide 3057 G-->A transversion was 76.0% in type 2 diabetic patients complicated with NAFLD, which was also significantly higher than those without NAFLD (62.1%) and NGT cases (53.2%). There was also significant difference in genotype distribution between the three groups (chi(2) = 14.63, P < 0.01). CONCLUSION: The polymorphism of LEPR gene 3057 probably contributes to the onset of NAFLD by regulating lipid metabolism and affecting insulin sensitivity. FAU - Lu, Hongyun AU - Lu H AD - Department of Endocrinology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China. luhongyun1120@yahoo.com.cn FAU - Sun, Jiazhong AU - Sun J FAU - Sun, Liao AU - Sun L FAU - Shu, Xiaochun AU - Shu X FAU - Xu, Yancheng AU - Xu Y FAU - Xie, Danhong AU - Xie D LA - eng PT - Journal Article DEP - 20080817 PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, LDL) RN - 0 (Insulin) RN - 0 (LEPR protein, human) RN - 0 (Leptin) RN - 0 (Receptors, Leptin) RN - 0 (Triglycerides) SB - IM CIN - J Gastroenterol Hepatol. 2009 Feb;24(2):173-5. PMID: 19215327 MH - Aged MH - Asian People/*genetics MH - Blood Glucose/analysis MH - Case-Control Studies MH - China/epidemiology MH - Cholesterol, LDL/blood MH - DNA Mutational Analysis MH - Diabetes Complications/blood/ethnology/*genetics MH - Diabetes Mellitus, Type 2/blood/complications/ethnology/*genetics MH - Fatty Liver/blood/ethnology/*genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Humans MH - Insulin/blood MH - Leptin/blood MH - Liver/chemistry/diagnostic imaging MH - Logistic Models MH - Male MH - Middle Aged MH - Phenotype MH - Polymerase Chain Reaction MH - *Polymorphism, Genetic MH - Receptors, Leptin/*genetics MH - Risk Assessment MH - Risk Factors MH - Triglycerides/blood MH - Ultrasonography EDAT- 2008/08/21 09:00 MHDA- 2009/05/08 09:00 CRDT- 2008/08/21 09:00 PHST- 2008/08/21 09:00 [pubmed] PHST- 2009/05/08 09:00 [medline] PHST- 2008/08/21 09:00 [entrez] AID - JGH5544 [pii] AID - 10.1111/j.1440-1746.2008.05544.x [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2009 Feb;24(2):228-32. doi: 10.1111/j.1440-1746.2008.05544.x. Epub 2008 Aug 17.