PMID- 29456697 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 15 IP - 3 DP - 2018 Mar TI - Relationship between fat mass and obesity-associated gene expression and type 2 diabetes mellitus severity. PG - 2917-2921 LID - 10.3892/etm.2018.5752 [doi] AB - This study sought to investigate any correlation between fat mass and obesity-associated gene (FTO) expression and the severity of type 2 diabetes mellitus (T2DM). In total 110 patients newly diagnosed with T2DM in the outpatient department of Yantai Yuhuangding Hospital between September 2016 and March 2017 were selected as study subjects and were divided into severe (58 cases) and mild groups (52 cases) according to T2DM severity. Patients in the severe group were followed up for 12 weeks. An additional 60 healthy individuals were selected to serve as the normal control group. Fasting plasma glucose (FPG), fasting insulin (FINs), fasting C-peptide (FCP), glycosylated hemoglobin (HbA1c) and homeostasis model assessment of insulin resistance (HOMA-IR) were examined for every patient in the study. Real-time polymerase chain reaction (RT-PCR) was used to detect FTO messenger ribonucleic acid (mRNA) expression levels in patient peripheral blood lymphocytes. Western blotting was used to detect serum FTO protein expression levels, upon which the correlation between FTO protein levels and all other indices were analyzed. Compared with the normal control group, both T2DM groups showed significantly increased waist circumferences, hip circumferences, body mass indexes (BMIs), blood glucose indexes (FPG, FCP, HbA1c, FINs, HOMA-IR) and FTO mRNA/protein levels (p<0.05). Additionally, the increases presented by the severe T2DM group were significantly greater than those presented by the mild T2DM group (p<0.05). After 12 weeks of treatment, the severe T2DM group showed decreased BMI, blood glucose index and FTO protein expression (p<0.05). FTO protein expression in T2DM patients was higher than in healthy controls, with severe patients showing greater expression levels than mild group patients. FTO expression was positively correlated with BMI, waist circumference, chest circumference, FPG, FCP, HbA1c, FINs and HOMA-IR. Therefore, FTO expression can serve as a marker for the clinical diagnosis and treatment of T2DM. FAU - Wang, Qiuling AU - Wang Q AD - Department of Endocrinology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. FAU - Wang, Jinhuan AU - Wang J AD - Department of Health, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. FAU - Lin, Haixia AU - Lin H AD - Department of Endocrinology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. FAU - Huo, Xuechen AU - Huo X AD - Department of Biliary Surgery, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. FAU - Zhu, Qiaoling AU - Zhu Q AD - Department of Pharmacy, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. FAU - Zhang, Min AU - Zhang M AD - Neurological Intensive Care Unit, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China. LA - eng PT - Journal Article DEP - 20180115 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC5795504 OTO - NOTNLM OT - FTO OT - obesity OT - type 2 diabetes mellitus EDAT- 2018/02/20 06:00 MHDA- 2018/02/20 06:01 PMCR- 2018/01/15 CRDT- 2018/02/20 06:00 PHST- 2017/07/06 00:00 [received] PHST- 2017/11/21 00:00 [accepted] PHST- 2018/02/20 06:00 [entrez] PHST- 2018/02/20 06:00 [pubmed] PHST- 2018/02/20 06:01 [medline] PHST- 2018/01/15 00:00 [pmc-release] AID - ETM-0-0-5752 [pii] AID - 10.3892/etm.2018.5752 [doi] PST - ppublish SO - Exp Ther Med. 2018 Mar;15(3):2917-2921. doi: 10.3892/etm.2018.5752. Epub 2018 Jan 15.