PMID- 34512895 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210914 IS - 1948-9358 (Print) IS - 1948-9358 (Electronic) IS - 1948-9358 (Linking) VI - 12 IP - 8 DP - 2021 Aug 15 TI - Polymorphisms in HIF-1a gene are not associated with diabetic retinopathy in China. PG - 1304-1311 LID - 10.4239/wjd.v12.i8.1304 [doi] AB - BACKGROUND: It has been reported that vascular endothelial growth factor (VEGF) is a susceptibility gene for both type 2 diabetes mellitus (T2DM) and diabetic retinopathy (DR). In response to hypoxia, VEGF mRNA levels are increased, which is mainly mediated by the binding of hypoxia-inducible factor-1 (HIF-1) and hypoxia response element upstream of the transcriptional start site of VEGF. Therefore, HIF-1a is supposed to be involved in pathology of DR. AIM: To investigate whether the polymorphisms in HIF-1a gene are associated with DR. METHODS: Two hundred and ninety-nine type 2 diabetic patients (128 males and 171 females) and 144 healthy volunteers were recruited. Mean age was 56.04 +/- 21.05 years. According to the results of fundus fluorescein angiography and examination of ophthalmoscopy, patients were divided into two groups, DNR group (diabetes without retinopathy) and DR group (diabetes with retinopathy). There are 150 cases in DNR group and 149 cases in DR group. Two single nucleotide polymorphisms (SNP) of the HIF-1a gene were tested using matrix-assisted laser desorption/Ionization time of flight mass spectrometry. The frequency of genotypes and alleles, and odds ratio were measured. RESULTS: The mean age of the cases with diabetes was 55.84 +/- 3.66 years, the mean age of the cases with DR was 55.97 +/- 4.66 years and that of controls was 56.32 +/- 4.70 years. Two variations were found in 76 patients. Rs11549465 is the change of C-T base, rs11549467 is the change of G-A base. The rs11549467 G/A genotype was 5.33% in diabetes and 6.04% in DR patients, respectively. The rs11549465 C/T genotype was 10% and 12.75% in patients with diabetes and DR. The rs11549467 A allele frequencies and rs11549465 T frequencies was similar to that of controls. Paired SNP linkage disequilibrium analysis indicated that rs11549467 was in linkage disequilibrium with rs11549465. Haplotype association analysis denoted that the haplotype association exhibited similar distribution in the patients compared to the normal controls. CONCLUSION: This study suggests that there is no relationship between the genetic variations of HIF1a and diabetes or DR. CI - (c)The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Liu, Yue-Hong AU - Liu YH AD - Department of Endocrinology, Hainan Cancer Hospital, Haikou 570312, Hainan Province, China. FAU - Guo, Chang AU - Guo C AD - Department of Endocrinology, Shenzhen University General Hospital, Shenzhen 518055,Guangdong Province, China. FAU - Sun, Yi-Qiong AU - Sun YQ AD - Department of Endocrinology, Shenzhen University General Hospital, Shenzhen 518055,Guangdong Province, China. FAU - Li, Qiang AU - Li Q AD - Department of Endocrinology, Shenzhen University General Hospital, Shenzhen 518055,Guangdong Province, China. qianglisz@163.com. LA - eng PT - Journal Article PL - United States TA - World J Diabetes JT - World journal of diabetes JID - 101547524 PMC - PMC8394233 OTO - NOTNLM OT - Diabetes OT - Diabetic retinopathy OT - HIF1a OT - Mutation OT - Single nucleotide polymorphisms OT - Vascular endothelial growth factor COIS- Conflict-of-interest statement: The authors declare no competing interests. EDAT- 2021/09/14 06:00 MHDA- 2021/09/14 06:01 PMCR- 2021/08/15 CRDT- 2021/09/13 06:47 PHST- 2021/02/23 00:00 [received] PHST- 2021/04/09 00:00 [revised] PHST- 2021/07/12 00:00 [accepted] PHST- 2021/09/13 06:47 [entrez] PHST- 2021/09/14 06:00 [pubmed] PHST- 2021/09/14 06:01 [medline] PHST- 2021/08/15 00:00 [pmc-release] AID - 10.4239/wjd.v12.i8.1304 [doi] PST - ppublish SO - World J Diabetes. 2021 Aug 15;12(8):1304-1311. doi: 10.4239/wjd.v12.i8.1304.