ASSOCIATION OF GLUTATHIONE-S-TRANSFERASE (GSTM1 and GSTT1) AND FTO GENE POLYMORPHISMS WITH TYPE 2 DIABETES MELLITUS CASES IN NORTHERN INDIA
Raza ST, Abbas S, Ahmad A, Ahmed F, Zaidi ZH, Mahdi F
*Corresponding Author: Syed Tasleem Raza, Ph.D., Molecular Biology Laboratory, Department of Biochemistry, Era’s Lucknow Medical College and Hospital, Hardoi Road, Lucknow, Uttar Pradesh, India 226025. Tel.: +91-522- 240-8122; 240-8123. Fax: +91-522-240-7824. E-mail: tasleem24@gmail.com
page: 47

DISCUSSION

GSTM1 and GSTT1 Gene Polymorphisms. Type 2 diabetes mellitus is characterized as being a polygenic disorder and generally thought of as a syndrome, rather than a single specific entity. Oxidative stress plays a major role in the pathogenesis of T2DM [23]. Glutathione-S-transferases catalyze the conjugation of glutathione to a wide range of electrophiles and represent a protective mechanism against oxidative stress. The GST family of genes is critical in the protection of cells from ROS because they utilize as substrates a wide variety of products of oxidative stress [24]. The deletion polymorphisms of GSTT1 and GSTM1, which are associated with abolished enzyme activity [25], have been associated with T2DM when compared to control subjects [9,24]. The majority of case control studies of GSTM1 and GSTT1 null genotypes have reported risk associations with disease [26,27].The frequency of the GSTM1 null genotype in our study was 38.61%; it is little lower than reported in other populations (Egyptian 58.62%, Dubai 57.5%, North Indian 54.00%) [28-30]. The frequency of the GSTTI null genotype was 7.92% in T2DM patients, which is lower when compared to the Dubai (60.0%) and Egyptian (35.0%) populations [7,29]. We have also observed that the genotype frequency of the positive GSTT1 and GSTM1 genes was 92.07 and 61.38%, respectively, which is significantly higher in comparison with Dubai where the positive GSTT1 and GSTM1 genes was 40.0 and 42.5%, respectively [29]. The FTO Gene Polymorphism. The frequency of the FTO gene polymorphism is quite variable in different geographic and ethnic groups (Table 3). Previous studies have shown that T2DM risk associated with the A allele of the FTO variant (rs 9939609) was strongly mediated by BMI, and has been shown to potentially affect mass rather than height [31]. The FTO gene (rs 9939609) was shown to be strongly associated with T2DM risk (OR 1.27; p = 5 × 10-8) in a genome wide association (GWA) scan performed in the UK population [31]. In our study, we reported that the frequency of the AT genotype (Pro12Ala) was 71.29% in T2DM patients, which is significantly higher when compared with North Indians (47.6%), South Asian Indians (42.2%), South Africans (55.0%), Scots (48.8%) and Spanish (48.3%) populations [32-36]. The frequency of the FTO AA genotype described in other populations fluctuates between 14.0 to 18.0% in T2DM patients of North Indians (12.5%), South Asian Indians (14.2%), Scots (18.0%) and Spanish (17.8%) populations [32,33,35,36], but the frequency of the FTO AA genotype in our study group was 4.95%, which is considerably lower when compared to other reports. Many factors may account for the different results in similar studies. In our population, the frequency of the TT genotype was 23.76%, which is considerably lower than in South Asian Indians (43.6%) and North Indians (39.9%) [32,33], There may be differences even in the same population because of genetic, environmental factors and the number of samples analyzed. Our data suggest that the polymorphism in the GSTM1 gene might be a risk factor for T2DM, while no significant association was found with the FTO gene polymorphism. The potential role of GST and FTO gene polymorphisms as a marker of susceptibility for T2DM needs further studies in a larger number of patients. Declaration of Interest. We are grateful for the support of the intramural grant from the Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.



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