Hostname: page-component-669899f699-2mbcq Total loading time: 0 Render date: 2025-04-27T03:42:52.093Z Has data issue: false hasContentIssue false

Study on the relationship between KCNQ1 gene–environment interaction and abnormal glucose metabolism in the elderly in a county of Hechi City, Guangxi

Published online by Cambridge University Press:  28 October 2024

Shiyi Chen
Affiliation:
Department of Epidemiology, School of Public Health and Management, Guangxi University of Chinese Medicine, 13 Wuhe Road, Nanning, Guangxi 530200, People’s Republic of China
Hai Li
Affiliation:
Department of Epidemiology, School of Public Health and Management, Guangxi University of Chinese Medicine, 13 Wuhe Road, Nanning, Guangxi 530200, People’s Republic of China
Chuwu Huang
Affiliation:
Department of Environmental and Occupational Health, Guangxi Medical University, Nanning 530021, People’s Republic of China
You Li
Affiliation:
School of Public Health, Guilin Medical University, 20 Lequn Road, Guilin, Guangxi Zhuang Autonomous Region, Guilin 541001, People’s Republic of China
Jiansheng Cai
Affiliation:
School of Public Health, Guilin Medical University, 20 Lequn Road, Guilin, Guangxi Zhuang Autonomous Region, Guilin 541001, People’s Republic of China Key Laboratory of Tumor Immunology and Microenvironmental Regulation, Guilin Medical University, Guangxi Zhuang Autonomous Region, Guilin 541001, People’s Republic of China
Tingyu Luo
Affiliation:
School of Public Health, Guilin Medical University, 20 Lequn Road, Guilin, Guangxi Zhuang Autonomous Region, Guilin 541001, People’s Republic of China
Xue Liang
Affiliation:
The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, People’s Republic of China
Bingshuang Long
Affiliation:
The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, People’s Republic of China
Yi Wei
Affiliation:
The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, People’s Republic of China
Jiexia Tang
Affiliation:
Guangxi Center for Disease Control and Prevention, Nanning, Guangxi 530021, People’s Republic of China
Zhiyong Zhang*
Affiliation:
Department of Environmental and Occupational Health, Guangxi Medical University, Nanning 530021, People’s Republic of China School of Public Health, Guilin Medical University, 20 Lequn Road, Guilin, Guangxi Zhuang Autonomous Region, Guilin 541001, People’s Republic of China Guangxi Health Commission Key Laboratory of Entire Lifecycle Health and Care (Guilin Medical University), Guilin 541001, People’s Republic of China
Jian Qin*
Affiliation:
Department of Environmental and Occupational Health, Guangxi Medical University, Nanning 530021, People’s Republic of China Guangxi Colleges and Universities Key Laboratory of Prevention and Control of Highly Prevalent Diseases, Guangxi Medical University, Nanning 530021, People’s Republic of China Guangxi Key Laboratory of Environment and Health Research, Guangxi Medical University, Nanning 530021, People’s Republic of China Key Laboratory of Longevity and Aging-related Diseases of Chinese Ministry of Education 530021, People’s Republic of China
*
*Corresponding authors: Jian Qin, email qinjian@gxmu.edu.cn; Zhiyong Zhang, email rpazz@163.com
*Corresponding authors: Jian Qin, email qinjian@gxmu.edu.cn; Zhiyong Zhang, email rpazz@163.com

