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Published in: Journal of Diabetes & Metabolic Disorders 1/2023

22-12-2022 | Stroke | Research article

Peroxisome proliferator-activated receptor γ Pro12 ala polymorphism and risk of cerebral stroke in type 2 diabetes mellitus egyptian patients

Authors: Reham M. El-Farahaty, Osama Fouda, Amany EL-Deasty, Abdel-Hady El-Gilany, Narmin Saied

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2023

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Abstract

Objectives

This study aimed to analyze the association of the peroxisome proliferator activated receptor gamma (PPARγ) P12A (rs1801282) polymorphism with development of cerebral stroke in patients with type 2 diabetes mellitus.

Methods

We included 224 patients with diabetes, they were categorized into116 patients with ischemic stroke (IS) and 108 without IS, in addition to 148 healthy controls in this study. respectively. Anthropometric parameters and laboratory tests were measured. The polymorphism was detected by a PCR-RFLP method.

Results

A12 allele and A12 containing genotypes show significant higher percentage in patients with diabetes and IS in comparison to diabetes patients without IS (9.1 vs. 4.2%,16.4 vs7.4%; P = 0.044,0.044) with OR of 2.29 and 2. 449 respectively (95% CI: 1.024–5.115, 1.024–5.856) but does not withstand Bonferroni correction.

