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April 1, 1998Diabetes

Decreased tolbutamide-stimulated insulin secretion in healthy subjects with sequence variants in the high-affinity sulfonylurea receptor gene.

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Why the study?

Does genetic variability in the SUR1 gene associate with NIDDM and alter pancreatic beta-cell function in response to tolbutamide?

Population

NIDDM patients (up to n=406) and unrelated, healthy, young Danish Caucasians (up to n=380)

Comparison

Intravenous glucose and tolbutamide loads vs Subjects without the at-risk SUR1 combined…

Design

Case-control

Authors

Torben Hansen
Torben HansenStatens Serum Institut
SES. M. EchwaldSteno Diabetes CentersLHLone HansenZealand Pharma (Denmark)

Discussion

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Overview

These SUR1 variants warrant replication; should not yet alter sulfonylurea selection in NIDDM.

Structured PICO

Does genetic variability in the SUR1 gene associate with NIDDM and alter pancreatic beta-cell function in response to tolbutamide?

P
Population
NIDDM patients (up to n=406) and unrelated, healthy, young Danish Caucasians (up to n=380)
I
Intervention
Intravenous glucose and tolbutamide loads (in healthy subjects)
C
Comparator
Subjects without the at-risk SUR1 combined genotype
O
Outcome
Association of SUR1 gene variants with NIDDM and influence on insulin and C-peptide secretion after intravenous glucose and tolbutamide loadssurrogate

A silent polymorphism in exon 18 of the SUR1 gene, combined with an intron variant, is associated with NIDDM and reduced beta-cell response to tolbutamide in healthy carriers.

Cite This Study

Hansen et al. (1998) studied this question.

synapsesocial.com/papers/6a9142cdd613fa9f3b465c72https://doi.org/10.2337/diabetes.47.4.598
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Amino Acid Polymorphisms in the ATP-Regulatable Inward Rectifier Kir6.2 and Their Relationships to Glucose- and Tolbutamide-Induced Insulin Secretion, the Insulin Sensitivity Index, and NIDDM1997 · 73 citations
  2. 2Type II Diabetes: Clinical Aspects of Molecular Biological Studies1995 · 78 citations
  3. 3Pathogenesis of NIDDM: A Balanced Overview1992 · 2,096 citations
  4. 4Enzyme immunoassay for intact human insulin in serum or plasma1993 · 522 citations