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J Clin Lipidol. 2018 Mar - Apr;12(2):331-337. doi: 10.1016/j.jacl.2017.12.011. Epub 2017 Dec 29.

High frequency of type 2 diabetes and impaired glucose tolerance in Japanese subjects with the angiopoietin-like protein 8 R59W variant.

Author information

1
Department of Internal Medicine, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan. Electronic address: suzukikennkoo@yahoo.co.jp.
2
Department of Internal Medicine, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan; First Department of Internal Medicine, Toyama University, Toyama, Japan.
3
Department of Internal Medicine, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan.
4
National Center for Global Health and Medicine, Tokyo, Japan.
5
Department of General Medicine, Kanazawa Medical University, Kahoku, Japan.

Abstract

BACKGROUND:

Angiopoietin-like protein 8 (ANGPTL8) is considered to be metabolically multifunctional. One notable function still to be elucidated definitively is a betatrophic role in protecting and preserving pancreatic beta-cell function. There is, however, a paucity of data regarding the role of ANGPTL8 in the etiology of type 2 diabetes (T2D), but some findings of human research have suggested the potential for significant involvement.

OBJECTIVE:

To examine the frequency of T2D and impaired glucose tolerance (IGT) in Japanese subjects with the ANGPTL8 R59W variant.

METHODS:

ANGPTL8 R59W (Rs2278426, c.194C > T) was determined by polymerase chain reaction-restriction fragment length polymorphism using the restriction enzyme FokI in 797 consecutive Japanese individuals. Subjects with triglyceride levels greater than or equal to 150 mg/dL were considered to be hypertriglyceridemic.

RESULTS:

Genotype frequencies of ANGPTL8 R59W were as follows: wild-type RR (C/C) 53.5%, RW (C/T) 36.6%, and WW (T/T) 9.9%. T2D and IGT were significantly prevalent in WW and RW subjects relative to RR among all 797 subjects (P = .0138) and also in hypertriglyceridemic subjects (P = .0015). In multiple logistic regression models for the existence of T2D and IGT in hypertriglyceridemic subjects, the odds ratio for heterozygote RW and homozygote WW genotypes to wild-type RR was 2.406 (P = .0017) after controlling the risk factors of age, gender, and body mass index as covariates.

CONCLUSIONS:

The frequency of ANGPTL8 R59W is significantly higher in Japanese subjects than in other ethnic groups. The rates of T2D and IGT were greater in subjects with the R59W variant. These findings indicate that ANGPTL8 is a participant in diabetes and a potential therapeutic target for T2D prevention, especially in East Asians.

KEYWORDS:

Angiopoietin-like protein 8; Betatrophin; Diabetes; Hyperlipidemia; Hypertriglyceridemia

PMID:
29397342
DOI:
10.1016/j.jacl.2017.12.011
[Indexed for MEDLINE]
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