Conclusion

A12 containing genotypes and A12 allele are not associated with IR, diabetes and risk of IS development, however, significant higher BMI were observed in A12 allele carriers in the studied patients with diabetes as well as those with IS.
Literature
1.
go back to reference Quinn L. Type 2 diabetes: epidemiology, pathophysiology, and diagnosis. NursClin North Am. 2001;36(2):175–92.CrossRef Quinn L. Type 2 diabetes: epidemiology, pathophysiology, and diagnosis. NursClin North Am. 2001;36(2):175–92.CrossRef
3.
go back to reference Ergul A, Kelly-Cobbs A, Abdalla M, Fagan SC. Cerebrovascular complications of diabetes: Focus on Stroke. EndocrMetab Immune Disord Drug Targets. 2012;12(2):148–58.CrossRef Ergul A, Kelly-Cobbs A, Abdalla M, Fagan SC. Cerebrovascular complications of diabetes: Focus on Stroke. EndocrMetab Immune Disord Drug Targets. 2012;12(2):148–58.CrossRef
4.
go back to reference Arnett DK, Baird AE, Barkley RA, Basson CT, Boerwinkle E, Ganesh SK, et al. Relevance of genetics and genomics for prevention and treatment of cardiovascular disease: a scientific statement from the American Heart Association Council on Epidemiology and Prevention, the Stroke Council, and the Functional Genomics and Translational Biology Interdisciplinary Working Group. Circulation. 2007;115(22):2878–901.CrossRefPubMed Arnett DK, Baird AE, Barkley RA, Basson CT, Boerwinkle E, Ganesh SK, et al. Relevance of genetics and genomics for prevention and treatment of cardiovascular disease: a scientific statement from the American Heart Association Council on Epidemiology and Prevention, the Stroke Council, and the Functional Genomics and Translational Biology Interdisciplinary Working Group. Circulation. 2007;115(22):2878–901.CrossRefPubMed
5.
go back to reference Stumvoll M, Ha¨ring H. The peroxisome proliferator–activated receptor γ2 Pro12Ala polymorphism. Diabetes. 2002;51(8):2341–7.CrossRefPubMed Stumvoll M, Ha¨ring H. The peroxisome proliferator–activated receptor γ2 Pro12Ala polymorphism. Diabetes. 2002;51(8):2341–7.CrossRefPubMed
6.
go back to reference Blaschke F, Takata Y, Caglayan E, Law RE, Hsueh WA. Obesity, peroxisome proliferator-activated receptor, and atherosclerosis in type 2 diabetes. Arterioscler Thromb Vasc Biol. 2006;26:28–40.CrossRefPubMed Blaschke F, Takata Y, Caglayan E, Law RE, Hsueh WA. Obesity, peroxisome proliferator-activated receptor, and atherosclerosis in type 2 diabetes. Arterioscler Thromb Vasc Biol. 2006;26:28–40.CrossRefPubMed
7.
go back to reference Yen CJ, Beamer BA, Negri C, Silver K, Brown KA, Yarnall DP, et al. Molecular scanning of the human peroxisome proliferator activated receptor gamma (hPPAR gamma) gene in diabetic Caucasians: identification of a Pro12Ala PPAR gamma 2 missense mutation. Biochem Biophys Res Commun. 1997;241:270–4.CrossRefPubMed Yen CJ, Beamer BA, Negri C, Silver K, Brown KA, Yarnall DP, et al. Molecular scanning of the human peroxisome proliferator activated receptor gamma (hPPAR gamma) gene in diabetic Caucasians: identification of a Pro12Ala PPAR gamma 2 missense mutation. Biochem Biophys Res Commun. 1997;241:270–4.CrossRefPubMed
8.
go back to reference Kim SY, Kim HI, Park SK, Im SS, Li T, Cheon HG, et al. Liver glucokinase can be activated by peroxisome proliferatoractivated receptor-gamma. Diabetes. 2004;53(Suppl 1):66–70.CrossRef Kim SY, Kim HI, Park SK, Im SS, Li T, Cheon HG, et al. Liver glucokinase can be activated by peroxisome proliferatoractivated receptor-gamma. Diabetes. 2004;53(Suppl 1):66–70.CrossRef
9.
go back to reference Gonzalez JPM, Borrella CC, Mayoral R, Gudino LC, Hoghtower CM, Sarmiento RG. PPAR gamma pro12Ala polymorphism and type 2 diabetes: a study in a spanishcohort. J Genet Stud. 2014;2:1.CrossRef Gonzalez JPM, Borrella CC, Mayoral R, Gudino LC, Hoghtower CM, Sarmiento RG. PPAR gamma pro12Ala polymorphism and type 2 diabetes: a study in a spanishcohort. J Genet Stud. 2014;2:1.CrossRef
