PMID- 35846493 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220719 IS - 1394-195X (Print) IS - 2180-4303 (Electronic) IS - 1394-195X (Linking) VI - 29 IP - 3 DP - 2022 Jun TI - The Effect of PRKAA2 Variation on Type 2 Diabetes Mellitus in the Asian Population: A Systematic Review and Meta-Analysis. PG - 5-16 LID - 10.21315/mjms2022.29.3.2 [doi] AB - The prevalence of type 2 diabetes mellitus (T2DM) is increasing among Asians. The adenosine monophosphate-activated protein kinase (AMPK) increases T2DM risk through insulin resistance. Glucose levels are related to AMPK subunit alpha2 encoded by PRKAA2. This systematic review and meta-analysis aimed to analyse the association between PRKAA2 variation and T2DM risk. Publication search related to PRKAA2 and T2DM used PubMed, ProQuest, and ScienceDirect databases. Article selection based on inclusion and exclusion criteria only included Japanese and Chinese populations. This meta-analysis used five genotype models to estimate the effect of PRKAA2 variation and T2DM risk. Additionally, a fixed-effect model was selected to measure the pooled size effect if P > 0.05 or I(2) < 50%. Qualitative analysis included four eligible studies, and meta-analysis included only two studies because both showed data concerning rs2746342 variation. Patients with G allele are 1.45 times more likely to have T2DM than patients with T allele (95% confidence interval [CI]: 1.20, 1.76; P: 0.0001). Notably, patients who had GG genotype have 1.96 times higher risk of T2DM compared with those with TT genotype (95% CI: 1.34, 2.87; P: 0.0005), dominant model (odds ratio [OR]: 1.75; 95% CI: 1.32, 2.31; P: 0.001), and recessive model (OR: 1.43; 95% CI: 1.01, 2.01; P: 0.04). PRKAA2 variation, especially in rs2746342, has an association with T2DM risk in the G allele, additive, dominant, and recessive models. G allele might be the most contributable factor in increasing T2DM susceptibility. CI - (c) Penerbit Universiti Sains Malaysia, 2022. FAU - Virginia, Dita Maria AU - Virginia DM AD - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. AD - Faculty of Pharmacy, Sanata Dharma University, Yogyakarta, Indonesia. FAU - Dwiprahasto, Iwan AU - Dwiprahasto I AD - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. FAU - Wahyuningsih, Mae Sri Hartati AU - Wahyuningsih MSH AD - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. FAU - Nugrahaningsih, Dwi Aris Agung AU - Nugrahaningsih DAA AD - Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. LA - eng PT - Journal Article PT - Review DEP - 20220628 PL - Malaysia TA - Malays J Med Sci JT - The Malaysian journal of medical sciences : MJMS JID - 101126308 PMC - PMC9249426 OTO - NOTNLM OT - AMP-activated protein kinase OT - Asian OT - genetic variation OT - risk factor OT - type 2 diabetes mellitus COIS- Conflict of Interest None. EDAT- 2022/07/19 06:00 MHDA- 2022/07/19 06:01 PMCR- 2022/06/01 CRDT- 2022/07/18 04:03 PHST- 2020/06/12 00:00 [received] PHST- 2021/07/16 00:00 [accepted] PHST- 2022/07/18 04:03 [entrez] PHST- 2022/07/19 06:00 [pubmed] PHST- 2022/07/19 06:01 [medline] PHST- 2022/06/01 00:00 [pmc-release] AID - 02mjms2903_ra [pii] AID - 10.21315/mjms2022.29.3.2 [doi] PST - ppublish SO - Malays J Med Sci. 2022 Jun;29(3):5-16. doi: 10.21315/mjms2022.29.3.2. Epub 2022 Jun 28.