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Published on: May 2, 2025
Polymorphic differences in the SOD-2 gene may affect the pathogenesis of nephropathy in patients with diabetes and
Annwyne Houldsworth1, Andrea Hodgkinson1, Steve Shaw2
1Molecular Medicine Research Groups, Peninsula College of Medicine and Dentistry, Plymouth, United Kingdom.
Unlabelled:
The effective treatment of diabetes and the prevention of diabetic complications may be improved by a better understanding of the antioxidant function of intracellular defences against oxidative stress. Polymorphisms in antioxidant genes may determine cellular oxidative stress levels as a primary pathogenic role in diabetes and/or in its complications. SOD-2 was investigated in patients with type 1 diabetes mellitus (T1DM) to ascertain if specific genotypes have any protective influences in the pathogenic mechanisms in diabetes and/or in several different complications, including retinopathy, nephropathy and diabetic controls compared to normal healthy controls.
Method:
278 (136M:142F) T1DM patients and 135 (72M:63F) normal, healthy controls were investigated for SOD-2 polymorphism in the mitochondrial targeting sequence with Ala/Val (C-9T) substitution.
Results:
A significant difference in the C-9-T genotype was observed between patients and normal controls but not between diabetic controls and patients with complications. There were significantly more of the diabetic control (DC, n=62) group (11.3%) than the patients with diabetic nephropathy (DN, n=73) (1.4%) with the CC genotype (p=0.03 and χ(2)=4.27, OR=9.16 (1.08
Conclusion:
The SNP in SOD-2 results in a substitution of C to T, which causes an amino acid change from alanine to valine. The variation in the SOD-2 leader signal affects the processing efficiency of the enzyme. A significantly greater proportion of the diabetic control group had the CC genotype suggesting antioxidant protection against diabetic nephropathy. The healthy control group also had a higher incidence of the protective genotype, which may suggest protective influences from the antioxidant gene in the CC form.
Insights
Polymorphisms in the antioxidant gene SOD-2 may influence diabetes complications. The CC genotype of SOD-2 appears to offer protection against diabetic nephropathy in type 1 diabetes mellitus patients.
Area of Science:
- Genetics and Molecular Biology
- Endocrinology
- Oxidative Stress Research
Background:
- Oxidative stress plays a key role in diabetes pathogenesis and complications.
- Antioxidant gene polymorphisms may influence individual susceptibility to diabetes and its sequelae.
- Understanding intracellular antioxidant defenses is crucial for effective diabetes management.
Purpose of the Study:
- To investigate the association between SOD-2 gene polymorphisms and type 1 diabetes mellitus (T1DM).
- To determine if specific SOD-2 genotypes confer protection against diabetic complications like nephropathy and retinopathy.
- To compare genotype frequencies between T1DM patients and healthy controls.
Main Methods:
- Genotyping of SOD-2 polymorphism (Ala/Val, C-9T substitution) in 278 T1DM patients and 135 healthy controls.
- Analysis of genotype and allelic frequencies.
- Comparison of frequencies between patient subgroups (diabetic controls, nephropathy, retinopathy) and healthy controls.
- Assessment of Hardy Weinberg equilibrium.
Main Results:
- A significant difference in C-9T genotype distribution was observed between T1DM patients and normal controls.
- The CC genotype was significantly more prevalent in diabetic controls (11.3%) compared to patients with diabetic nephropathy (1.4%).
- Healthy controls also showed a higher incidence of the CC genotype (11.4%) compared to patients with nephropathy (1.4%).
Conclusions:
- The SOD-2 SNP (C-9T) leads to an alanine to valine amino acid change, affecting enzyme processing.
- The CC genotype of SOD-2 suggests a protective role against the development of diabetic nephropathy.
- The higher frequency of the CC genotype in healthy individuals may indicate a general antioxidant protective effect.
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