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 (Author), Veronika Tanhäuserová (Author), Lukáš Pácal (Author), Vendula Bartáková (Author), Lucie Brožová (Author), Jiří Jarkovský (Author), Kateřina Kaňková (Author)
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Published: Karger Publishers, 2014-02-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Katarína Kuricová  |e author 
700 1 0 |a Veronika Tanhäuserová  |e author 
700 1 0 |a Lukáš Pácal  |e author 
700 1 0 |a Vendula Bartáková  |e author 
700 1 0 |a Lucie Brožová  |e author 
700 1 0 |a Jiří Jarkovský  |e author 
700 1 0 |a Kateřina Kaňková  |e author 
245 0 0 |a 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? 
260 |b Karger Publishers,   |c 2014-02-01T00:00:00Z. 
500 |a 1420-4096 
500 |a 1423-0143 
500 |a 10.1159/000355757 
520 |a 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. 
546 |a EN 
690 |a Polymorphism 
690 |a Cardiovascular morbidity 
690 |a Diabetic nephropathy 
690 |a Nitric oxide synthase 
690 |a Dermatology 
690 |a RL1-803 
690 |a Diseases of the circulatory (Cardiovascular) system 
690 |a RC666-701 
690 |a Diseases of the genitourinary system. Urology 
690 |a RC870-923 
655 7 |a article  |2 local 
786 0 |n Kidney & Blood Pressure Research, Vol 38, Iss 1, Pp 92-98 (2014) 
787 0 |n http://www.karger.com/Article/FullText/355757 
787 0 |n https://doaj.org/toc/1420-4096 
787 0 |n https://doaj.org/toc/1423-0143 
856 4 1 |u https://doaj.org/article/e4c14bae9e6b466f9f0669b61f72d7f2  |z Connect to this object online.