PMID- 20692245 OWN - NLM STAT- MEDLINE DCOM- 20110107 LR - 20100920 IS - 1873-2933 (Electronic) IS - 0009-9120 (Linking) VI - 43 IP - 15 DP - 2010 Oct TI - Insertion/insertion genotype of alpha(2B)-adrenergic receptor gene polymorphism is associated with silent myocardial ischemia in patients with type 2 diabetes mellitus. PG - 1201-4 LID - 10.1016/j.clinbiochem.2010.07.023 [doi] AB - OBJECTIVES: We investigated whether alpha(2)-adrenergic receptor (AR) polymorphisms (alpha(2A)-AR, alpha(2B)-AR and alpha(2C)-AR gene) affected silent myocardial ischemia (SMI) in patients with type 2 diabetes mellitus (T2DM). DESIGN AND METHODS: Genetic polymorphisms were determined in 321 patients with T2DM and coronary artery disease (CAD). Among them, 129 patients experienced transient asymptomatic ST-depression during 24-hour ambulatory electrocardiogram (SMI group), and the remaining 192 patients who had ambulatory electrocardiogram-symptom matching angina were categorized as angina group. RESULTS: The genotype distribution and allele frequencies of alpha(2B)-AR gene polymorphism (insertion [I]/deletion[D]) exhibited significant difference between SMI group and angina group (both P < 0.05), with genotype II (34.9%) being higher in SMI group than in angina group (19.8%) (P < 0.01). Multivariable logistic regression analysis revealed that duration of diabetes and genotype II of alpha(2B)-AR gene polymorphism were independently associated with SMI. CONCLUSIONS: Homozygote for I allele of alpha(2B)-AR gene polymorphism is associated with SMI in T2DM patients with CAD. CI - Copyright (c) 2010 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved. FAU - Chen, Qiu Jing AU - Chen QJ AD - Department of Cardiology, Rui Jin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, People's Republic of China. FAU - Lu, Lin AU - Lu L FAU - Jin, Cao AU - Jin C FAU - Wang, Ling Jie AU - Wang LJ FAU - Zhang, Rui Yan AU - Zhang RY FAU - Zhang, Qi AU - Zhang Q FAU - Hu, Jian AU - Hu J FAU - Yang, Zhen Kun AU - Yang ZK FAU - Shen, Wei Feng AU - Shen WF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100805 PL - United States TA - Clin Biochem JT - Clinical biochemistry JID - 0133660 RN - 0 (ADRA2B protein, human) RN - 0 (Cytokines) RN - 0 (Receptors, Adrenergic, alpha-2) SB - IM MH - Aged MH - Cytokines/blood MH - Diabetes Mellitus, Type 2/blood/*complications/*genetics MH - Female MH - Gene Frequency/genetics MH - *Genetic Predisposition to Disease MH - Humans MH - Male MH - Multivariate Analysis MH - Mutagenesis, Insertional/*genetics MH - Myocardial Ischemia/blood/*complications/*genetics MH - Receptors, Adrenergic, alpha-2/*genetics MH - Regression Analysis EDAT- 2010/08/10 06:00 MHDA- 2011/01/08 06:00 CRDT- 2010/08/10 06:00 PHST- 2010/06/30 00:00 [received] PHST- 2010/07/21 00:00 [revised] PHST- 2010/07/22 00:00 [accepted] PHST- 2010/08/10 06:00 [entrez] PHST- 2010/08/10 06:00 [pubmed] PHST- 2011/01/08 06:00 [medline] AID - S0009-9120(10)00338-3 [pii] AID - 10.1016/j.clinbiochem.2010.07.023 [doi] PST - ppublish SO - Clin Biochem. 2010 Oct;43(15):1201-4. doi: 10.1016/j.clinbiochem.2010.07.023. Epub 2010 Aug 5.