Abstract

The global burden of diabetes mellitus will impact strongly American countries in the coming decades. Type 2 diabetes mellitus (T2DM) is a multifactorial disease and the basis for its genetic susceptibility remains not fully understood. Different population studies have demonstrated that variants of the TCF7L2 gene are strongly associated with an increased risk of T2DM. Moreover, institutions or countries with limited budget to conduct genetic research need cost effective methods for detecting DNA variants. We standardized a rapid and simple allele-specific PCR method for genotyping the rs12255372 single nucleotide polymorphism (SNP) in a pilot study exploring the association of three TCF7L2 polymorphisms (rs7903146, rs12255372 and DG10S478) with T2DM in 70 patients and 73 controls from Venezuela. The performance of the designed allele-specific PCR reaction for rs12255372 genotyping was reliable and accurate. Patients carrying the TCF7L2 rs7903146 T allele (CT + TT genotypes) and heterozygous CT genotype had a significantly higher risk for T2DM (OR = 2.9 and 2.3, respectively). Although rs12255372 and DG10S478 risk alleles predominated in T2DM group no statistical significance was found. We developed a novel allele-specific PCR method for easier and rapid detection of rs12255372 polymorphism without the use of expensive instrumentation and reagents. Our study in a relatively small sample of the Venezuelan population replicated the association of the rs7903146 SNP with T2DM. Further studies with larger sample size and more biochemical data should be conducted to explore the genetic basis of T2DM susceptibility in Venezuela.

Highlights

  • Diabetes mellitus is an endocrine disorder characterized by dysregulation of insulin production, insulin sensitivity, and glucose control

  • Diabetes is generally classified in type 1 diabetes mellitus (T1DM), which consists of an autoimmune etiology, and Type 2 diabetes mellitus (T2DM), which includes a heterogeneous group of metabolic disorders characterized by the inability of pancreatic beta cells to increase insulin secretion in order to compensate for insulin resistance [1]

  • Comparison between groups showed that the fasting plasma glucose levels were significantly higher in the diabetic subjects, while mean age, body mass index (BMI) and waist circumference (WC) were similar in both groups (P > 0.05)

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Summary

Introduction

Diabetes mellitus is an endocrine disorder characterized by dysregulation of insulin production, insulin sensitivity, and glucose control. Type 2 diabetes mellitus; TCF7L2; allele-specific PCR; gene polymorphism; Venezuela Among Latin American countries there are only reports on the association of TCF7L2 polymorphisms and T2DM from Colombia [23], Brazil [24,25,26,27,28] and Mexico [9,29,30,31,32].

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Conclusion

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