PMID- 37062988 OWN - NLM STAT- MEDLINE DCOM- 20230418 LR - 20230720 IS - 1469-0756 (Electronic) IS - 0032-5473 (Linking) VI - 98 IP - 1164 DP - 2022 Oct 1 TI - rs10865710 polymorphism in PPARG promoter is associated with the severity of type 2 diabetes mellitus and coronary artery disease in a Chinese population. PG - 778-787 LID - 10.1136/postgradmedj-2021-140354 [doi] AB - BACKGROUND: Relationship between polymorphisms in peroxisome proliferator-activated receptor gamma (PPARG) and progression of type 2 diabetes mellitus (T2DM) and coronary artery disease (CAD) remains to be clarified. METHODS: 635 subjects were divided into T2DM, CAD, T2DM complicated with CAD (T2DM/CAD) and control groups according to diagnostic criteria. The rs10865710 and rs3856806 polymorphisms were genotyped, and the severity of T2DM and CAD was evaluated for all subjects. RESULTS: In patients with T2DM, G allele carriers of rs10865710 polymorphism had significantly higher levels of glucose, triglycerides, apolipoprotein B (ApoB) and lipoprotein (a) (Lp(a)) than non-carriers, T allele carriers of rs3856806 polymorphism had significantly higher levels of glucose, low-density lipoprotein cholesterol (LDL-C), ApoB and Lp(a) than non-carriers. In patients with CAD, G allele carriers of rs10865710 polymorphism had significantly higher levels of total cholesterol (TC), ApoB and Lp(a) than non-carriers, T allele carriers of rs3856806 polymorphism had significantly higher levels of body mass index, blood pressure, TC, LDL-C and ApoB than non-carriers. Patients with one or two G alleles of rs10865710 polymorphism had significantly higher levels of Gensini scores and more diseased coronary branches than those patients without CAD. The rs3856806 polymorphism was not associated with CAD severity, but it was found to be significantly associated with T2DM/CAD, T allele frequency was significantly higher in T2DM/CAD group than that in T2DM/CAD-free group. CONCLUSIONS: The rs10865710 and rs3856806 polymorphisms in PPARG are significantly associated with glucose levels in patients with T2DM. The rs10865710 polymorphism is significantly associated with the severity of CAD, which is possibly mediated by hyperlipidaemia and hyperglycaemia. CI - (c) Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Song, Yongyan AU - Song Y AD - Central Laboratory, and Medical Key Laboratory of Clinical Genetics of Sichuan Province, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, People's Republic of China. FAU - Raheel, Tariq Muhammad AU - Raheel TM AD - Department of Cardiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China. FAU - Jia, Aimei AU - Jia A AD - Department of General Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China. FAU - Dai, Guowei AU - Dai G AD - Department of Cardiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, People's Republic of China. FAU - Liu, Liang AU - Liu L AD - Department of Cardiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, People's Republic of China. FAU - Long, Xiaobin AU - Long X AD - Department of Cardiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, People's Republic of China. FAU - He, Chuan AU - He C AUID- ORCID: 0000-0001-9387-0475 AD - Department of Cardiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, People's Republic of China. LA - eng GR - KL012/This research was supported by grants from Medical Key Laboratory of Clinical Genetics of Sichuan Province/ PT - Journal Article PL - England TA - Postgrad Med J JT - Postgraduate medical journal JID - 0234135 RN - 0 (Apolipoproteins B) RN - 0 (Cholesterol, LDL) RN - IY9XDZ35W2 (Glucose) RN - 0 (PPAR gamma) RN - 0 (PPARG protein, human) SB - IM MH - Humans MH - Apolipoproteins B MH - Cholesterol, LDL MH - *Coronary Artery Disease MH - *Diabetes Mellitus, Type 2/epidemiology/genetics MH - East Asian People MH - Glucose MH - Polymorphism, Single Nucleotide MH - *PPAR gamma/genetics MH - Risk Factors OTO - NOTNLM OT - coronary heart disease OT - general diabetes OT - genetics EDAT- 2023/04/18 06:00 MHDA- 2023/04/18 06:42 CRDT- 2023/04/17 02:53 PHST- 2021/04/22 00:00 [received] PHST- 2021/07/04 00:00 [accepted] PHST- 2023/04/18 06:42 [medline] PHST- 2023/04/17 02:53 [entrez] PHST- 2023/04/18 06:00 [pubmed] AID - 7096838 [pii] AID - 10.1136/postgradmedj-2021-140354 [doi] PST - ppublish SO - Postgrad Med J. 2022 Oct 1;98(1164):778-787. doi: 10.1136/postgradmedj-2021-140354.