10.
go back to reference Jin J, Ding G, Bao H, Chen Y, Han Y, Zhao F,et al. Correlation between PPAR gene polymorphisms and primary nephrotic syndrome in children. PPAR Res. 2013;ID 927915:1–8.CrossRef Jin J, Ding G, Bao H, Chen Y, Han Y, Zhao F,et al. Correlation between PPAR gene polymorphisms and primary nephrotic syndrome in children. PPAR Res. 2013;ID 927915:1–8.CrossRef
11.
go back to reference Radha V, Vimaleswaran K, Narayan SH, Abate N, Chandalia M, Satija P, et al. Role of genetic polymorphism peroxisome proliferator–activated Receptor- γ 2 Pro12Ala on ethnic susceptibility to diabetes in South-Asian and caucasian subjects. Diabetes Care. 2006;29:1046–51.CrossRefPubMed Radha V, Vimaleswaran K, Narayan SH, Abate N, Chandalia M, Satija P, et al. Role of genetic polymorphism peroxisome proliferator–activated Receptor- γ 2 Pro12Ala on ethnic susceptibility to diabetes in South-Asian and caucasian subjects. Diabetes Care. 2006;29:1046–51.CrossRefPubMed
12.
go back to reference Altshuler D, Hirschhorn JN, Klannemark M, Lindgren CM, Vohl MC, Nemesh J, et al. The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes. Nat Genet. 2000;26:76–80.CrossRefPubMed Altshuler D, Hirschhorn JN, Klannemark M, Lindgren CM, Vohl MC, Nemesh J, et al. The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes. Nat Genet. 2000;26:76–80.CrossRefPubMed
13.
go back to reference Hara K, Okada T, Tobe K, Yasuda K, Mori Y, Kadowaki H, et al. The Pro12Ala polymorphism in PPAR gamma2 may confer resistance to type 2 diabetes. BiochemBiophys Res Commun. 2000;271:212–6.CrossRef Hara K, Okada T, Tobe K, Yasuda K, Mori Y, Kadowaki H, et al. The Pro12Ala polymorphism in PPAR gamma2 may confer resistance to type 2 diabetes. BiochemBiophys Res Commun. 2000;271:212–6.CrossRef
14.
go back to reference Scacchi R, Pinto A, Rickards O, Pacella A, De Stefano GF, Cannella C, et al. An analysis of peroxisome proliferator-activated receptor gamma (PPAR-gamma 2) Pro12Ala polymorphism distribution and prevalence of type 2 diabetes mellitus (T2DM) in world populations in relation to dietary habits. NutrMetabCardiovasc Dis. 2007;17:632–41. Scacchi R, Pinto A, Rickards O, Pacella A, De Stefano GF, Cannella C, et al. An analysis of peroxisome proliferator-activated receptor gamma (PPAR-gamma 2) Pro12Ala polymorphism distribution and prevalence of type 2 diabetes mellitus (T2DM) in world populations in relation to dietary habits. NutrMetabCardiovasc Dis. 2007;17:632–41.
15.
go back to reference Sarhangi N, Sharif F, Hashemian L, Doabsari MH, Heshmatzad K, Rahbaran M, et al. PPARG (Pro12Ala) genetic variant and risk ofT2DM: a systematic review and metaanalysis. Sci Rep. 2020;10:12764.CrossRefPubMedPubMedCentral Sarhangi N, Sharif F, Hashemian L, Doabsari MH, Heshmatzad K, Rahbaran M, et al. PPARG (Pro12Ala) genetic variant and risk ofT2DM: a systematic review and metaanalysis. Sci Rep. 2020;10:12764.CrossRefPubMedPubMedCentral
16.
go back to reference Wan J, Xiong S, Chao S, Xiao J, Ma Y, Wang J, Roy S. PPARg gene C161T substitution alters lipid profile in chinese patients with coronary artery disease and type 2 diabetes mellitus. Cardiovasc Diabetol. 2010;9:13.CrossRefPubMedPubMedCentral Wan J, Xiong S, Chao S, Xiao J, Ma Y, Wang J, Roy S. PPARg gene C161T substitution alters lipid profile in chinese patients with coronary artery disease and type 2 diabetes mellitus. Cardiovasc Diabetol. 2010;9:13.CrossRefPubMedPubMedCentral
17.
go back to reference Beyer AM, de Lange WJ, Halabi CM, Modrick ML, Keen HL, Faraci FM, et al. Endothelium-specific interference with peroxisome proliferator activated receptor gamma causes cerebral vascular dysfunction in response to a high-fat diet. Circ Res. 2008;103:654–61.CrossRefPubMedPubMedCentral Beyer AM, de Lange WJ, Halabi CM, Modrick ML, Keen HL, Faraci FM, et al. Endothelium-specific interference with peroxisome proliferator activated receptor gamma causes cerebral vascular dysfunction in response to a high-fat diet. Circ Res. 2008;103:654–61.CrossRefPubMedPubMedCentral
