Abstract
Introduction: Type 2 diabetes mellitus (T2DM) is a type of metabolic disorder, which is currently imposing a serious threat to the well-being of the world population. Globally, an estimated 422 million adults are living with T2DM, according to the latest 2016 data from WHO, and the number is likely to be doubled by 2030. Variation in the incidence and prevalence of the disease has been associated with the contribution of multigenic predisposition towards it. One such gene is the CRP, where the increased level of CRP has been correlated with the symptoms of T2DM.
Objectives: To determine the prevalence of T2DM among the Indian obstetric population, To determine the pervasiveness of the gentic polymorphisms in CRP gene in subjects with/without having family history of T2DM (FHD) and to find out any role of the mothers with/without having family history to the newborn babies.
Method: The investigation has been carried out upon 180 pregnant women and their newborns. Their anthropometric measurements, blood pressure and metabolic profiles were estimated. Alongside, their DNA was isolated for genotyping for CRP followed by statistical analyses.
Result: A population trend was noticed where individuals with positive family history of diabetes(FHD) had significantly higher prevalence of metabolic risk factors and its confounding factors as compared to their counterparts during pregnancy, which is also affecting their next generation which may lead to childhood obesity.
Conclusion: Positive FHD and CRP (GG polymorphism) SNPs play an important role in triggering the activation of metabolic risk factors during the pregnancy, and this could be one of the major factors for development of T2DM and metabolic syndrome in the next generations. These findings suggest that family history could be used as a tool for genomic studies among the Asian Indians.
Keywords: Type 2 diabetes, Family history, Metabolic risk factors, CRP gene
References
- "Diagnosis of Diabetes and Prediabetes". National Institute of Diabetes and Digestive and Kidney Diseases. June 2014.-https://www.niddk.nih.gov/health-information/diabetes/overview/tests-diagnosis
- "Diabetes Fact sheet N°312". World Health Organization. August 2011.- https://web.archive.org/web/20130826174444/http:/www.who.int/mediacentre/factsheets/fs312/en
- World Health Organization, Global Report on Diabetes. Geneva, 2016. Accessed 30 August 2016.
- Williams textbook of endocrinology (12th ed.). Philadelphia: Elsevier/Saunders. 1371–1435.
- "India’s Diabetes Epidemic Cuts Down Millions Who Escape Poverty". Gale, Jason. November 7, 2010. https://www.bloomberg.com/news/articles/2010-11-07/india-s-deadly-diabetes-scourge-cuts-down-millions-rising-to-middle-class
- http://indianheartassociation.org/why-indians-why-south-asians/overview/
- "Modern Ways Open India’s Doors to Diabetes". New York Times. Kleinfield, N. R.. September 13, 2006.
- Hana Demova,Jana Boleckova,Daniela Rose,Hannes Koeppel,Bohumir Prochazka,Ludmila Brunerova,Ivan Rychlik,Marie Cerna. Gene polymorphisms in patients with Type II diabetes and diabetic nephropathy. Central European Journal of Biology. 2012; 7(2): 210–218.
- Ramandeep Kaur, Kawaljit Matharoo, Rubina Sharma, J.S. Bhanwer. C-reactive protein + 1059 G>C polymorphism in Type II diabetes and coronary artery disease patients. Meta Gene. 2013; 1: 82–92.
- National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and the treatment of high blood cholesterol in adults (Adult Treatment Program III). Circulation. 2002; 106: 3134-3421.
- Cao H and Hegele R.A. Human C-reactive protein (CRP) 1059G/C polymorphism. J Hum Genet. 2000; 45: 100-101.
- Yang Q, Liu T, Valdez R, Moonesinghe R, Khoury MJ. Improvements in ability to detect undiagnosed diabetes by using information on family history among adults in the United States. Am J Epidemiol. 2010; 171:1079–89.
- Valdez R, Greenlund KJ, Khoury MJ, Yoon PW. Is family history a useful tool for detecting children at risk for diabetes and cardiovascular diseases.A public health perspective? Pediatrics. 2007; 120 ( 2):S78–86.
- Pasalic D., Marinkovic N., Grskovic B., Ferencak G., Bernat R., Stavljenic-Rukavina A. C-reactive protein gene polymorphisms affect plasma CRP and homocysteine concentrations in subjects with and without angiographically confirmed coronary artery disease. Biol. Rep. 2009; 36:775–780.
- Tanja B.G., Winfried M., Wilfried R., Bernhard O.B., Michael M.H. C-reactive protein genotypes associated with circulating C-reactive protein but not with angiographic coronary artery disease: the LURIC study. Heart J. 2008; 30:170–182.
- Sharma A.M. The thrifty-genotype hypothesis and its implications for the study of complex genetic disorders in man. Mol. Med. 1998; 76:568–571.
- Fernandez-Real J.M., Ricart W. Insulin resistance and inflammation in an evolutionary perspective: the contribution of cytokine genotype/phenotype to thriftiness. 1999; 42:1367–1374.
- Eklund C., Lehtimaki T., Hurme M. Epistatic effect of C-reactive protein (CRP) single nucleotide polymorphism (SNP) + 1059 and interleukin-1B SNP + 3954 on CRP concentration in healthy male blood donors. J. Immuno-genet. 2005; 32:229–232.
- Komar A.A. Silent SNPs: impact on gene function and phenotype. Pharmacogen-omics. 2007; 8:1075–1080.
- Radha V., Mohan V. Genetic predisposition to Type II diabetes among Asian Indians.Indian J. Med. Res. 2007; 125:259–274.
Corresponding Author
Riddhi Goswami
Department of Biotechnology,
Heritage Institute of Technology, Kolkata, West Bengal
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