Abstract

This study aimed to understand the potassium voltage-gated channel KQT-like subfamily, member 1 gene polymorphism in a rural elderly population in a county in Guangxi and to explore the possible relationship between its gene polymorphism and blood sugar. The 6 SNP loci of blood DNA samples from 4355 individuals were typed using the imLDRTM Multiple SNP Typing Kit from Shanghai Tianhao Biotechnology Co. The data combining epidemiological information (baseline questionnaire and physical examination results) and genotyping results were statistically analyzed using GMDR0.9 software and SPSS22.0 software. A total of 4355 elderly people aged 60 years and above were surveyed in this survey, and the total abnormal rate of glucose metabolism was 16·11 % (699/4355). Among them, male:female ratio was 1:1·48; the age group of 60–69 years old accounted for the highest proportion, with 2337 people, accounting for 53·66 % (2337/4355). The results of multivariate analysis showed that usually not doing farm work (OR 1·26; 95 % CI 1·06, 1·50), TAG ≥ 1·70 mmol/l (OR 1·19; 95 % CI 1·11, 1·27), hyperuricaemia (OR 1·034; 95 % CI 1·01, 1·66) and BMI ≥ 24 kg/m2 (OR 1·06; 95 % CI 1·03, 1·09) may be risk factors for abnormal glucose metabolism. Among all participants, rs151290 locus AA genotype, A allele carriers (AA+AC) were 0.70 times more likely (0.54 to 0.91) and 0.82 times more likely (0.70 to 0.97) to develop abnormal glucose metabolism than CC genotype carriers, respectively. Carriers of the T allele at the rs2237892 locus (CT+TT) were 0.85 times more likely to have abnormal glucose metabolism than carriers of the CC genotype (0.72 to 0.99); rs2237897 locus CT gene. The possibility of abnormal glucose metabolism in the carriers of CC genotype, TT genotype and T allele (CT + TT) is 0·79 times (0·67–0·94), 0·74 times (0·55–0·99) and 0·78 times (0·66, 0·92). The results of multifactor dimensionality reduction showed that the optimal interaction model was a three-factor model consisting of farm work, TAG and rs2237897. The best model dendrogram found that the interaction between TAG and rs2237897 had the strongest effect on fasting blood glucose in the elderly in rural areas, and they were mutually antagonistic. Environment–gene interaction is an important factor affecting abnormal glucose metabolism in the elderly of a county in Hechi City, Guangxi.

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

These two authors contributed equally to this work.

