PMID- 20388104 OWN - NLM STAT- MEDLINE DCOM- 20100805 LR - 20220309 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 16 IP - 7 DP - 2010 TI - Risk profiles in type 2 diabetes (metabolic syndrome): integration of IL-10 polymorphisms and laboratory parameters to identify vascular damages related complications. PG - 898-903 AB - Recently it has been reported that low serum IL-10 levels are associated with an increased susceptibility for metabolic syndrome and type 2 diabetes mellitus (T2DM). We investigated whether the -1087G/A (rs1800896), -824C/T (rs1800871), -597C/A (rs1800872) IL-10 polymorphisms were associated with type 2 diabetes in a study on a cohort of Italian Caucasians comprising 490 type 2 diabetic and 349 control subjects. Stratifying the data according to IL-10 genotypes, trends for the progressive increase of glucose and neutrophil levels were observed in -1087GG vs. -1087GA vs. -1087AA positive diabetic patients (-1087GG<-1087GA<-1087AA). In addition, evaluating the laboratory parameters according to the -597/-824/-1087 derived haplotypes a significant increase of neutrophils was found in diabetic vs. non-diabetic -597A/ -824T/-1087A positive subjects (Student t test = 3.707, p<0.01). In an attempt to integrate clinical laboratory and immunogenetic data to determine whether these factors taken together define sufficient risk sets for type 2 diabetes we performed the grade-of-membership analysis (GoM). GoM allowed to identify a population of subjects negative for IL-10 -824T allele, 74.4% of which were diabetic patients characterised by vascular damages (Chronic kidney failure and/or Myocardial Infarction), reduction of haematocrit, increase of blood urea nitrogen, creatinin and monocyte levels. These data seem to suggest that -597A/-824T/-1087A negative subjects are more prone to the major type 2 diabetic vascular damages and allow to hypothesise that the contemporary evaluation of some simple hematochemical parameters and IL-10 SNPs may allow identifying diabetic patients with the worse prognostic profile, needing both better complication prevention planning and therapeutic strategies. FAU - Forte, G I AU - Forte GI AD - Gruppo di studio sull'Immunosenescenza Dipartimento di Biopatologia e Metodologie Biomediche, Universita di Palermo, 3Istituto di Calcolo e Reti ad Alta Prestazione ICAR CNR, Palermo, Italy. FAU - Pilato, G AU - Pilato G FAU - Vaccarino, L AU - Vaccarino L FAU - Sanacore, M AU - Sanacore M FAU - Candore, G AU - Candore G FAU - Romano, G C AU - Romano GC FAU - Testa, R AU - Testa R FAU - Franceschi, C AU - Franceschi C FAU - Capri, M AU - Capri M FAU - Marra, M AU - Marra M FAU - Bonfigli, A R AU - Bonfigli AR FAU - Caruso, C AU - Caruso C FAU - Scola, L AU - Scola L FAU - Lio, D AU - Lio D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 0 (Blood Glucose) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Blood Glucose/metabolism MH - Cohort Studies MH - Diabetes Complications/*genetics MH - Diabetes Mellitus, Type 2/*genetics MH - Female MH - Haplotypes/genetics MH - Humans MH - Interleukin-10/*genetics MH - Kidney Failure, Chronic/*diagnosis/genetics MH - Male MH - Metabolic Syndrome/*complications MH - Middle Aged MH - Myocardial Infarction/*diagnosis/genetics MH - Neutrophils/metabolism MH - Polymorphism, Single Nucleotide/*genetics MH - Risk Factors EDAT- 2010/04/15 06:00 MHDA- 2010/08/06 06:00 CRDT- 2010/04/15 06:00 PHST- 2009/10/01 00:00 [received] PHST- 2009/10/29 00:00 [accepted] PHST- 2010/04/15 06:00 [entrez] PHST- 2010/04/15 06:00 [pubmed] PHST- 2010/08/06 06:00 [medline] AID - Jirillo 17 [pii] AID - 10.2174/138161210790883642 [doi] PST - ppublish SO - Curr Pharm Des. 2010;16(7):898-903. doi: 10.2174/138161210790883642.