18.
go back to reference Hsieh F-I, Wei-Cheng LO, Lin H-J, Hsieh Y-C, Lien L-W, Bai C-H, et al. Significant synergistic effect of peroxisome proliferator–activated receptor γ C-2821T and diabetes on the risk of ischemic stroke. Diabetes Care. 2009;32:2033–5.CrossRefPubMedPubMedCentral Hsieh F-I, Wei-Cheng LO, Lin H-J, Hsieh Y-C, Lien L-W, Bai C-H, et al. Significant synergistic effect of peroxisome proliferator–activated receptor γ C-2821T and diabetes on the risk of ischemic stroke. Diabetes Care. 2009;32:2033–5.CrossRefPubMedPubMedCentral
19.
go back to reference Temelkova-Kurktschiev T, Hanefeld M, Chinetti G, et al. Ala12Ala genotype of the peroxisome proliferator-activated receptor gamma2 protects against atherosclerosis. J ClinEndocrinolMetab. 2004;89:4238–42.CrossRef Temelkova-Kurktschiev T, Hanefeld M, Chinetti G, et al. Ala12Ala genotype of the peroxisome proliferator-activated receptor gamma2 protects against atherosclerosis. J ClinEndocrinolMetab. 2004;89:4238–42.CrossRef
20.
go back to reference Al-Shali KZA, House AA, Anthony JG, Hanley AJG, Khan HMR, Harris SB, et al. Genetic variation in PPARG encoding peroxisome proliferator-activated receptor γ Associated with Carotid atherosclerosis. Stroke. 2004;35:2036–40.CrossRefPubMed Al-Shali KZA, House AA, Anthony JG, Hanley AJG, Khan HMR, Harris SB, et al. Genetic variation in PPARG encoding peroxisome proliferator-activated receptor γ Associated with Carotid atherosclerosis. Stroke. 2004;35:2036–40.CrossRefPubMed
21.
go back to reference American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(Suppl. 1):81–90.CrossRef American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(Suppl. 1):81–90.CrossRef
22.
go back to reference National Cholesterol Education Program (NCEP). Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Third report of the national cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002. 17;106(25):3143–421. National Cholesterol Education Program (NCEP). Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Third report of the national cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002. 17;106(25):3143–421.
23.
go back to reference Tangvarasittichai S, Poonsub P, Tangvarasittichai O. Association of serum lipoprotein ratios with insulin resistance in type 2 diabetes mellitus. Indian J Med Res. 2010;131:641–8.PubMed Tangvarasittichai S, Poonsub P, Tangvarasittichai O. Association of serum lipoprotein ratios with insulin resistance in type 2 diabetes mellitus. Indian J Med Res. 2010;131:641–8.PubMed
25.
go back to reference Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults,1999–2000. JAMA. 2002;288:1723–7.CrossRefPubMed Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults,1999–2000. JAMA. 2002;288:1723–7.CrossRefPubMed
26.
go back to reference Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of preparative ultracentrifuge. ClinChem. 1972;18(6):499–502. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of preparative ultracentrifuge. ClinChem. 1972;18(6):499–502.
27.
go back to reference Hermans MP, Sacks FM, Ahn SA, Rousseau MF. Non-HDL-cholesterol as valid surrogate to apolipoprotein B100 measurement in diabetes: discriminant ratio and unbiased equivalence. Cardiovasc Diabetol. 2011;10:20.CrossRefPubMedPubMedCentral Hermans MP, Sacks FM, Ahn SA, Rousseau MF. Non-HDL-cholesterol as valid surrogate to apolipoprotein B100 measurement in diabetes: discriminant ratio and unbiased equivalence. Cardiovasc Diabetol. 2011;10:20.CrossRefPubMedPubMedCentral
28.
