Length rather than a specific allele of dinucleotide repeat in the 5′ upstream region of the aldose reductase gene is associated with diabetic retinopathy

被引:29
作者
Fujisawa, T [1 ]
Ikegami, H [1 ]
Kawaguchi, Y [1 ]
Yamato, E [1 ]
Nakagawa, Y [1 ]
Shen, GQ [1 ]
Fukuda, M [1 ]
Ogihara, T [1 ]
机构
[1] Osaka Univ, Sch Med, Dept Geriatr Med, Suita, Osaka 565, Japan
关键词
aldose reductase; diabetic microangiopathy; diabetic retinopathy; dinucleotide repeat; genetic susceptibility;
D O I
10.1046/j.1464-5491.1999.00192.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims To assess the possible contribution of a genetic factor to diabetic retinopathy. Methods (CA)n repeat length was investigated in the 5' upstream region of the gene coding for aldose reductase (AR), which is a key enzyme of the polyol pathway and plays a role in hyperglycaemia-induced tissue damage, in Japanese patients with Type 2 DM. Results The dinucleotide repeat length was significantly associated with proliferative diabetic retinopathy (PDR) (P = 0.029, Mann-Whitney U-test); i.e. shorter alleles were more prevalent in the PDR group than in the control group. Conclusions (CA)n repeat length, rather than a specific allele, in the 5' upstream region of the AR gene is associated with diabetic retinopathy. These data suggest that the AR locus plays a role in genetic susceptibility to diabetic retinopathy and that dinucleotide repeats in genomic DNA may be related to disease predisposition.
引用
收藏
页码:1044 / 1047
页数:4
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