多囊卵巢综合征妇女的β3-肾上腺素能受体基因与胰岛素抵抗的关系

Association of β3-adrenergic Receptor Gene with Insulin Resistance in the Patients with Polycystic Ovary Syndrome

  • 摘要: 目的 探讨 β3 肾上腺素能受体 (β3 AR)基因Arg6 4突变与多囊卵巢综合征 (PCOS)及其肥胖、胰岛素抵抗(IR)、血压和血脂的关系。方法 采用PCR RFLP技术对正常及PCOS病人进行β3 AR基因变异检查 ,并测量体重指数、腰臀围比值、血压 ,抽血测定血糖、血脂、胰岛素等 ,计算胰岛素抵抗指数。结果 PCOS妇女的Arg6 4等位基因频率明显高于正常组 ,分别为 0 .33和 0 .13(P <0 .0 5 ) ,Arg6 4组的空腹胰岛素、胰岛素抵抗指数、腰臀围比值明显高于正常纯合子Trp/Trp组 (P <0 .0 5 ) ,Arg6 4与空腹胰岛素、胰岛素抵抗指数、腰臀围比值呈正相关。结论 β3 AR基因Arg6 4突变在PCOS及胰岛素抵抗的发病过程中起一定的作用。

     

    Abstract: Objective\ To explore the association of the Arg64 polymorphism β\-3\|adrenergic receptor(β 3\|AR) gene with polycystic ovary syndrome(PCOS)and its characterization with obesity,insulin resistance(IR),blood pressure (BP), blood lipid spectrum. Methods\ The polymorphism of the β\-3\|AR gene was determined in 163 patients with PCOS and 100 controls. Body mass index(BMI), waist to hip circumference ratio(WHR), BP were examined. Blood glucose,blood lipid spectrum,insulin were also measured. Insulin resistance index was calculated. Results\ The frequency of Arg64 allele in PCOS women was significantly higher than that of controls(0.33 vs 0.13 respectively, P <0.05). Fasting insulin, insulin resistance index, WHR in Arg64 group were significantly higher than those of Trp64 group. The frequency of Arg64 allele was positively correlated with FINS, insulin resistance index, WHR. Conclusion\ The Arg64 mutation in the β\-3\|adrenergic receptor(β\-3\|AR) gene might contribute to development of PCOS and IR.

     

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