Role of Peroxisome Proliferator-Activated Receptor gamma 2 (PPAR-γ2) Gene Polymorphism in Type 2 Diabetes Mellitus
More details
Hide details
Tanta University, Faculty of Medicine,Department of Clinical Pathology, Egypt
Tanta University, Faculty of Medicine,Department of Internal Medicine, Egypt
Kamal Okasha
Tanta University, Medical Faculty Department of Internal Medicine
Online publication date: 2009-04-15
Publication date: 2009-04-15
Eur J Gen Med 2009;6(2):78–86
Objective: To find out the relation between Pro 12 Ala polymorphism of peroxisome proliferator- activated receptor gamma2 (PPAR-g2) gene with type 2 diabetes mellitus and the possible role of this gene polymorphism as a link between obesity and type 2 diabetes mellitus. Subjects and Methods: Subjects of this study were classified into 3 groups: (15) Apparently healthy lean individuals (Group I), (15) obese non diabetic individuals (group II) and (24) patients with type 2 diabetes mellitus (group III). This group divided into: Diabetic non obese patients (12 patients) (Group IIIa) and: Diabetic obese patients (12 patients) (Group IIIb). The subjects were subjected to clinical examination, serum insulin level and estimation of PPAR-g2 gene polymorphism by Restriction fragment length polymorphism (RFLP) polymerase chain reaction (PCR). Results: Frequency of Pro allele was significant increase in diabetic non obese patients& diabetic non obese patients when compared to control group (P= 0.048 and 0.003, respectively). However, there was no difference between obese non diabetic group and control group as regard the allelic frequencies (p= 0.462). While diabetic non obese patients had higher Pro allele frequency (p= 0.003) than in diabetic obese patients (p= 0.048). Insulin resistance by homeostasis model assessment (HOMA-IR) was significantly increased in Pro/Pro carriers in group II and group III when compared to that of Pro/Ala plus Ala/Ala carriers (p= 0.004 and 0.023; respectively). Conclusion: Pro12 allele of PPAR-g2 gene could be a genetic risk factor for insulin resistance and type 2 diabetes mellitus.