PMID- 20054294 OWN - NLM STAT- MEDLINE DCOM- 20100310 LR - 20221207 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 87 IP - 3 DP - 2010 Mar TI - KCNJ11 Lys23Glu and TCF7L2 rs290487(C/T) polymorphisms affect therapeutic efficacy of repaglinide in Chinese patients with type 2 diabetes. PG - 330-5 LID - 10.1038/clpt.2009.242 [doi] AB - This study showed that the polymorphisms KCNJ11 Lys23Glu and TCF7L2 rs290487(C/T) are associated with a heightened risk of developing type 2 diabetes mellitus (T2DM). We also explored the effects of these polymorphisms on the efficacy of repaglinide therapy in Chinese patients with T2DM. A total of 259 patients with T2DM and 188 healthy controls were genotyped. Forty patients with various genotypes were randomly selected to undergo an 8-week repaglinide treatment regimen. Patients with the G allele of the KCNJ11 Lys23Glu polymorphism showed higher levels of fasting plasma glucose (FPG) and postprandial plasma glucose (PPG) (P < 0.05). After repaglinide treatment, patients with the GA or AA genotype showed higher levels of FPG, PPG, and glycated hemoglobin (HbA(1c)) compared with patients with the GG genotype (P < 0.05). Patients with the C allele of TCF7L2 rs290487(C/T) had higher total cholesterol levels and lower body mass index (BMI) (P < 0.05). In patients with the TT genotype, the drug showed better efficacy with respect to levels of fasting insulin, triglycerides, and low-density lipoprotein cholesterol (LDL-c) than in patients with the CC or CT genotype (P < 0.05). The KCNJ11 and TCF7L2 polymorphisms were associated with repaglinide efficacy. FAU - Yu, M AU - Yu M AD - Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, Hunan, People's Republic of China. FAU - Xu, X-J AU - Xu XJ FAU - Yin, J-Y AU - Yin JY FAU - Wu, J AU - Wu J FAU - Chen, X AU - Chen X FAU - Gong, Z-C AU - Gong ZC FAU - Ren, H-Y AU - Ren HY FAU - Huang, Q AU - Huang Q FAU - Sheng, F-F AU - Sheng FF FAU - Zhou, H-H AU - Zhou HH FAU - Liu, Z-Q AU - Liu ZQ LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20100106 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Blood Glucose) RN - 0 (Carbamates) RN - 0 (Kir6.2 channel) RN - 0 (Piperidines) RN - 0 (Potassium Channels, Inwardly Rectifying) RN - 0 (TCF Transcription Factors) RN - 0 (TCF7L2 protein, human) RN - 0 (Transcription Factor 7-Like 2 Protein) RN - 3KX376GY7L (Glutamic Acid) RN - 668Z8C33LU (repaglinide) RN - K3Z4F929H6 (Lysine) SB - IM MH - Adult MH - Alleles MH - Amino Acid Substitution/genetics MH - Asian People/*genetics MH - Blood Glucose/drug effects/genetics MH - Carbamates/*therapeutic use MH - Diabetes Mellitus, Type 2/blood/drug therapy/*genetics MH - Female MH - Glutamic Acid/*genetics MH - Humans MH - Lysine/*genetics MH - Male MH - Middle Aged MH - Piperidines/*therapeutic use MH - Polymorphism, Genetic/*genetics MH - Potassium Channels, Inwardly Rectifying/*genetics MH - Risk Factors MH - TCF Transcription Factors/*genetics MH - Transcription Factor 7-Like 2 Protein MH - Treatment Outcome EDAT- 2010/01/08 06:00 MHDA- 2010/03/11 06:00 CRDT- 2010/01/08 06:00 PHST- 2010/01/08 06:00 [entrez] PHST- 2010/01/08 06:00 [pubmed] PHST- 2010/03/11 06:00 [medline] AID - clpt2009242 [pii] AID - 10.1038/clpt.2009.242 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2010 Mar;87(3):330-5. doi: 10.1038/clpt.2009.242. Epub 2010 Jan 6.