go back to reference Mori H, Ikegami H, Kawaguchi Y, Seino S, Yokoi N, Takeda J,et al. The Pro12 ala substitution in PPAR-gamma is associated with resistance to development of diabetes in the general population: possible involvement in impairment of insulin secretion in individuals with type 2 diabetes. Diabetes. 2001;50:891–4.CrossRefPubMed Mori H, Ikegami H, Kawaguchi Y, Seino S, Yokoi N, Takeda J,et al. The Pro12 ala substitution in PPAR-gamma is associated with resistance to development of diabetes in the general population: possible involvement in impairment of insulin secretion in individuals with type 2 diabetes. Diabetes. 2001;50:891–4.CrossRefPubMed
29.
go back to reference No Association between Pro12Ala polymorphism in Peroxisome Proliferator Activated Receptor Gamma 2 gene. and type 2 diabetes in a Cameroonian population E.P. Mofo Mato a,c a,c, E. Sobngwi b,c,d, O. Donfack Sontsa a,c, E.N. Ndonwi a,c, M. Guewo Fokeng a,c, P. Fosso Pokam a,c, E. Djahmeni d, B. Atogho Tiedeu a,c, M.S. Evehe a,c, R. DjokamDadjeu a,c, F. Aminkeng e, W.F. Mbacham a,f, J.C. Mban.DIABETES RESEARCH A N D CLINICAL PRACTICE 103S (2 014) 103(1):S37-S38. No Association between Pro12Ala polymorphism in Peroxisome Proliferator Activated Receptor Gamma 2 gene. and type 2 diabetes in a Cameroonian population E.P. Mofo Mato a,c a,c, E. Sobngwi b,c,d, O. Donfack Sontsa a,c, E.N. Ndonwi a,c, M. Guewo Fokeng a,c, P. Fosso Pokam a,c, E. Djahmeni d, B. Atogho Tiedeu a,c, M.S. Evehe a,c, R. DjokamDadjeu a,c, F. Aminkeng e, W.F. Mbacham a,f, J.C. Mban.DIABETES RESEARCH A N D CLINICAL PRACTICE 103S (2 014) 103(1):S37-S38.
31.
go back to reference Iwata E, Yamamoto I, Motomura T, Tsubakimori S, Nohnen S, Ohmoto M, et al. The association of Pro12Ala polymorphism in PPARgamma2 with lower carotid artery IMT in japanese. Diabetes ResClinPract. 2003;62:55–9. Iwata E, Yamamoto I, Motomura T, Tsubakimori S, Nohnen S, Ohmoto M, et al. The association of Pro12Ala polymorphism in PPARgamma2 with lower carotid artery IMT in japanese. Diabetes ResClinPract. 2003;62:55–9.
32.
go back to reference Ridker PM, Cook NR, Cheng S, Erlich HA, Lindpaintner K, Plutzky J, et al. Alanine for proline substitution in the peroxisome proliferatoractivated receptor gamma-2 (PPARG2) gene and the risk of incident myocardial infarction. ArteriosclerThrombVasc Biol. 2003;23:859–63.CrossRef Ridker PM, Cook NR, Cheng S, Erlich HA, Lindpaintner K, Plutzky J, et al. Alanine for proline substitution in the peroxisome proliferatoractivated receptor gamma-2 (PPARG2) gene and the risk of incident myocardial infarction. ArteriosclerThrombVasc Biol. 2003;23:859–63.CrossRef
33.
go back to reference Deeb SS, Fajas L, Nemoto M, Pihlajamaki J, Mykkanen L, Kuusisto J, et al. A Pro12Ala substitution in PPARgamma2 associated with decreased receptor activity, lower body mass index and improved insulin sensitivity. Nat Genet. 1998;20:284–7.CrossRefPubMed Deeb SS, Fajas L, Nemoto M, Pihlajamaki J, Mykkanen L, Kuusisto J, et al. A Pro12Ala substitution in PPARgamma2 associated with decreased receptor activity, lower body mass index and improved insulin sensitivity. Nat Genet. 1998;20:284–7.CrossRefPubMed
34.
go back to reference Zafarmand MH, van der Schouw YT, Grobbee DE, de Leeuw PW, Bots ML. Peroxisome proliferator-activated receptor gamma-2 P12A polymorphism and risk of acute myocardial infarction,coronary heart disease and ischemic stroke: a case cohort study and meta-analyses. Vasc Health Risk Manag. 2008;4:427–36.CrossRefPubMedPubMedCentral Zafarmand MH, van der Schouw YT, Grobbee DE, de Leeuw PW, Bots ML. Peroxisome proliferator-activated receptor gamma-2 P12A polymorphism and risk of acute myocardial infarction,coronary heart disease and ischemic stroke: a case cohort study and meta-analyses. Vasc Health Risk Manag. 2008;4:427–36.CrossRefPubMedPubMedCentral
35.
go back to reference Hsieh FI, Lo WC, Lin HJ, Hsieh YC, Lien LM, Bai CH. e al. Significant synergistic effect of peroxisome proliferator–activated receptor gamma c-2821t and diabetes on the risk of ischemic stroke. Diabetes Care. 2009;32:2033–5.CrossRefPubMedPubMedCentral Hsieh FI, Lo WC, Lin HJ, Hsieh YC, Lien LM, Bai CH. e al. Significant synergistic effect of peroxisome proliferator–activated receptor gamma c-2821t and diabetes on the risk of ischemic stroke. Diabetes Care. 2009;32:2033–5.CrossRefPubMedPubMedCentral
