NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?

Background/Aims: We have previously associated SNP 894G>T in the NOS3 gene with diabetic nephropathy (DN) using multi-locus analysis. Variant 894G>T has been widely studied as a DN susceptibility factor with contradictory results. In the present study we genotyped 894G>T in the cohort of pr...

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Main Authors: Katarína Kuricová, Veronika Tanhäuserová, Lukáš Pácal, Vendula Bartáková, Lucie Brožová, Jiří Jarkovský, Kateřina Kaňková
Format: Article
Language:English
Published: Karger Publishers 2014-02-01
Series:Kidney & Blood Pressure Research
Subjects:
Online Access:http://www.karger.com/Article/FullText/355757
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author Katarína Kuricová
Veronika Tanhäuserová
Lukáš Pácal
Vendula Bartáková
Lucie Brožová
Jiří Jarkovský
Kateřina Kaňková
author_facet Katarína Kuricová
Veronika Tanhäuserová
Lukáš Pácal
Vendula Bartáková
Lucie Brožová
Jiří Jarkovský
Kateřina Kaňková
author_sort Katarína Kuricová
collection DOAJ
description Background/Aims: We have previously associated SNP 894G>T in the NOS3 gene with diabetic nephropathy (DN) using multi-locus analysis. Variant 894G>T has been widely studied as a DN susceptibility factor with contradictory results. In the present study we genotyped 894G>T in the cohort of prospectively followed type 2 diabetics with the aim to investigate its possible role in the progression of DN and development of morbidity and mortality associated with diabetes. Methods: 311 subjects with defined stage of DN were enrolled in the study and followed up for a median of 38 months. We considered three end-points: progression of DN, major cardiovascular event and all-cause mortality. Results: Considering baseline GFR, age at enrolment and diabetes duration as confounders, Cox regression analysis identified 894GT genotype as a risk factor for DN progression (HR = 1.843 [95% CI 1.088 - 3.119], P = 0.023) and 894TT genotype as a risk factor for major cardiovascular event (HR = 2.515 [95% CI 1.060 - 5.965], P = 0.036). Conclusion: We ascertained the significant effect of the NOS3 894G>T variant on DN progression and occurrence of major cardiovascular event in T2DM subjects. Based on these results NOS3 can be considered a modifier gene for DN.
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spelling doaj.art-e4c14bae9e6b466f9f0669b61f72d7f22022-12-22T01:33:03ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432014-02-01381929810.1159/000355757355757NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?Katarína KuricováVeronika TanhäuserováLukáš PácalVendula BartákováLucie BrožováJiří JarkovskýKateřina KaňkováBackground/Aims: We have previously associated SNP 894G>T in the NOS3 gene with diabetic nephropathy (DN) using multi-locus analysis. Variant 894G>T has been widely studied as a DN susceptibility factor with contradictory results. In the present study we genotyped 894G>T in the cohort of prospectively followed type 2 diabetics with the aim to investigate its possible role in the progression of DN and development of morbidity and mortality associated with diabetes. Methods: 311 subjects with defined stage of DN were enrolled in the study and followed up for a median of 38 months. We considered three end-points: progression of DN, major cardiovascular event and all-cause mortality. Results: Considering baseline GFR, age at enrolment and diabetes duration as confounders, Cox regression analysis identified 894GT genotype as a risk factor for DN progression (HR = 1.843 [95% CI 1.088 - 3.119], P = 0.023) and 894TT genotype as a risk factor for major cardiovascular event (HR = 2.515 [95% CI 1.060 - 5.965], P = 0.036). Conclusion: We ascertained the significant effect of the NOS3 894G>T variant on DN progression and occurrence of major cardiovascular event in T2DM subjects. Based on these results NOS3 can be considered a modifier gene for DN.http://www.karger.com/Article/FullText/355757PolymorphismCardiovascular morbidityDiabetic nephropathyNitric oxide synthase
spellingShingle Katarína Kuricová
Veronika Tanhäuserová
Lukáš Pácal
Vendula Bartáková
Lucie Brožová
Jiří Jarkovský
Kateřina Kaňková
NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
Kidney & Blood Pressure Research
Polymorphism
Cardiovascular morbidity
Diabetic nephropathy
Nitric oxide synthase
title NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
title_full NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
title_fullStr NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
title_full_unstemmed NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
title_short NOS3 894G>T Polymorphism is Associated With Progression of Kidney Disease and Cardiovascular Morbidity in Type 2 Diabetic Patients: NOS3 as a Modifier Gene for Diabetic Nephropathy?
title_sort nos3 894g t polymorphism is associated with progression of kidney disease and cardiovascular morbidity in type 2 diabetic patients nos3 as a modifier gene for diabetic nephropathy
topic Polymorphism
Cardiovascular morbidity
Diabetic nephropathy
Nitric oxide synthase
url http://www.karger.com/Article/FullText/355757
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