PMID- 26198953 OWN - NLM STAT- MEDLINE DCOM- 20150925 LR - 20211203 IS - 1673-4254 (Print) IS - 1673-4254 (Linking) VI - 35 IP - 7 DP - 2015 Jul TI - [Association between polymorphisms in pigment epithelium-derived factor gene promoter region and non-alcoholic fatty liver disease in type 2 diabetes mellitus]. PG - 1019-23 AB - OBJECTIVE: To investigate the association of serum pigment epithelium-derived factor (PEDF) level and polymorphisms in PEDF gene promoter region -358G-->A with non-alcoholic fatty liver disease (NAFLD) in patients with type 2 diabetes mellitus (T2DM) of Han Nationality in Fujian Province. METHODS: A total of 282 T2DM patients with NAFLD (DM1 group) and 170 age- and gender-matched T2DM patients without NAFLD (DM2 group) were examined for PEDF gene SNP-358G-->A polymorphisms using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Serum pigment epithelium-derived factor(PEDF) level, fasting plasma glucose (FPG), fasting insulin (FINS) and glycosylated hemoglobin (HbA1c) were also measured. RESULTS: The patients in DM1 group showed a significantly higher mean level of serum PEDF than those in DM2 group (P<0.05). Logistic regression analysis revealed that PEDF level was an independent risk factor for NAFLD in T2DM. The frequencies of PEDF gene -358G-->A genotypes (GG, GA, and AA) and alleles (G/A) differed significanly between DM1 and DM2 groups (P<0.05). In terms of PEDF gene SNP -358G-->A alleles, the GA genotype carriers had a 2.032 times higher risk of developing NAFLD compared with the GG genotype carriers, and the risk increased to 2.068 times in the carriers of the A allele (GA and AA genotypes; P<0.05). CONCLUSION: Serum PEDF level is an independent risk factor of NAFLD in T2DM. Elevated serum PEDF level is a protective factor against insulin resistance. In T2DM patients, PEDF gene promoter region -358G-->A polymorphism is associated with NAFLD, and the A allele contributes to an increased risk of NAFLD. FAU - Huang, Wensen AU - Huang W AD - Department of Internal Medicine, Quanzhou Medical College, Quanzhou 362000, China.E-mail: vinson170@163.com. FAU - Shi, Yaxiong AU - Shi Y FAU - Yang, Xina AU - Yang X FAU - Lin, Wanrong AU - Lin W LA - chi PT - Journal Article PL - China TA - Nan Fang Yi Ke Da Xue Xue Bao JT - Nan fang yi ke da xue xue bao = Journal of Southern Medical University JID - 101266132 RN - 0 (Eye Proteins) RN - 0 (Nerve Growth Factors) RN - 0 (Serpins) RN - 0 (pigment epithelium-derived factor) SB - IM MH - Alleles MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*genetics MH - Ethnicity MH - Eye Proteins/*genetics MH - Genotype MH - Humans MH - Insulin Resistance MH - Nerve Growth Factors/*genetics MH - Non-alcoholic Fatty Liver Disease/*genetics MH - Polymerase Chain Reaction MH - Polymorphism, Restriction Fragment Length MH - *Promoter Regions, Genetic MH - Risk Factors MH - Serpins/*genetics EDAT- 2015/07/23 06:00 MHDA- 2015/09/26 06:00 CRDT- 2015/07/23 06:00 PHST- 2015/07/23 06:00 [entrez] PHST- 2015/07/23 06:00 [pubmed] PHST- 2015/09/26 06:00 [medline] PST - ppublish SO - Nan Fang Yi Ke Da Xue Xue Bao. 2015 Jul;35(7):1019-23.