PMID- 28479383 OWN - NLM STAT- MEDLINE DCOM- 20170727 LR - 20170727 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 626 DP - 2017 Aug 30 TI - Association of irisin and FNDC5 rs16835198 G>T gene polymorphism with type 2 diabetes mellitus and diabetic nephropathy. An Egyptian pilot study. PG - 26-31 LID - S0378-1119(17)30334-7 [pii] LID - 10.1016/j.gene.2017.05.010 [doi] AB - Diabetes mellitus is a fast-growing health problem in Egypt affecting morbidity, mortality and health care resources. Irisin, a new exercise-induced myokine inducing browning of white adipose tissues, has gained a great interest as a potential new target for combating type 2 diabetes mellitus (T2DM) and its complications. In this study, we assessed serum irisin levels in T2DM and diabetic nephropathy to elucidate possible relationships between irisin and metabolic parameters and renal functions. We also investigated, for the first time in Egypt, the association of FNDC5 rs16835198 G>T polymorphism with T2DM, diabetic nephropathy and irisin levels. One hundred type 2 diabetic patients (40 normoalbuminuric and 60 with nephropathy) as well as fifty control subjects were enrolled in this study. Serum irisin and insulin were evaluated by ELISA. Genomic DNA was genotyped for FNDC5 rs16835198 polymorphism using TaqMan genotyping assay. Serum irisin levels were lower in diabetic patients compared to controls and this decrease was more pronounced in diabetic nephropathy. Irisin correlates with metabolic parameters and renal functions. Frequencies of T allele and TT genotype were significantly lower among T2DM and diabetic nephropathy patients compared to controls. Moreover, G allele was associated with elevated insulin resistance and dyslipidemia without effect on circulating irisin levels. IN CONCLUSION: T2DM and diabetic nephropathy are associated with decreased levels of irisin. FNDC5 rs16835198 TT genotype associates with decreased risk of T2DM in Egyptians with no effect on renal complications. Also, G allele has insulin desensitizing action with no association with circulating irisin levels. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Khidr, Emad Gamil AU - Khidr EG AD - Biochemistry Department, Faculty of Pharmacy (Boys), Al-Azhar University, Cairo, Egypt. Electronic address: Emadgamil2003@azhar.edu.eg. FAU - Ali, Shawkey Saddik AU - Ali SS AD - Biochemistry Department, Faculty of Pharmacy (Boys), Al-Azhar University, Cairo, Egypt. FAU - Elshafey, Mostafa Mahmoud AU - Elshafey MM AD - Biochemistry Department, Faculty of Pharmacy (Boys), Al-Azhar University, Cairo, Egypt. FAU - Fawzy, Olfat Ahmed AU - Fawzy OA AD - Al-Zahraa Hospital, Al-Azhar University, Abbassia, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20170504 PL - Netherlands TA - Gene JT - Gene JID - 7706761 RN - 0 (FNDC5 protein, human) RN - 0 (Fibronectins) SB - IM MH - Adult MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/blood/complications/*genetics MH - Diabetic Nephropathies/blood/*genetics MH - Dyslipidemias/etiology/*genetics MH - Egypt MH - Fibronectins/blood/*genetics MH - Humans MH - Insulin Resistance/genetics MH - Male MH - Pilot Projects MH - *Polymorphism, Single Nucleotide OTO - NOTNLM OT - Browning OT - Diabetes mellitus OT - Diabetic nephropathy OT - Irisin OT - Polymorphism EDAT- 2017/05/10 06:00 MHDA- 2017/07/28 06:00 CRDT- 2017/05/09 06:00 PHST- 2017/03/14 00:00 [received] PHST- 2017/04/25 00:00 [revised] PHST- 2017/05/03 00:00 [accepted] PHST- 2017/05/10 06:00 [pubmed] PHST- 2017/07/28 06:00 [medline] PHST- 2017/05/09 06:00 [entrez] AID - S0378-1119(17)30334-7 [pii] AID - 10.1016/j.gene.2017.05.010 [doi] PST - ppublish SO - Gene. 2017 Aug 30;626:26-31. doi: 10.1016/j.gene.2017.05.010. Epub 2017 May 4.