PREVALENCE OF DIABETIC NEPHROPATHY IN PATIENTS WITH ALLELE VARIANTS OF C677T POLYMORPHISM OF METHYLENETETRAHYDROFOLATE REDUCTASE GENE BY THE RESULTS OF 7-YEARS CATAMNESIS
https://doi.org/10.24884/1561-6274-2008-12-1-36-39
Abstract
THE AIM of the investigation was a 7-years catamnestic observation of patients with I type diabetes with different allele variants of the methylenetetrahydrofolate reductase (MTHFR) gene. PATIENTS AND METHODS. The investigation included 96 patients with different genotypes. RESULTS. The data obtained have shown the frequency of the development of diabetic nephropathy (DN) in patients with TT genotype (0.30) to be higher than in patients having genotype ОО (0.11) and CT (0.09) (p<0.05). CONCLUSION. The results of the investigation have confirmed that the genotype TT determination in patients with I type diabetes mellitus can be used as one of criteria of prediction of the development of DN in clinical practice.
About the Authors
Zh. V. ShutskayaRussian Federation
E. V. Bashnina
Russian Federation
N. D. Savenkova
Russian Federation
References
1. Дедов ИИ, Кураева ТЛ, Петеркова ВА. Сахарный диабет у детей и подростков. ГЭОТАР Медиа, М., 2007; 96-99
2. Дедов ИИ, Шестакова МВ. Диабетическая нефропатия. Универсум Паблишинг, М., 2000; 80-98
3. Папаян АВ, Шуцкая ЖВ. Современные методы профилактики прогрессирования диабетической нефропатии в детском возрасте. Рос вестн перинат и педиатр 1998 (4) 34-37
4. Schena FP, Gesualdo L. Pathogenetic mechanisms of diabetic nephropathy. J Am Soс Nephrol 2005; 16: 30-33
5. Шуцкая ЖВ. Клинико-генетические особенности диабетической нефропатии при сахарном диабете 1 типа у детей: Дисс. канд. мед. наук…СПб, 2000
6. Fodinger M, Wagner OF, Horl WH, Sun der-Plassmann G. Recent insights into molecular genetics of the homocystein metabolism. Kidney Int 2001; 59 (78): 238-242
7. Arruda VR, von Zuben PM, Chiaparini LC. The mutation Ala-Val in methylenetetrahydrofolate reductase gene: a risk factor for arterial disease and venous thrombosis. Tromb-Haemost 1997; 77: 818-821
8. Neugebauer S, Baba T, Watanabe T. Methylenetetrahydrofolate reductase gene polymorphism as a risk factor for diabetic nephropathy in NIDDM patients. Lancet 1998; 352: 452
9. Schwartz EI, Shcherbak NS, Shutskaya ZV, Sheidina AM et al. Methylentetrahydrofolate reductase gene polymorphism as a risk factor for diabetic nephropathy in IDDM patients. Moleс Gen Metabol 1999; 68: 375-78
10. Шуцкая ЖВ, Башнина ЕБ, Савенкова НД. 6-летний катамнез детей и подростков с сахарным диабетом 1 типа, имеющих ТТ генотип МТГФР. VI Российский конгресс по детской нефрологии (2007): 110
11. Wotherspoon F, Laight DV. Homocysteine, endothelial dysfunction and oxidative stress in type diabetes mellitus. Diabetes Vas Dis 2003; 3: 334-340
12. Сарерa А, Саrrea А, Саridi G. Homocystein, folate, vitamin В12 levels and C677T MTHFR mutation in children with renal failure. Pediatr Nephrol 2003; 18: 114-118
Review
For citations:
Shutskaya Zh.V., Bashnina E.V., Savenkova N.D. PREVALENCE OF DIABETIC NEPHROPATHY IN PATIENTS WITH ALLELE VARIANTS OF C677T POLYMORPHISM OF METHYLENETETRAHYDROFOLATE REDUCTASE GENE BY THE RESULTS OF 7-YEARS CATAMNESIS. Nephrology (Saint-Petersburg). 2008;12(1):36-39. (In Russ.) https://doi.org/10.24884/1561-6274-2008-12-1-36-39