PMID- 23434931 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20220309 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 62 IP - 7 DP - 2013 Jul TI - TCF7L2 variation and proliferative diabetic retinopathy. PG - 2613-7 LID - 10.2337/db12-1093 [doi] AB - Proliferative diabetic retinopathy (PDR) is the most severe vision-threatening complication of diabetes. For investigation of genetic association between TCF7L2 and PDR in Caucasian type 2 diabetes mellitus (T2DM) and its functional consequences, 383 T2DM patients with PDR (T2DM-PDR) and 756 T2DM patients without diabetic retinopathy (T2DM-no DR) were genotyped with rs7903146 in TCF7L2. We found that risk allele (T) frequency of rs7903146 was significantly higher in T2DM-PDR patients (allelic P = 2.52E-04). In lymphoblastoid cells induced to undergo endoplasmic reticulum (ER) stress by treatment of tunicamycin, higher fold change of TCF7L2 and VEGFA mRNA levels were observed in rs7903146-TT cells than in rs7903146-CC cells (P = 0.02 for TCF7L2; P = 0.004 for VEGFA), suggesting that ER stress plays a role in PDR pathogenesis. Silencing TCF7L2 resulted in decreased mRNA levels of both TCF7L2 and VEGFA (P < 0.001). Retinas of oxygen-induced retinopathy mice (a model for PDR) had higher TCF7L2 and VEGFA mRNA levels than those of controls (P = 2.9E-04 for TCF7L2; P = 1.9E-07 for VEGFA). Together, data from our study show that TCF7L2-rs7903146 is associated with PDR in Caucasian T2DM and suggest that TCF7L2 promotes pathological retinal neovascularization via ER stress-dependent upregulation of VEGFA. FAU - Luo, Jing AU - Luo J AD - Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha, China. FAU - Zhao, Ling AU - Zhao L FAU - Chen, Aaron Yun AU - Chen AY FAU - Zhang, Xiaohui AU - Zhang X FAU - Zhu, Jin AU - Zhu J FAU - Zhao, Jiagang AU - Zhao J FAU - Ouyang, Hong AU - Ouyang H FAU - Luo, Hongrong AU - Luo H FAU - Song, Yaojun AU - Song Y FAU - Lee, Janet AU - Lee J FAU - Patel, Sherrina H AU - Patel SH FAU - Shaw, Peter X AU - Shaw PX FAU - Sadda, Srinivas AU - Sadda S FAU - Zhuo, Yehong AU - Zhuo Y FAU - Rosenfeld, Michael G AU - Rosenfeld MG FAU - Zhang, Kang AU - Zhang K LA - eng GR - P01 DK074868/DK/NIDDK NIH HHS/United States GR - TL1 RR031979/RR/NCRR NIH HHS/United States GR - R01 EY019270/EY/NEI NIH HHS/United States GR - R01 EY014428/EY/NEI NIH HHS/United States GR - 1TL1RR031979-01/RR/NCRR NIH HHS/United States GR - EY021374/EY/NEI NIH HHS/United States GR - T32 CA009523/CA/NCI NIH HHS/United States GR - EY018660/EY/NEI NIH HHS/United States GR - R01 EY018660/EY/NEI NIH HHS/United States GR - EY019270/EY/NEI NIH HHS/United States GR - EY014428/EY/NEI NIH HHS/United States GR - R01 EY021374/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130222 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (TCF7L2 protein, human) RN - 0 (Transcription Factor 7-Like 2 Protein) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Alleles MH - Animals MH - Diabetes Mellitus, Type 2/*genetics MH - Diabetic Retinopathy/*genetics MH - Endoplasmic Reticulum Stress/genetics MH - Gene Frequency MH - Genetic Association Studies MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Mice MH - *Polymorphism, Single Nucleotide MH - Retinal Neovascularization/genetics MH - Transcription Factor 7-Like 2 Protein/*genetics MH - Vascular Endothelial Growth Factor A/genetics PMC - PMC3712060 EDAT- 2013/02/26 06:00 MHDA- 2013/09/10 06:00 PMCR- 2014/07/01 CRDT- 2013/02/26 06:00 PHST- 2013/02/26 06:00 [entrez] PHST- 2013/02/26 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] PHST- 2014/07/01 00:00 [pmc-release] AID - db12-1093 [pii] AID - 1093 [pii] AID - 10.2337/db12-1093 [doi] PST - ppublish SO - Diabetes. 2013 Jul;62(7):2613-7. doi: 10.2337/db12-1093. Epub 2013 Feb 22.