Variants inHSD11B1gene modulate susceptibility to diabetes kidney disease and to insulin resistance in type 1 diabetes

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMORI, Rosana Cristina
dc.contributor.authorSANTOS-BEZERRA, Daniele Pereira
dc.contributor.authorPELAES, Tatiana Souza
dc.contributor.authorADMONI, Sharon Nina
dc.contributor.authorPEREZ, Ricardo Vessoni
dc.contributor.authorMONTEIRO, Maria Beatriz
dc.contributor.authorMACHADO, Cleide Guimaraes
dc.contributor.authorQUEIROZ, Marcia Silva
dc.contributor.authorMACHADO, Ubiratan Fabres
dc.contributor.authorCORREA-GIANNELLA, Maria Lucia
dc.date.accessioned2021-02-18T13:47:17Z
dc.date.available2021-02-18T13:47:17Z
dc.date.issued2021
dc.description.abstractBackground and aim 11 beta-Hydroxysteroid dehydrogenase 1 has been implicated in insulin resistance (IR) in the setting of metabolic disorders, and single nucleotide polymorphisms (SNPs) in its encoding gene (HSD11B1) have been associated with type 2 diabetes and metabolic syndrome. In type 1 diabetes (T1D), IR has been related to the development of chronic complications. We investigated the association ofHSD11B1SNPs with microvascular complications and with IR in a Brazilian cohort of T1D individuals. Materials and methods Five SNPs were genotyped in 466 T1D individuals (57% women; median of 37 years old, diabetes duration of 25 years and HbA1c of 8.4%). Results The minor allele T of rs11799643 was nominally associated with diabetic retinopathy (OR = 0.52; confidence interval [CI] 95% = 0.28-0.96;P= .036). The minor allele C of rs17389016 was nominally associated with overt diabetic kidney disease (DKD) (OR = 1.90; CI 95% = 1.07-3.37;P= .028). A follow-up study revealed that 29% of the individuals lost >= 5 mL min(-1)x 1.73 m(2)per year of the estimated glomerular filtration rate (eGFR). In these individuals (eGFR decliners), C allele of rs17389016 was more frequent than in non-decliners (OR = 2.10; CI 95% = 1.14-3.89;P= .018). Finally, minor allele T of rs846906 associated with higher prevalence of arterial hypertension, higher body mass index and waist circumference, thus conferring risk to a lower estimated glucose disposal rate, a surrogate marker of insulin sensitivity (OR = 1.23; CI 95% = 1.06-1.42;P= .004). Conclusion SNPs in theHSD11B1gene may confer susceptibility to DKD and to IR in T1D individuals.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel SuperiorCAPES [001]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao PauloFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2016/15603-0]
dc.identifier.citationDIABETES-METABOLISM RESEARCH AND REVIEWS, v.37, n.1, article ID e3352, 9p, 2021
dc.identifier.doi10.1002/dmrr.3352
dc.identifier.eissn1520-7560
dc.identifier.issn1520-7552
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/39435
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofDiabetes-Metabolism Research and Reviews
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectdiabetic microvascular complicationseng
dc.subjectestimated glomerular filtration rate (eGFR)eng
dc.subjectestimated glucose disposal rate (eGDR)eng
dc.subjectrs17389016eng
dc.subjectrs846906eng
dc.subjectsingle nucleotide polymorphism (SNP)eng
dc.subject.other11-beta-hydroxysteroid dehydrogenase type-1eng
dc.subject.othermetabolic syndromeeng
dc.subject.othergene polymorphismseng
dc.subject.otherglomerular-filtrationeng
dc.subject.othergenomic ancestryeng
dc.subject.otherassociationeng
dc.subject.othercomplicationseng
dc.subject.otherexpressioneng
dc.subject.otherobesityeng
dc.subject.other11-beta-hsd1eng
dc.subject.wosEndocrinology & Metabolismeng
dc.titleVariants inHSD11B1gene modulate susceptibility to diabetes kidney disease and to insulin resistance in type 1 diabeteseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalMORI, Rosana Cristina:Univ Sao Paulo, Inst Biomed Sci, Dept Physiol & Biophys, Ave Prof Lineu Prestes 1524, BR-05508900 Sao Paulo, Brazil
hcfmusp.author.externalPEREZ, Ricardo Vessoni:Univ Sao Paulo, Hosp Clin HCFMUSP, Lab Carboidratos & Radioimunoensaios LIM 18, Fac Med, Sao Paulo, Brazil
hcfmusp.author.externalMACHADO, Ubiratan Fabres:Univ Sao Paulo, Inst Biomed Sci, Dept Physiol & Biophys, Ave Prof Lineu Prestes 1524, BR-05508900 Sao Paulo, Brazil
hcfmusp.citation.scopus7
hcfmusp.contributor.author-fmusphcDANIELE PEREIRA DOS SANTOS BEZERRA
hcfmusp.contributor.author-fmusphcTATIANA SOUZA PELAES
hcfmusp.contributor.author-fmusphcSHARON NINA ADMONI
hcfmusp.contributor.author-fmusphcMARIA BEATRIZ CAMARGO MONTEIRO CAILLAUD
hcfmusp.contributor.author-fmusphcCLEIDE GUIMARAES MACHADO CARANI
hcfmusp.contributor.author-fmusphcMARCIA SILVA QUEIROZ
hcfmusp.contributor.author-fmusphcMARIA LUCIA CARDILLO CORREA GIANNELLA
hcfmusp.description.articlenumbere3352
hcfmusp.description.issue1
hcfmusp.description.volume37
hcfmusp.origemWOS
hcfmusp.origem.pubmed32453474
hcfmusp.origem.scopus2-s2.0-85087212103
hcfmusp.origem.wosWOS:000541435200001
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
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