PMID- 27328642 OWN - NLM STAT- MEDLINE DCOM- 20180507 LR - 20221207 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Jun 22 TI - Serum Uric Acid Levels were Dynamically Coupled with Hemoglobin A1c in the Development of Type 2 Diabetes. PG - 28549 LID - 10.1038/srep28549 [doi] LID - 28549 AB - The aim of the study was to decipher the relationship between serum uric acid (SUA) and glycated hemoglobin A1c (HbA1c) or fasting plasma glucose (FPG) in both type 2 diabetes mellitus (T2DM) patients and normal subjects. A total of 2,250 unrelated T2DM patients and 4,420 Han Chinese subjects from a physical examination population were recruited for this study. In T2DM patients SUA levels were negatively correlated with HbA1c (rs = -0.109, P = 0.000) and 2 h plasma glucose levels (rs = -0.178, P = 0.000). In the physical examination population, SUA levels were inversely correlated with HbA1c (rs = -0.175, P = 0.000) and FPG (rs = -0.131, P = 0.009) in T2DM patients but positively correlated with HbA1c (rs = 0.040, P = 0.012) and FPG (rs = 0.084, P = 0.000) in normal-glucose subjects. Multivariate analyses showed that HbA1c was significantly negatively associated with HUA both in T2DM patients (OR = 0.872, 95% CI: 0.790~0.963) and in the physical examination T2DM patients (OR = 0.722, 95% CI: 0.539~0.968). Genetic association studies in T2DM patients showed that alleles of two glucose-uric acid transporter genes, ABCG2 and SLC2A9 were significantly associated with SUA levels (P < 0.05). SUA level is inversely correlated with HbA1c in T2DM patients but positively correlated with HbA1c in normal-glucose subjects. The reverse transporting of uric acid and glucose in renal tubules might be accounted for these associations. FAU - Wei, Fengjiang AU - Wei F AD - Center of Basic Medical Sciences, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, P.R. China. FAU - Chang, Baocheng AU - Chang B AD - Metabolic Diseases Hospital, Tianjin Medical University, Tianjin, 300070, P.R. China. FAU - Yang, Xilin AU - Yang X AD - Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, P.R. China. FAU - Wang, Yaogang AU - Wang Y AD - School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, P.R. China. FAU - Chen, Liming AU - Chen L AD - Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, P.R. China. FAU - Li, Wei-Dong AU - Li WD AD - Center of Basic Medical Sciences, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160622 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (ABCG2 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily G, Member 2) RN - 0 (Blood Glucose) RN - 0 (Glucose Transport Proteins, Facilitative) RN - 0 (Glycated Hemoglobin A) RN - 0 (Neoplasm Proteins) RN - 0 (SLC2A9 protein, human) RN - 0 (hemoglobin A1c protein, human) RN - 268B43MJ25 (Uric Acid) SB - IM MH - ATP Binding Cassette Transporter, Subfamily G, Member 2/genetics MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Blood Glucose/metabolism MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/*etiology/genetics MH - Female MH - Genetic Association Studies MH - Glucose Transport Proteins, Facilitative/genetics MH - Glycated Hemoglobin/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Proteins/genetics MH - Risk Factors MH - Uric Acid/*blood PMC - PMC4916504 EDAT- 2016/06/23 06:00 MHDA- 2018/05/08 06:00 PMCR- 2016/06/22 CRDT- 2016/06/23 06:00 PHST- 2016/01/08 00:00 [received] PHST- 2016/06/03 00:00 [accepted] PHST- 2016/06/23 06:00 [entrez] PHST- 2016/06/23 06:00 [pubmed] PHST- 2018/05/08 06:00 [medline] PHST- 2016/06/22 00:00 [pmc-release] AID - srep28549 [pii] AID - 10.1038/srep28549 [doi] PST - epublish SO - Sci Rep. 2016 Jun 22;6:28549. doi: 10.1038/srep28549.