PMID- 33209051 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 1178-7066 (Print) IS - 1178-7066 (Electronic) IS - 1178-7066 (Linking) VI - 13 DP - 2020 TI - Association Between Cannabinoid Receptor-1 Gene Polymorphism and the Risk of Diabetic Nephropathy Among Patients with Type 2 Diabetes Mellitus. PG - 591-599 LID - 10.2147/PGPM.S278897 [doi] AB - BACKGROUND: The cannabinoid receptor 1 (CNR1) gene polymorphism is reportedly associated with components of metabolic syndrome and coronary artery diseases in patients with type 2 diabetes mellitus (T2DM). We investigated whether the common variant rs10493353 polymorphism is associated with diabetic nephropathy (DN) in T2DM patients. PATIENTS AND METHODS: T2DM patients with DN were enrolled as a case group, and patients with only T2DM as a control group. Demographic data and biochemical parameters were collected. The polymerase chain reaction-based restriction fragment length polymorphism technique was used for genotyping. The odds ratio and 90% confidence interval were calculated to assess the association between genotypes and the risk of DN. RESULTS: In total, 320 T2DM patients and 320 DN patients were enrolled. Compared with T2DM patients, the DN patients have a significantly larger body mass index (BMI), longer duration of disease, and higher proportions of smokers, drinkers, and hypertension. The risk of DN was significantly decreased by genotypes AA (OR=0.39, 95% CI=0.23-0.67) and GA (OR=0.53, 95% CI=0.37-0.75) vs GG (codominant model), GA/AA vs GG (OR=0.49, 95% CI=0.35-0.67; dominant model), AA vs GG/GA (OR=0.47, 95% CI=0.28-0.80; recessive model), and the A allele (OR=0.52, 95% CI=0.40-0.68; allele model). Multiple logistic regressions still show significant levels. Negative interactions were found between gene and clinical parameters, including drinking, smoking, BMI, and hypertension. CONCLUSION: The A allele of CNR1 gene rs10493353 may be a protective factor for DN in T2DM patients. The risk factors of DN can affect the protective role of A allele in the progression of DN. CI - (c) 2020 Zhang et al. FAU - Zhang, Xuelian AU - Zhang X AD - Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, People's Republic of China. FAU - Zhu, Haiqing AU - Zhu H AD - Department of Endocrinology, Emergency General Hospital, Beijing 100028, People's Republic of China. FAU - Xing, Xiaoyan AU - Xing X AD - Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, People's Republic of China. FAU - Zhang, Chunyu AU - Zhang C AD - Department of Statistical Teaching and Research, China-Japan Friendship Hospital, Beijing 100029, People's Republic of China. LA - eng PT - Journal Article DEP - 20201112 PL - New Zealand TA - Pharmgenomics Pers Med JT - Pharmacogenomics and personalized medicine JID - 101514107 PMC - PMC7669503 OTO - NOTNLM OT - cannabinoid receptor 1 OT - diabetes mellitus OT - diabetic nephropathy OT - gene polymorphism COIS- The authors have no conflicts of interest to declare. EDAT- 2020/11/20 06:00 MHDA- 2020/11/20 06:01 PMCR- 2020/11/12 CRDT- 2020/11/19 05:41 PHST- 2020/08/27 00:00 [received] PHST- 2020/10/06 00:00 [accepted] PHST- 2020/11/19 05:41 [entrez] PHST- 2020/11/20 06:00 [pubmed] PHST- 2020/11/20 06:01 [medline] PHST- 2020/11/12 00:00 [pmc-release] AID - 278897 [pii] AID - 10.2147/PGPM.S278897 [doi] PST - epublish SO - Pharmgenomics Pers Med. 2020 Nov 12;13:591-599. doi: 10.2147/PGPM.S278897. eCollection 2020.