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doi: 10.1038/tpj.2015.82
pmid: 26644205
Metabolic syndrome after transplantation is a major concern following solid organ transplantation (SOT). The CREB-regulated transcription co-activator 2 (CRTC2) regulates glucose metabolism. The effect of CRTC2 polymorphisms on new-onset diabetes after transplantation (NODAT) was investigated in a discovery sample of SOT recipients (n1=197). Positive results were tested for replication in two samples from the Swiss Transplant Cohort Study (STCS, n2=1294 and n3=759). Obesity and other metabolic traits were also tested. Associations with metabolic traits in population-based samples (n4=46'186, n5=123'865, n6>100,000) were finally analyzed. In the discovery sample, CRTC2 rs8450-AA genotype was associated with NODAT, fasting blood glucose and body mass index (PcorrectedA was significantly associated with several metabolic abnormalities. CRTC2 rs8450G>A appears to have an important role in the high prevalence of metabolic traits observed in patients with SOT. A weak association with metabolic traits was also observed in the population-based samples.
Time Factors, Organ Transplantation / adverse effects, 10234 Clinic for Infectious Diseases, Gene Frequency, Risk Factors, Odds Ratio, Prevalence, Diabetes Mellitus / genetics, Metabolic Syndrome / epidemiology, Metabolic Syndrome, Incidence, Homozygote, 10219 Clinic for Gastroenterology and Hepatology, 3004 Pharmacology, Treatment Outcome, Phenotype, 10209 Clinic for Cardiology, Diabetes Mellitus / epidemiology, 10178 Clinic for Pneumology, Metabolic Syndrome / diagnosis, Heterozygote, 610 Medicine & health, Polymorphism, Single Nucleotide, Risk Assessment, Switzerland / epidemiology, 1311 Genetics, Transcription Factors / genetics, 615, 616, Diabetes Mellitus, Humans, Diabetes Mellitus/epidemiology; Diabetes Mellitus/genetics; Dyslipidemias/epidemiology; Dyslipidemias/genetics; Gene Frequency; Genetic Predisposition to Disease; Heterozygote; Homozygote; Humans; Incidence; Linear Models; Logistic Models; Metabolic Syndrome X/diagnosis; Metabolic Syndrome X/epidemiology; Metabolic Syndrome X/genetics; Multivariate Analysis; Obesity/epidemiology; Obesity/genetics; Odds Ratio; Organ Transplantation/adverse effects; Phenotype; Polymorphism, Single Nucleotide; Prevalence; Risk Assessment; Risk Factors; Switzerland/epidemiology; Time Factors; Transcription Factors/genetics; Treatment Outcome, Genetic Predisposition to Disease, Obesity, Obesity / epidemiology, Obesity / genetics, Dyslipidemias, Organ Transplantation, 10020 Clinic for Cardiac Surgery, Logistic Models, Dyslipidemias / genetics, Dyslipidemias / epidemiology, 1313 Molecular Medicine, Multivariate Analysis, Linear Models, Metabolic Syndrome / genetics, ddc: ddc:616
Time Factors, Organ Transplantation / adverse effects, 10234 Clinic for Infectious Diseases, Gene Frequency, Risk Factors, Odds Ratio, Prevalence, Diabetes Mellitus / genetics, Metabolic Syndrome / epidemiology, Metabolic Syndrome, Incidence, Homozygote, 10219 Clinic for Gastroenterology and Hepatology, 3004 Pharmacology, Treatment Outcome, Phenotype, 10209 Clinic for Cardiology, Diabetes Mellitus / epidemiology, 10178 Clinic for Pneumology, Metabolic Syndrome / diagnosis, Heterozygote, 610 Medicine & health, Polymorphism, Single Nucleotide, Risk Assessment, Switzerland / epidemiology, 1311 Genetics, Transcription Factors / genetics, 615, 616, Diabetes Mellitus, Humans, Diabetes Mellitus/epidemiology; Diabetes Mellitus/genetics; Dyslipidemias/epidemiology; Dyslipidemias/genetics; Gene Frequency; Genetic Predisposition to Disease; Heterozygote; Homozygote; Humans; Incidence; Linear Models; Logistic Models; Metabolic Syndrome X/diagnosis; Metabolic Syndrome X/epidemiology; Metabolic Syndrome X/genetics; Multivariate Analysis; Obesity/epidemiology; Obesity/genetics; Odds Ratio; Organ Transplantation/adverse effects; Phenotype; Polymorphism, Single Nucleotide; Prevalence; Risk Assessment; Risk Factors; Switzerland/epidemiology; Time Factors; Transcription Factors/genetics; Treatment Outcome, Genetic Predisposition to Disease, Obesity, Obesity / epidemiology, Obesity / genetics, Dyslipidemias, Organ Transplantation, 10020 Clinic for Cardiac Surgery, Logistic Models, Dyslipidemias / genetics, Dyslipidemias / epidemiology, 1313 Molecular Medicine, Multivariate Analysis, Linear Models, Metabolic Syndrome / genetics, ddc: ddc:616
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