title: Small ubiquitin-like modifier-4 Met55Val polymorphism is associated with glycemic control of Type 2 diabetes mellitus in Taiwan.
abstract: OBJECTIVE
  The development of Type 2 diabetes mellitus (T2DM) has been recognized to be associated with a combination of pancreatic beta-cell dysfunction and insulin resistance. Nuclear factor-kappaB (NF-kappaB) has been recognized as one central mediator in the reaction of inflammation and proapoptotic event in beta-cells. A functional polymorphism at the codon 55 (methionine to valine; A163G) of the small ubiquitin- like modifier-4 (SUMO4) gene may result in higher NF-kappaB activity. This study investigates whether this SUMO4 Met55Val polymorphism also contributes to the development of T2DM.
  
  
  METHODS
  The study was performed using genomic DNA samples from 574 Type 2 diabetic patients and 323 healthy controls. The SUMO4 Met55Val polymorphism was genotyped using allele-specific real-time PCR.
  
  
  RESULTS
  The frequency of the G allele (encoding Val55) was significantly higher in Type 2 diabetic patients and Type 2 diabetic patients with the GG genotype had higher hemoglobin A1c level. Multivariate logistic regression analysis revealed the genotype of GG and GA was an independent risk factor contributing to the development of T2DM.
  
  
  CONCLUSIONS
  This study suggests that in Taiwan the SUMO4 Met 55Val polymorphism is associated with susceptibility to T2DM and Type 2 diabetic patients with GG genotype have worse glycemic control.
authors.affiliation: Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: H Y
authors.initials: HY
authors.lastname: Lin
authors.forename: S L
authors.initials: SL
authors.lastname: Li
authors.forename: M L
authors.initials: ML
authors.lastname: Yu
authors.forename: P J
authors.initials: PJ
authors.lastname: Hsiao
authors.forename: M C
authors.initials: MC
authors.lastname: Hsieh
authors.forename: K D
authors.initials: KD
authors.lastname: Lin
authors.forename: C L
authors.initials: CL
authors.lastname: Wang
authors.forename: T N
authors.initials: TN
authors.lastname: Wang
authors.forename: S J
authors.initials: SJ
authors.lastname: Shin
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000235:genetics*; D005260:Female; D005787:Gene Frequency; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006801:Humans; D008297:Male; D008875:Middle Aged; D016328:NF-kappa B / Q000235:genetics; D020641:Polymorphism, Single Nucleotide; D025841:Small Ubiquitin-Related Modifier Proteins / Q000235:genetics*; D013624:Taiwan
chemical_list: D001786:Blood Glucose; D016328:NF-kappa B; C489647:SUMO4 protein, human; D025841:Small Ubiquitin-Related Modifier Proteins