Impact of the Hypoxia-Inducible Factor-1 α (HIF1A) Pro582Ser Polymorphism on Diabetes Nephropathy

被引:62
作者
Gu, Harvest F. [1 ]
Zheng, Xiaowei [1 ]
Abu Seman, Norhashimah [1 ,2 ]
Gu, Tianwei [1 ]
Botusan, Ileana Ruxandra [1 ]
Sunkari, Vivekananda Gupta [1 ]
Lokman, Ezarul Faradianna [1 ,2 ]
Brismar, Kerstin [1 ]
Catrina, Sergiu-Bogdan [1 ]
机构
[1] Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med & Surg, Rolf Luft Res Ctr Diabet & Endocrinol, Stockholm, Sweden
[2] Inst Med Res, Cardiovasc Diabet & Nutr Res Ctr, Kuala Lumpur 50588, Malaysia
基金
瑞典研究理事会;
关键词
CREB-BINDING PROTEIN; FACTOR-1-ALPHA GENE; KIDNEY-DISEASE; RENAL INJURY; DB/DB MICE; TRANSACTIVATION; MODEL; SUSCEPTIBILITY; IDENTIFICATION; HYDROXYLATION;
D O I
10.2337/dc12-1125
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE-Hypoxia plays a major pathogenic role in diabetic nephropathy (DN). We have investigated in this study the effect of hypoxia-inducible factor 1 alpha subunit (HIF1A) genetic polymorphisms on the development of DN. RESEARCH DESIGN AND METHODS-In 1,165 American type 1 diabetic patients with and without DN selected from the Genetics of Kidneys in Diabetes (GoKinD) study, the HIF1A genetic polymorphisms were genotyped with TaqMan allelic discrimination. The regulation of HIF-1 alpha in the kidneys of diabetic mice was appreciated by immunohistochemistry, and the effect HIF1A Pro582Ser polymorphism on HIF-1 alpha sensitivity to glucose was evaluated in vitro. RESULTS-We identified a protective association between HIF1A Pro582Ser polymorphism and DN in male subjects. We also provided mechanistic insights that HIF-1 alpha is repressed in the medulla of diabetic mice despite hypoxia and that Pro582Ser polymorphism confers less sensitivity to the inhibitory effect of glucose during a hypoxic challenge. CONCLUSIONS-The current study demonstrates for the first time that HIF1A Pro582Ser polymorphism has an effect on DN, possibly by conferring a relative resistance to the repressive effect of glucose on HIF-1 alpha. Diabetes Care 36:415-421, 2013
引用
收藏
页码:415 / 421
页数:7
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