References

Child GBD, Adolescent Health C, Reiner, RC Jr, et al. (2019) Diseases, injuries, and risk factors in child and adolescent health, 1990 to 2017: findings from the global burden of diseases, injuries, and risk factors 2017 study. JAMA Pediatr 173, e190337.Google ScholarPubMed
Liu, X, Mao, Z, Li, Y, et al. (2019) Cohort Profile: the Henan Rural Cohort: a prospective study of chronic non-communicable diseases. Int J Epidemiol 48, 1756-j.CrossRefGoogle ScholarPubMed
Jayathilaka, R, Joachim, S, Mallikarachchi, V, et al. (2020) Chronic diseases: an added burden to income and expenses of chronically-ill people in Sri Lanka. PLoS One 15, e0239576.CrossRefGoogle ScholarPubMed
Licher, S, Heshmatollah, A, van der Willik, KD, et al. (2019) Lifetime risk and multimorbidity of non-communicable diseases and disease-free life expectancy in the general population: a population-based cohort study. PLoS Med 16, e1002741.CrossRefGoogle ScholarPubMed
Motala, AA, Mbanya, JC, Ramaiya, K, et al. (2022) Type 2 diabetes mellitus in sub-Saharan Africa: challenges and opportunities. Nat Rev Endocrinol 18, 219229.CrossRefGoogle ScholarPubMed
Chung, RH, Chiu, YF, Wang, WC, et al. (2021) Multi-omics analysis identifies CpGs near G6PC2 mediating the effects of genetic variants on fasting glucose. Diabetologia 64, 16131625.CrossRefGoogle ScholarPubMed
Ilesanmi, O (2020) Exposure Disparities in Non-Communicable Diseases and Communicable Diseases Burden in Nigeria: Results from the Global Burden of Disease 2019. Conference: 8th Annual Conference on Environmental Health Sciences, Abuja, Nigeria.Google Scholar
Ezinwa, NM (2020) Global lifestyle medicine: for people who need it the most but have it the least. Am J Lifestyle Med 14, 541545.CrossRefGoogle ScholarPubMed
Fachim, HA, Loureiro, CM, Siddals, K, et al. (2020) Circulating microRNA changes in patients with impaired glucose regulation. Adipocyte 9, 443453.CrossRefGoogle ScholarPubMed
Wang, JF, Zhang, HM, Li, YY, et al. (2019) A combination of n-3 and plant sterols regulate glucose and lipid metabolism in individuals with impaired glucose regulation: a randomized and controlled clinical trial. Lipids Health Dis 18, 106.CrossRefGoogle Scholar
Fachim, HA, Siddals, K, Malipatil, N, et al. (2020) Lifestyle intervention in individuals with impaired glucose regulation affects Caveolin-1 expression and DNA methylation. Adipocyte 9, 96107.CrossRefGoogle ScholarPubMed
Alberti, KG & Zimmet, PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications part 1: diagnosis and classification of diabetes mellitus provisional report of a who consultation original articles. Diabetic Med 15, 539553.3.0.CO;2-S>CrossRefGoogle Scholar
Egan, AM, Laurenti, MC, Hurtado Andrade, MD, et al. (2021) Limitations of the fasting proinsulin to insulin ratio as a measure of beta-cell health in people with and without impaired glucose tolerance. Eur J Clin Invest 51, e13469.CrossRefGoogle ScholarPubMed
Swiecicka-Klama, A, Poltyn-Zaradna, K, Szuba, A, et al. (2021) The natural course of impaired fasting glucose. Adv Exp Med Biol 1324, 4150.CrossRefGoogle ScholarPubMed
Sathish, T, Tapp, RJ & Shaw, JE (2021) Do lifestyle interventions reduce diabetes incidence in people with isolated impaired fasting glucose? Diabetes Obes Metab 23, 28272828.CrossRefGoogle ScholarPubMed
Abdulai, T, Li, Y, Zhang, H, et al. (2019) Prevalence of impaired fasting glucose, type 2 diabetes and associated risk factors in undiagnosed Chinese rural population: the Henan Rural Cohort Study. BMJ Open 9, e029628.CrossRefGoogle ScholarPubMed
Wang, W, Zhang, C, Liu, H, et al. (2020) Heritability and genome-wide association analyses of fasting plasma glucose in Chinese adult twins. BMC Genomics 21, 491.CrossRefGoogle ScholarPubMed
Van Vliet-Ostaptchouk, JV, van Haeften, TW, Landman, GW, et al. (2012) Common variants in the type 2 diabetes KCNQ1 gene are associated with impairments in insulin secretion during hyperglycaemic glucose clamp. PLoS One 7, e32148.CrossRefGoogle ScholarPubMed
Yu, XX, Liao, MQ, Zeng, YF, et al. (2020) Associations of KCNQ1 polymorphisms with the risk of type 2 diabetes mellitus: an updated meta-analysis with trial sequential analysis. J Diabetes Res 2020, 7145139.CrossRefGoogle ScholarPubMed
Qi, Q, Li, H, Loos, RJ, et al. (2009) Common variants in KCNQ1 are associated with type 2 diabetes and impaired fasting glucose in a Chinese Han population. Hum Mol Genet 18, 35083515.CrossRefGoogle ScholarPubMed
Benberin, VV, Vochshenkova, TA, Abildinova, GZ, et al. (2021) Polymorphic genetic markers and how they are associated with clinical and metabolic indicators of type 2 diabetes mellitus in the Kazakh population. J Diabetes Metab Disord 20, 131140.CrossRefGoogle ScholarPubMed
Wang, J, Zhang, J, Shen, J, et al. (2014) Association of KCNQ1 and KLF14 polymorphisms and risk of type 2 diabetes mellitus: a global meta-analysis. Hum Immunol 75, 342347.CrossRefGoogle ScholarPubMed
Zhang, W, Wang, H, Guan, X, et al. (2015) Variant rs2237892 of KCNQ1 is potentially associated with hypertension and macrovascular complications in type 2 diabetes mellitus in a Chinese Han population. Genom Proteom Bioinform 13, 364370.CrossRefGoogle ScholarPubMed
Chen, Z, Yin, Q, Ma, G, et al. (2010) KCNQ1 gene polymorphisms are associated with lipid parameters in a Chinese Han population. Cardiovasc Diabetol 9, 35.CrossRefGoogle ScholarPubMed
Lee, YH, Kang, ES, Kim, SH, et al. (2008) Association between polymorphisms in SLC30A8, HHEX, CDKN2A/B, IGF2BP2, FTO, WFS1, CDKAL1, KCNQ1 and type 2 diabetes in the Korean population. J Hum Genet 53, 991998.CrossRefGoogle ScholarPubMed
Li, Y, Shen, K, Li, C, et al. (2020) Identifying the association between single nucleotide polymorphisms in KCNQ1, ARAP1, and KCNJ11 and type 2 diabetes mellitus in a Chinese population. Int J Med Sci 17, 23792386.CrossRefGoogle ScholarPubMed
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (2003) Follow-up report on the diagnosis of diabetes mellitus[J]. Diabetes Care 26, 31603167.CrossRefGoogle Scholar
Tremblay, J & Hamet, P (2019) Environmental and genetic contributions to diabetes. Metabolism 100, 153952.CrossRefGoogle Scholar
Sorensen, TIA, Metz, S & Kilpelainen, TO (2022) Do gene–environment interactions have implications for the precision prevention of type 2 diabetes? Diabetologia 65, 8041813.CrossRefGoogle ScholarPubMed
Song, C, Gong, W, Ding, C, et al. (2022) Gene-environment interaction on type 2 diabetes risk among Chinese adults born in early 1960s. Genes (Basel) 13, 645.CrossRefGoogle ScholarPubMed