Endothelin-1 gene polymorphisms and diabetic kidney disease in patients with type 2 diabetes mellitus. Issue 1 (December 2015)

• Record Type: Journal Article
• Authors: Zanatta, Claudete; Crispim, Daisy; Sortica, Denise; Klassmann, Lucas; Gross, Jorge; Gerchman, Fernando; Canani, Luís
• Is Part Of: Diabetology & metabolic syndrome. Volume 7:Issue 1(2015)
• Page Start: 1
• Page End: 8
• Publication Date: 2015-12
• Subjects: Endothelin-1 -- Diabetic kidney disease -- Diabetes mellitus type 2; Diabetes -- Pathophysiology -- Periodicals; Metabolic syndrome -- Periodicals; 616.462005
• DOI: 10.1186/s13098-015-0093-5
• Languages: English
• ISSNs: 1758-5996

Abstract

Abstract Background and aims Diabetic kidney disease (DKD) is the leading cause of end stage renal disease worldwide and is associated with increased cardiovascular mortality. The endothelin system has been implicated in the pathogenesis of arterial hypertension and renal dysfunction. In the present study, the association of DKD with polymorphisms in ET-1 (EDN1 ) and ETRA (EDNRA ) genes was analyzed in patients with type 2 diabetes mellitus (T2DM). Methods A case–control study was conducted in 548 white T2DM patients. Patients with proteinuria or on dialysis were considered cases and patients with normoalbuminuria were considered controls. Two polymorphisms in theEDN1 gene (rs1800541 and rs57072783) and five inEDNRA gene (rs6842241; rs4835083; rs4639051; rs5333 and rs5343) were genotyped and haplotype analyses were performed. Results The presence of rs57072783 T allele (TT/TG vs. GG) or rs1800541 G allele (GG/GT vs. TT) protected against DKD (OR = 0.69, 95 % CI 0.48–0.99, P = 0.049; and OR = 0.60, 95 % CI 0.41–0.88, P = 0.009, respectively). However in multivariate analyses, only the rs1800541 G allele remained independently associated with DKD (P = 0.046). Conclusions The present study shows that ET-1 could be involved in the pathogenesis of DKD in patients with T2DM.