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• 临床研究 • 上一篇    下一篇

线粒体基因16189 T/C突变性糖尿病的特点

葛焕琦1*,杨 洋1,蔡寒青1,刘光伟2   

  1. 1.吉林大学第二医院内分泌科,吉林 长春130041;2.吉林大学公共卫生学院卫生部放射生物学重点实验室,吉林 长春130021
  • 收稿日期:2002-11-19 修回日期:1900-01-01 出版日期:2004-05-28 发布日期:2004-05-28
  • 通讯作者: 葛焕琦

Characteristics of diabetes with mitochondrialDNA 16189 (T/C transition) mutation

GE Huan-qi1*, YANG Yang1, CAI Han-qing1, LIU Guang-wei2   

  1. 1. Department of Endocrinology, Second Hospital, Jilin University, Changchun 130041, China;2. MH Radiobiology Research Unit,School of Public Health,Jilin University,Changchun 130021,China
  • Received:2002-11-19 Revised:1900-01-01 Online:2004-05-28 Published:2004-05-28
  • Contact: GE Huan-qi

摘要: 目的:研究线粒体基因16189 T/C突变性糖尿病在中国北方人群中的特点。方法:采用聚合酶链反应(PCR)和限制性片段长度多态性(RELP)分析方法对中国北方155例2型糖尿病患者(糖尿病组)和164例正常中国北方人(对照组)进行核心家系线粒体基因筛检和分析。结果:①线粒体基因 16189 T/C 突变在糖尿病组占32.26%(50/155),在对照组占15.24%(25/164),二者比较差异有显著性(P<0.05)。②在糖尿病患者中线粒体基因16189 T/C 突变组(n=50)与非突变组(n=105)比较,空腹血糖(FPG)、糖化血红蛋白(GHbA1c)、空腹C-肽及餐后2 h C-肽,差异均无显著性。③线粒体基因16189 T/C突变的糖尿病患者临床特点多为50岁左右发病,男女发病率无明显差异(1.3∶1);发病时体重指数常较高(74%的患者BMI超过标准值);65%患者伴血脂代谢异常;具有明显的母系遗传倾向。结论:线粒体基因16189 T/C点突变可能仅为人群中的基因多态现象,还不能确定其为糖尿病单基因致病突变。

关键词: 线粒体, 点突变, 糖尿病, 多态现象(遗传学)

Abstract: Objective To study the characteristics of diabetes with mitochondrial DNA 16189 (T/C transition) mutation of population in North China. Methods PCR and RELP techniques were used to examine 155 patients with type 2 diabetes (diabetic group) and 164 heathy people (control group) to analyse the mitochondrial gene. Results ①The prevalence of mitochondrial DNA (mtNDA) 16189 T/C mutation in diabetic group [32.26%(50/155)] was significantly higher than that in the control group [15.24%(25/164)]; ②No significant difference in fasting plasma glucose level, fasting C-peptide, postprandial C-peptide, GHbA1c between those with mutation and those without mutation in diabetic group; ③ Clinical characteristics of diabetes with mitochondrial DNA 16189 T/C mutation: there was a late onset at diabetes (about 50 years old),there was no significant difference in sexuality(1.3:1); 74% diabetics with mutation had higher BMI; Blood lipid was found abnormal in 65% diabetics with mutation ; the prevalence of the mutation was high in diabetics with maternal family history. Conclusion The mitochondrial DNA 16189(T/C transition) mutation may be only a polymorphism in population.

Key words: mitochondrial, point mutation, diabetes mellitus, polymorphism (genetics)

中图分类号: 

  • Q75