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Association between the P12A and c1431t polymorphisms in the peroxisome proliferator activated receptor γ (PPAR γ ) gene and type 2 diabetes

2001; Thieme Medical Publishers (Germany); Volume: 109; Issue: 03 Linguagem: Inglês

10.1055/s-2001-14838

1439-3646

D. Gareth Evans, Jocelyn de Heer, Christian Hagemann, Dorte Wendt, Alexander M. Wolf, Ulrike Beisiegel†, William R. Mann,

Diabetes Treatment and Management

Variation in the peroxisome proliferator-activated receptor γ (PPARγ) gene may play a role in the development of type 2 diabetes mellitus. Therefore we investigated the association between the P12A and c1431t polymorphisms in the PPARγ gene and type 2 diabetes. The incidence of the P12A polymorphism was determined by PCR-RFLP and the c1431t by single-strand conformation polymorphism analysis in 219 patients with, and 429 without type 2 diabetes. The frequency of the A allele of P12A polymorphism was 0.16 and the t allele of c1431t polymorphism, 0.13 in patients with type 2 diabetes, and 0.13 and 0.12 respectively in subjects without diabetes. 3.2% of patients with and 1.4% without type 2 diabetes were A12A. Since the polymorphisms are not linked the association of the 9 possible genotypes with type 2 diabetes was determined. All patients with genotype A12A/c1431c had type 2 diabetes (n = 3, p = 0.038). There was no association between A12A/t1431t and diabetes. DNA sequencing revealed no additional mutations in the coding region of the PPARγ gene in genotypes A12A/c1431c or A12A/t1431t. The associations found between polymorphisms in the PPARγ gene and type 2 diabetes suggest that either the A12 isoform is functional leading to a predisposition to type 2 diabetes in homozygotes or that there is a third, unknown mutation linked to the A12/c1431 haplotype which is responsible.