PMID- 25115353 OWN - NLM STAT- MEDLINE DCOM- 20150701 LR - 20221207 IS - 1440-1681 (Electronic) IS - 0305-1870 (Linking) VI - 41 IP - 10 DP - 2014 Oct TI - KCNJ11 E23K variant is associated with the therapeutic effect of sulphonylureas in Chinese type 2 diabetic patients. PG - 748-54 LID - 10.1111/1440-1681.12280 [doi] AB - The aim of the present study was to investigate the effect of the E23K variant of the potassium inwardly rectifying channel, subfamily J, member 11 (KCNJ11) gene on gliclazide modified release (MR) treatment in newly diagnosed patients with type 2 diabetes mellitus (T2DM). A total of 108 diabetic patients with no history of antidiabetic medication was treated with gliclazide MR for 16 weeks and underwent follow up at Weeks 2, 4, 8, 12 and 16. All patients were genotyped for KCNJ11 E23K (rs5219). At baseline, patients with the KK genotype had higher blood glucose and lower serum insulin levels after oral glucose administration than patients with the EE and EK genotypes (P < 0.05 for all). During treatment, individuals with the KK genotype had lower fasting glucose levels and were more likely to attain the target fasting glucose level (Plog rank = 0.028) than E allele carriers. Patients with the KK genotype had larger augmentations in changes (Delta) in acute insulin response (P = 0.049) and Delta body mass index (P = 0.003). Moreover, patients with the EK genotype had a lower variance in changes in fasting insulin levels (P = 0.049) and homeostasis model assessment of beta-cell function (P = 0.021) than those with the KK genotype. The findings of the present study suggest that the KCNJ11 E23K variant is associated with a greater effect of sulphonylurea treatment in newly diagnosed Chinese patients with T2DM. CI - (c) 2014 Wiley Publishing Asia Pty Ltd. FAU - Li, Qing AU - Li Q AD - Department of Endocrinology and Metabolism, Shanghai Diabetes Institute, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China. FAU - Chen, Miao AU - Chen M FAU - Zhang, Rong AU - Zhang R FAU - Jiang, Feng AU - Jiang F FAU - Wang, Jie AU - Wang J FAU - Zhou, Jian AU - Zhou J FAU - Bao, Yuqian AU - Bao Y FAU - Hu, Cheng AU - Hu C FAU - Jia, Weiping AU - Jia W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Clin Exp Pharmacol Physiol JT - Clinical and experimental pharmacology & physiology JID - 0425076 RN - 0 (Hypoglycemic Agents) RN - 0 (Kir6.2 channel) RN - 0 (Potassium Channels, Inwardly Rectifying) RN - 0 (Sulfonylurea Compounds) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Alleles MH - Asian People/*genetics MH - Diabetes Mellitus, Type 2/*drug therapy/*genetics/metabolism MH - Female MH - Genetic Variation/*genetics MH - Genotype MH - Glucose/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Insulin-Secreting Cells/drug effects MH - Male MH - Middle Aged MH - Potassium Channels, Inwardly Rectifying/*genetics MH - Sulfonylurea Compounds/*therapeutic use OTO - NOTNLM OT - KCNJ11 OT - pharmacogenetics OT - sulphonylureas OT - type 2 diabetes EDAT- 2014/08/15 06:00 MHDA- 2015/07/02 06:00 CRDT- 2014/08/14 06:00 PHST- 2014/03/04 00:00 [received] PHST- 2014/06/06 00:00 [revised] PHST- 2014/06/16 00:00 [accepted] PHST- 2014/08/14 06:00 [entrez] PHST- 2014/08/15 06:00 [pubmed] PHST- 2015/07/02 06:00 [medline] AID - 10.1111/1440-1681.12280 [doi] PST - ppublish SO - Clin Exp Pharmacol Physiol. 2014 Oct;41(10):748-54. doi: 10.1111/1440-1681.12280.