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Diabetes Care, Vol 20, Issue 7 1159-1161, Copyright © 1997 by American Diabetes Association
Clinical characteristics of Japanese men with glucokinase gene beta-cell promoter variant
K Yamada, X Yuan, S Ishiyama, F Ichikawa, KI Koyama, A Koyanagi, W Koyama and K Nonaka
Division of Endocrinology and Metabolism, Kurume University School of Medicine, Asahimachi, Japan.
OBJECTIVE: To study the association between a variant at the position of
-30 of beta-cell-specific promoter of the glucokinase gene and glucose
tolerance in the Japanese general population and to assess the clinical
characteristics of subjects with the variant. RESEARCH DESIGN AND METHODS:
The genotype of 657 Japanese men aged 51.0 +/- 8.8 years (mean +/- SD) was
analyzed by an allele-specific assay using polymerase chain
reaction-restriction fragment length polymorphism. RESULTS: The variant
allele frequency was 0.188 in subjects with normal glucose tolerance, 0.211
in subjects with impaired glucose tolerance, and 0.176 in diabetic
subjects. In subjects with fasting plasma glucose levels <140 mg/dl,
homozygous subjects for the promoter variant had significantly higher
plasma glucose levels 60 min after oral glucose administration when
compared with subjects without the variant allele. A cross-sectional
analysis showed age-related elevation of basal glucose levels only in
subjects without the promoter variant. Individuals heterozygous for the
variant had significantly lower levels of HDL cholesterol than normal
subjects. HDL cholesterol values were lower in homozygous people than in
normal and heterozygous subjects, although the differences were not
statistically significant. CONCLUSIONS: The beta-cell promoter variant in
homozygous state was associated with impaired glucose tolerance, but not
with diabetes, and low HDL cholesterol levels in Japanese men. It is
unlikely that the glucose intolerance associated with the promoter variant
is progressive with age.

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Copyright © 1997 by the American Diabetes Association.
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