PMID- 31293826 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 7 DP - 2019 TI - Estrogen receptor 1 gene polymorphisms (PvuII and XbaI) are associated with type 2 diabetes in Palestinian women. PG - e7164 LID - 10.7717/peerj.7164 [doi] LID - e7164 AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a multifactorial disease where both genetic and environmental factors contribute to its pathogenesis. The PvuII and XbaI polymorphisms of the estrogen receptor 1 (ESR1) gene have been variably associated with T2DM in several populations. This association has not been studied in the Palestinian population. Therefore, the aim of this study was to investigate the association between the PvuII and XbaI variants in the ESR1 and T2DM and its related metabolic traits among Palestinian women. METHODS: This case-control study included 102 T2DM and 112 controls in which PvuII and XbaI variants of the ESR1 gene were genotyped using amplicon based next generation sequencing (NGS). RESULTS: Allele frequencies of both PvuII and XbaI variants were not significantly different between patients and control subjects (P > 0.05). In logestic regression analysis adjusted for age and BMI, the ESR1 PvuII variant was associated with risk of T2DM in three genotypic models (P < 0.025) but the strongest association was observed under over-dominant model (TT+CC vs. TC) (OR = 2.32, CI [1.18-4.55] adjusted P = 0.013). A similar but non-significant trend was also observed for the ESR1 XbaI variant under the over-dominant model (AA+GG vs. AG) (OR = 2.03, CI [1.05-3.95]; adjusted P = 0.035). The frequencies of the four haplotypes (TA, CG, CA, TG) were not significantly different in the T2DM patients compared with control group (P > 0.025). Among diabetic group, an inverse trend with risk of cardio vascular diseases was shown in carriers of CG haplotype compared to those with TA haplotype (OR = 0.28, CI [0.09-0.90]; adjusted P = 0.035). Further, stratified analyses based on ESR1 PvuII and XbaI genotypes revealed no evidence for association with lipid levels (TC, TG, HDL, LDL). CONCLUSIONS: This is the first Palestinian study to conclude that ESR1 PuvII and XbaI variants may contribute to diabetes susceptibility in Palestinian women. Identification of genetic risk markers can be used in defining high risk subjects and in prevention trials. FAU - Ereqat, Suheir AU - Ereqat S AD - Biochemistry and Molecular Biology Department-Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine. FAU - Cauchi, Stephane AU - Cauchi S AD - CNRS, UMR8204, Lille, France. AD - INSERM, U1019, Lille, France. AD - Universite de Lille, Lille, France. AD - Institut Pasteur de Lille, Centre d'Infection et d'Immunite de Lille, Lille, France. FAU - Eweidat, Khaled AU - Eweidat K AD - Biochemistry and Molecular Biology Department-Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine. FAU - Elqadi, Muawiyah AU - Elqadi M AD - Biochemistry and Molecular Biology Department-Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine. FAU - Nasereddin, Abedelmajeed AU - Nasereddin A AUID- ORCID: 0000-0001-8162-420X AD - Al-Quds Public Health Society, East Jerusalem, Palestine. LA - eng PT - Journal Article DEP - 20190628 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC6601601 OTO - NOTNLM OT - CVD OT - ESR1 OT - NGS OT - Palestine OT - PvuII and XbaI polymorphisms OT - T2DM COIS- The authors declare that they have no competing interests. EDAT- 2019/07/12 06:00 MHDA- 2019/07/12 06:01 PMCR- 2019/06/28 CRDT- 2019/07/12 06:00 PHST- 2019/02/13 00:00 [received] PHST- 2019/05/21 00:00 [accepted] PHST- 2019/07/12 06:00 [entrez] PHST- 2019/07/12 06:00 [pubmed] PHST- 2019/07/12 06:01 [medline] PHST- 2019/06/28 00:00 [pmc-release] AID - 7164 [pii] AID - 10.7717/peerj.7164 [doi] PST - epublish SO - PeerJ. 2019 Jun 28;7:e7164. doi: 10.7717/peerj.7164. eCollection 2019.