36.
go back to reference Lee BC, Lee HJ, Chung JH. Peroxisome proliferator- activated receptor- γ 2 Pro12Ala polymorphism is associated with reduced risk for ischemic stroke with type 2 diabetes. Neurosci Lett. 2006;410:141–5.CrossRefPubMed Lee BC, Lee HJ, Chung JH. Peroxisome proliferator- activated receptor- γ 2 Pro12Ala polymorphism is associated with reduced risk for ischemic stroke with type 2 diabetes. Neurosci Lett. 2006;410:141–5.CrossRefPubMed
38.
go back to reference Tai ES, Corella D, Deurenberg-Yap M, Adiconis X, Chew SK, Tan CE, et al Differential effects of the C1431T and Pro12Ala PPARgamma gene variants on plasma lipids and diabetes risk in an Asian population. J Lipid Res 2004;45:674–85. Tai ES, Corella D, Deurenberg-Yap M, Adiconis X, Chew SK, Tan CE, et al Differential effects of the C1431T and Pro12Ala PPARgamma gene variants on plasma lipids and diabetes risk in an Asian population. J Lipid Res 2004;45:674–85.
39.
go back to reference Mansoori A, Amini M, Kolahdooz F, Seyedrezazadeh E. Obesity and Pro12Ala Polymorphism of Peroxisome Proliferator-Activated Receptor-Gamma Gene in Healthy Adults: A Systematic Review and Meta-Analysis. Ann Nutr Metab 2015;67:104–118. https://doi.org/10.1159/000439285. Mansoori A, Amini M, Kolahdooz F, Seyedrezazadeh E. Obesity and Pro12Ala Polymorphism of Peroxisome Proliferator-Activated Receptor-Gamma Gene in Healthy Adults: A Systematic Review and Meta-Analysis. Ann Nutr Metab 2015;67:104–118. https://​doi.​org/​10.​1159/​000439285.
40.
go back to reference Mancini FP, Vaccaro O, Sabatino L, Tufano A, Rivellese AA, Riccardi G, et al Pro12Ala substitution in the peroxisome proliferator-activated receptor-gamma2 is not associated with type 2 diabetes. Diabetes 1999; 48: 1466–1468. Mancini FP, Vaccaro O, Sabatino L, Tufano A, Rivellese AA, Riccardi G, et al Pro12Ala substitution in the peroxisome proliferator-activated receptor-gamma2 is not associated with type 2 diabetes. Diabetes 1999; 48: 1466–1468.
41.
go back to reference Bouhaha R, Meyre D, Kamoun HA, Ennafaa H, Vaillant E, Sassi R, et al Effect of ENPP1/PC-1-K121Q and PPARgamma-Pro12Ala polymorphisms on the genetic susceptibility to T2D in the Tunisian population. Diabetes Res ClinPract 2008; 81:278–283. Bouhaha R, Meyre D, Kamoun HA, Ennafaa H, Vaillant E, Sassi R, et al Effect of ENPP1/PC-1-K121Q and PPARgamma-Pro12Ala polymorphisms on the genetic susceptibility to T2D in the Tunisian population. Diabetes Res ClinPract 2008; 81:278–283.
42.
go back to reference Kolehmainen M, Uusitupa MI, Alhava E, Laakso M, Vidal H. Effect of the Pro12Ala polymorphism in the peroxisome proliferator-activated receptor (PPAR) gamma2 gene on the expression of PPARgamma target genes in adipose tissue of massively obese subjects. J Clin Endocrinol Metab 2003; 88:1717–1722. Kolehmainen M, Uusitupa MI, Alhava E, Laakso M, Vidal H. Effect of the Pro12Ala polymorphism in the peroxisome proliferator-activated receptor (PPAR) gamma2 gene on the expression of PPARgamma target genes in adipose tissue of massively obese subjects. J Clin Endocrinol Metab 2003; 88:1717–1722.
43.
go back to reference Hegele Cao RA, Harris H, Zinman SB, Hanley B, Anderson AJ CM. Peroxisome proliferator-activated receptor-gamma2 P12A and type 2 diabetes in Canadian Oji-Cree. J Clin Endocrinol Metab 2000; 85:2014–9. Hegele Cao RA, Harris H, Zinman SB, Hanley B, Anderson AJ CM. Peroxisome proliferator-activated receptor-gamma2 P12A and type 2 diabetes in Canadian Oji-Cree. J Clin Endocrinol Metab 2000; 85:2014–9.
44.
go back to reference Meirhaeghe Amouyel A, P. Impact of genetic variation of PPAR in humans.Mol Genet Metab. 2004;83:93–102. Meirhaeghe Amouyel A, P. Impact of genetic variation of PPAR in humans.Mol Genet Metab. 2004;83:93–102.
