PMID- 27741477 OWN - NLM STAT- MEDLINE DCOM- 20170117 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 121 DP - 2016 Nov TI - Interleukin-18 gene polymorphism and risk of CVD in older patients with type 2 diabetes mellitus. PG - 178-183 LID - S0168-8227(16)30668-4 [pii] LID - 10.1016/j.diabres.2016.09.021 [doi] AB - OBJECTIVE: Interleukin-18 (IL-18), a proinflammatory cytokine, plays a key role in the acute and chronic inflammatory processes. It is associated with risk of developing cardiovascular disease (CVD). The aim of this study was to evaluate association between G(-137)C polymorphism (rs187238) in the IL-18 gene and risk of diabetes and CVD in type 2 diabetes patients. METHODS: We examined 1548 T2DM patients and 590 controls. All subjects were genotyped for the G(-137)C promoter region polymorphism by polymerase chain reaction (PCR-SSP). RESULTS: Genotype distribution of the G(-137)C polymorphism showed no significant difference between T2DM patients and controls (p=0.115). An association with CVD was analyzed in two age groups: ⩾65 and <65years. In patients younger than 65years there was a tendency to association of CC genotype with CAD (OR 1.87, 95% CI 1.0-3, p=0.051). In contrast, in subjects aged 65 or older, the C allele and CC genotype showed the significant association with the presence of CVD, with the OR 1.99, p=0.001 and OR 5.31, p=0.006, respectively. The C allele carriers showed the higher prevalence of CVD compared to non-carriers (61% vs. 39%, p<0.0001). CONCLUSION: Older T2DM patients carrying the C allele of IL-18 G(-137)C polymorphism have a significantly increased risk of CVD. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Buraczynska, Monika AU - Buraczynska M AD - Department of Nephrology, Medical University of Lublin, Lublin, Poland. Electronic address: monika.buraczynska@umlub.pl. FAU - Ksiazek, Katarzyna AU - Ksiazek K AD - Department of Nephrology, Medical University of Lublin, Lublin, Poland. FAU - Zukowski, Pawel AU - Zukowski P AD - Department of Nephrology, Medical University of Lublin, Lublin, Poland. FAU - Grzebalska, Agnieszka AU - Grzebalska A AD - Department of Nephrology, Medical University of Lublin, Lublin, Poland. LA - eng PT - Journal Article DEP - 20160930 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Interleukin-18) RN - 9007-49-2 (DNA) SB - IM MH - Aged MH - Alleles MH - Cardiovascular Diseases/blood/epidemiology/*genetics MH - DNA/*genetics MH - Diabetes Mellitus, Type 2/blood/complications/*genetics MH - Female MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Incidence MH - Interleukin-18/blood/*genetics MH - Male MH - Middle Aged MH - Poland/epidemiology MH - Polymerase Chain Reaction MH - *Polymorphism, Single Nucleotide MH - Risk Factors OTO - NOTNLM OT - Cardiovascular disease OT - G(-137)C polymorphism OT - IL-18 OT - Risk allele OT - Type 2 diabetes EDAT- 2016/10/16 06:00 MHDA- 2017/01/18 06:00 CRDT- 2016/10/15 06:00 PHST- 2016/06/06 00:00 [received] PHST- 2016/09/13 00:00 [revised] PHST- 2016/09/22 00:00 [accepted] PHST- 2016/10/16 06:00 [pubmed] PHST- 2017/01/18 06:00 [medline] PHST- 2016/10/15 06:00 [entrez] AID - S0168-8227(16)30668-4 [pii] AID - 10.1016/j.diabres.2016.09.021 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2016 Nov;121:178-183. doi: 10.1016/j.diabres.2016.09.021. Epub 2016 Sep 30.