LEPR q223r gene polymorphism in patients having coronary heart disease with postinfarction cardiosclerosis and type 2 diabetes

Authors

  • Аль Салім Аяд Абдуллах Vinnytsia National Pyrohov Memorial Medical University Pyrohov str., 56, Vinnitsa, Ukraine, 21018, Ukraine https://orcid.org/0000-0002-3191-9576
  • Микола Адамович Станіславчук Vinnytsia National Medical University n.a. M. I. Pyrogov 56 Pirogov str., Vinnytsia, Ukraine, 21018, Ukraine https://orcid.org/0000-0001-8505-5999
  • Наталія Валентинівна Заічко Vinnytsia National Pyrohov Memorial Medical University Pyrohov str., 56, Vinnitsa, Ukraine, 21018, Ukraine https://orcid.org/0000-0002-1926-6269

DOI:

https://doi.org/10.15587/2519-4798.2017.90965

Keywords:

coronary heart disease, leptin receptors, polymorphism, adiponectin and leptin

Abstract

Aim. To determine the prevalence of mononucleotide leptin receptor gene LEPR Q223R polymorphism in patients having coronary heart disease (CHD) with postinfarction cardiosclerosis depending on type 2 diabetes comorbidity.

Materials and methods. 147 patients having stable CHD with postinfarction cardiosclerosis (100% male), the average age of 52, were examined. In 64 (43.5%) patients CHD combined with type 2 diabetes. The CHD diagnosis was established by АНА/АСС (2014) and ESC (2013) recommendations. LEPR Q223R (Gln223Arg, rs1137101) gene polymorphism was determined using allele-specific polymerase chain reaction in real time.

Results and discussion. In the group of patients having CHD with postinfarction cardiosclerosis (Podillya region inhabitants) the frequency of LEPR Q223R gene genotypes was as follows: QQ – 25.2 %, QR – 42.4 %, RR – 32.7 %. The frequency of R allele in patients having CHD was significantly higher than in the practically healthy group, and was 53.7 to 41.3% (χ2=4.72, р=0.03). Сomorbidity chances significantly increase in R allele carriers (OR=1.58, 95 % СІ 0.99-2.53), while Q allele carrier state have a protective value (OR=0.63, 95 % СІ 0.40-1.01). RR genotype associated with CHD earlier debut, higher frequency of Q- myocardial infarction (OR=4.3; 95 % СІ 1.51-12.5) and heart failure progression (OR=3.60; 95 % СІ 1.67-7.77).

Conclusion. RR genotype LEPR Q223R gene carrier state is a potential unmodified factor that accelerates development and increases the severity of CHD, associated with type 2 diabetes, in males

Author Biographies

Аль Салім Аяд Абдуллах, Vinnytsia National Pyrohov Memorial Medical University Pyrohov str., 56, Vinnitsa, Ukraine, 21018

Postgraduate student

Department of Internal Medicine № 1

Микола Адамович Станіславчук, Vinnytsia National Medical University n.a. M. I. Pyrogov 56 Pirogov str., Vinnytsia, Ukraine, 21018

Doctor of medical science, professor

Internal Medicine Chair № 1

Наталія Валентинівна Заічко, Vinnytsia National Pyrohov Memorial Medical University Pyrohov str., 56, Vinnitsa, Ukraine, 21018

