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March 1, 2001DiabetesOpen Access

Decreased Fasting and Oral Glucose Stimulated C-peptide in Nondiabetic Subjects With Sequence Variants in the Sulfonylurea Receptor 1 Gene

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Key result

Carriers of the SUR1 exon 18 Thr759 T allele had 12.8% lower fasting C-peptide (P=0.022) and 12.4% lower acute C-peptide responses (P=0.051) compared to noncarriers.

Why the study?

Do SUR1 gene sequence variants reduce insulin secretion parameters in nondiabetic subjects?

Population

731 individuals (685 nondiabetic subjects) from the Québec Family Study

Comparison

Presence of SUR1 gene IVS15-3c-->t and exon 18… vs Noncarriers of the respective alleles/haplotypes

Design

Cross-sectional

Authors

SWS. John WeisnagelUniversité LavalTRTuomo RankinenPennington Biomedical Research CenterANAndré NadeauFisheries and Oceans Canada

Discussion

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Member takes

Overview

Should not change practice in nondiabetics; leaves open SUR1 variant effects on diabetes risk.

Study Design

Type

Cross-Sectional (n=731)

Structured PICO

Do SUR1 gene sequence variants reduce insulin secretion parameters in nondiabetic subjects?

P
Population
731 individuals (685 nondiabetic) from the Québec Family Study evaluated for the association between SUR1 gene polymorphisms and insulin secretion parameters.
E
Exposure
Presence of SUR1 gene IVS15-3c-->t and exon 18 Thr759(ACC-->ACT) polymorphisms (T allele carriers and cT/tC haplotype)
C
Comparator
Noncarriers of the respective alleles/haplotypes
O
Outcome
Fasting plasma glucose (GLU), fasting plasma insulin (INS), fasting C-peptide (CPEP), and oral glucose tolerance test (OGTT) responsessurrogate

Main Result

Effect estimate: -12.8% difference

p-value: p=0.022

Sequence variants in the SUR1 gene are associated with lower insulin secretion parameters in nondiabetic individuals, particularly in female and overweight subjects.

Cite This Study

Weisnagel et al. (2001) conducted a cross-sectional in Nondiabetic (n=731). SUR1 gene exon 18 Thr759 T allele and cT/tC haplotype vs. Noncarriers was evaluated on Fasting C-peptide (CPEP) (-12.8% difference, p=0.022). Carriers of the SUR1 exon 18 Thr759 T allele had 12.8% lower fasting C-peptide (P=0.022) and 12.4% lower acute C-peptide responses (P=0.051) compared to noncarriers.

synapsesocial.com/papers/6a930b66c0b3311637eb479chttps://doi.org/10.2337/diabetes.50.3.697
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Decreased tolbutamide-stimulated insulin secretion in healthy subjects with sequence variants in the high-affinity sulfonylurea receptor gene.1998 · 114 citations
  2. 2Genetic Studies of the Sulfonylurea Receptor Gene Locus in NIDDM and in Morbid Obesity Among French Caucasians1997 · 92 citations
  3. 3Identification and functional analysis of sulfonylurea receptor 1 variants in Japanese patients with NIDDM.1998 · 40 citations
  4. 4Relationship of proinsulin and insulin with noninsulin-dependent diabetes mellitus and coronary heart disease in Japanese-American men: impact of obesity--clinical research center study.1995 · 64 citations
  5. 5GENETICS OF NON-INSULIN-DEPENDENT (TYPE-II) DIABETES MELLITUS1996 · 215 citations