45.
go back to reference Oh EY, Min, Chung KM, Min JH, Lee YK, Kim MS KW,et al. Significance of Pro12Ala mutation in peroxisome proliferator-activated receptor-gamma2 in Korean diabetic and obese subjects. J Clin Endocrinol Metab 2000;85:1801–4. Oh EY, Min, Chung KM, Min JH, Lee YK, Kim MS KW,et al. Significance of Pro12Ala mutation in peroxisome proliferator-activated receptor-gamma2 in Korean diabetic and obese subjects. J Clin Endocrinol Metab 2000;85:1801–4.
46.
go back to reference Soriguer F1, Morcillo Cardona S, Rojo-Martínez F, G, de la Cruz Almaráz M, Ruiz de Adana Mde L, et al. Pro12Ala Polymorphism of the PPARG2 Gene Is Associated with Type 2 Diabetes Mellitus and Peripheral Insulin Sensitivity in a Population with a High Intake of Oleic Acid. J Nutr 2006; 136: 2325–2330. Soriguer F1, Morcillo Cardona S, Rojo-Martínez F, G, de la Cruz Almaráz M, Ruiz de Adana Mde L, et al. Pro12Ala Polymorphism of the PPARG2 Gene Is Associated with Type 2 Diabetes Mellitus and Peripheral Insulin Sensitivity in a Population with a High Intake of Oleic Acid. J Nutr 2006; 136: 2325–2330.
47.
go back to reference Okita k, Iwahashi H, Kozawa J, Okauchi Y, Funahashi T, Imagawa A, et al. Homeostasis model assessment of insulin resistance for evaluating insulin sensitivity in patients with type 2 diabetes on insulin therapy. Endocr J 2013; 60 (3): 283–290. Okita k, Iwahashi H, Kozawa J, Okauchi Y, Funahashi T, Imagawa A, et al. Homeostasis model assessment of insulin resistance for evaluating insulin sensitivity in patients with type 2 diabetes on insulin therapy. Endocr J 2013; 60 (3): 283–290.
48.
go back to reference McLaughlin T, Reaven G, Abbasi F, Lamendola C, Saad M, Waters D, et al. Is there a simple way to identify insulin-resistant individuals at increased risk of cardiovascular disease? Am J Cardiol. 2005;1(3):399–404. 96.CrossRef McLaughlin T, Reaven G, Abbasi F, Lamendola C, Saad M, Waters D, et al. Is there a simple way to identify insulin-resistant individuals at increased risk of cardiovascular disease? Am J Cardiol. 2005;1(3):399–404. 96.CrossRef
49.
go back to reference Zietz B, Barth N, Spiegel D, Schmitz G, Scholmerich J, Schaffler A. Pro12Ala polymorphism in the peroxisome proliferator-activated receptor-gamma2 (PPARgamma2) is associated with higher levels of total cholesterol and LDL-cholesterol in male caucasian type 2 diabetes patients. Exp Clin Endocrinol Diabetes. 2002;110:60–6.CrossRefPubMed Zietz B, Barth N, Spiegel D, Schmitz G, Scholmerich J, Schaffler A. Pro12Ala polymorphism in the peroxisome proliferator-activated receptor-gamma2 (PPARgamma2) is associated with higher levels of total cholesterol and LDL-cholesterol in male caucasian type 2 diabetes patients. Exp Clin Endocrinol Diabetes. 2002;110:60–6.CrossRefPubMed
50.
go back to reference Meirhaeghe A, Fajas L, Helbecque N, Cottel D, Auwerx J, Deeb SS, et al. Impact of the peroxisome proliferator activated receptor gamma2 Pro12Ala polymorphism on adiposity, lipids and non-insulin-dependent diabetes mellitus. Int J Obes Relat Metab Disor. 2000;24:195–9.CrossRef Meirhaeghe A, Fajas L, Helbecque N, Cottel D, Auwerx J, Deeb SS, et al. Impact of the peroxisome proliferator activated receptor gamma2 Pro12Ala polymorphism on adiposity, lipids and non-insulin-dependent diabetes mellitus. Int J Obes Relat Metab Disor. 2000;24:195–9.CrossRef
Metadata
Title
Peroxisome proliferator-activated receptor γ Pro12 ala polymorphism and risk of cerebral stroke in type 2 diabetes mellitus egyptian patients
Authors
Reham M. El-Farahaty
Osama Fouda
Amany EL-Deasty
Abdel-Hady El-Gilany
Narmin Saied
Publication date
22-12-2022
Publisher
Springer International Publishing
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2023
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-022-01159-0

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