MD, Associate professor, Head of Department

Department of Biological and General Chemistry

References

  1. Melkozerov, K. V., Kalashnikov, V. Y., Terekhin, S. A., Bondarenko, O. N. (2012). Ichemicheskaia bolezn serdca u bolnich sacharnim diabetom i kriticheskoy ishemiei nignich konechnostei. Diabetes, 3, 39–44.
  2. Shatohіna, І. V. (2012). Tsukrovy dіabet 2 type yak chinnik, scho obtyazhuє perebіg іnfarktu mіokarda u chvorich s arterіalnoyu gіpertenzіyu. Klіnіchna endokrinologіya ta endokrinna hіrurgіya, 2 (39), 37–70.
  3. Sachdev, M., Sun, J. L., Tsiatis, A. A., Nelson, C. L., Mark, D. B., Jollis, J. G. (2004). The prognostic importance of comorbidity for mortality in patients with stable coronary artery disease. Journal of the American College of Cardiology, 43 (4), 576–582. doi: 10.1016/j.jacc.2003.10.031
  4. Tauseef, A., Fareed, W., Bugti, A., Naim, M. H., Lashari, M. N. (2015). Frequency of comorbidities and risk factors among ischaemic heart disease patients in Karachi – perspective from three tertiary care hospitals. Journal Of Pakistan Medical Association, 65 (2), 235–238.
  5. Babak, M. O. (2010). Role polіmorfіzmu genіv adipokіnіv (adiponectin ta leptin) y rozvitku ozhirіnnya ta asotsіyovanih s ozhirіnnyam dysplasticnich zmin slizovoi obolonki stravohodu. Ukrai'ns'kyj terapevtychnyj zhurnal, 3, 15–22.
  6. Dias, N. F., Fernandes, A. E., Melo, M. E. de, Reinhardt, H. L., Cercato, C., Villares, S. M. F. et. al. (2012). Lack of mutations in the leptin receptor gene in severely obese children. Arquivos Brasileiros de Endocrinologia & Metabologia, 56 (3), 178–183. doi: 10.1590/s0004-27302012000300005
  7. Guízar-Mendoza, J. M., Amador-Licona, N., Flores-Martínez, S. E., López-Cardona, M. G., Ahuatzin-Trémary, R., Sánchez-Corona, J. (2005). Association analysis of the Gln223Arg polymorphism in the human leptin receptor gene, and traits related to obesity in Mexican adolescents. Journal of Human Hypertension, 19 (5), 341–346. doi: 10.1038/sj.jhh.1001824
  8. Suriyaprom, K., Tungtrongchitr, R., Thawnasom, K. (2014). Measurement of the levels of leptin, BDNF associated with polymorphisms LEP G2548A, LEPR Gln223Arg and BDNF Val66Met in Thai with metabolic syndrome. Diabetology & Metabolic Syndrome, 6 (1), 6. doi: 10.1186/1758-5996-6-6
  9. Bienertova-Vasku, J. A., Spinarova, L., Bienert, P., Vasku, A. (2009). Association between variants in the genes for leptin, leptin receptor, and proopiomelanocortin with chronic heart failure in the Czech population. Heart and Vessels, 24 (2), 131–137. doi: 10.1007/s00380-008-1090-5
  10. Ghali, Z. H., Ahmed, I. H., Gorshunska, M. Yu., Pоchеrnyaev, A. K., Atramentova, L. A. (2012). Structure of Ukrainian population on SNP rs1137101 of leptin receptor gene LEPR. The Journal of V. N. Karazin Kharkiv National University. Series: biology, 15 (1008), 94–98.
  11. Paracchini, V. (2005). Genetics of Leptin and Obesity: A HuGE Review. American Journal of Epidemiology, 162 (2), 101–114. doi: 10.1093/aje/kwi174
  12. Bender, N., Allemann, N., Marek, D., Vollenweider, P., Waeber, G., Mooser, V. et. al. (2011). Association between Variants of the Leptin Receptor Gene (LEPR) and Overweight: A Systematic Review and an Analysis of the CoLaus Study. PLoS ONE, 6 (10), e26157. doi: 10.1371/journal.pone.0026157
  13. Salopuro, T., Pulkkinen, L., Lindström, J., Eriksson, J. G., Valle, T. T., Hämäläinen, H. et. al. (2005). Genetic variation in leptin receptor gene is associated with type 2 diabetes and body weight: The Finnish Diabetes Prevention Study. International Journal of Obesity, 29 (10), 1245–1251. doi: 10.1038/sj.ijo.0803024
  14. Roszkowska-Gancarz, M., Kurylowicz, A., Polosak, J., Mossakowska, M., Franek, E., Puzianowska-Kuźnicka, M. (2014). Functional polymorphisms of the leptin and leptin receptor genes are associated with longevity and with the risk of myocardial infarction and of type 2 diabetes mellitus. Endokrynologia Polska, 65 (1), 11–16. doi: 10.5603/ep.2014.0002

Published

2017-01-31

How to Cite

Абдуллах, А. С. . А., Станіславчук, М. А., & Заічко, Н. В. (2017). LEPR q223r gene polymorphism in patients having coronary heart disease with postinfarction cardiosclerosis and type 2 diabetes. ScienceRise: Medical Science, (1 (9), 19–23. https://doi.org/10.15587/2519-4798.2017.90965

Issue

Section

Medical Science