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Title: The common-866G > A variant in the promoter of UCP2 is associated with decreased risk of coronary artery disease in type 2 diabetic men
Authors: Cheurfa, Nadir
Dubois-Laforgue, Daniele
Ferrarezi, Daniela A. F.
Reis, Andre F. [UNIFESP]
Brenner, Guilherme M.
Bouche, Clara
Le Feuvre, Claude
Fumeron, Frederic
Timsit, Jose
Marre, Michel
Velho, Gilberto
Cochin Hosp
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Fed Fac Fdn Med Sci Porto Alegre
Hop La Pitie Salpetriere
Univ Paris 07
Univ Paris 05
Issue Date: 1-Apr-2008
Publisher: Amer Diabetes Assoc
Citation: Diabetes. Alexandria: Amer Diabetes Assoc, v. 57, n. 4, p. 1063-1068, 2008.
Abstract: OBJECTIVE-Uncoupling protein 2 (UCP2) is a physiological downregulator of reactive oxygen species generation and plays an antiatherogenic role in the vascular wall. A common variant in the UCP2 promoter (-866G>A) modulates mRNA expression, with increased expression associated with the A allele. We investigated association of this variant with coronary artery disease (CAD) in two cohorts of type 2 diabetic subjects.RESEARCH DESIGN and METHODS-We studied 3,122 subjects from the 6-year prospective Non-Insulin-Dependent Diabetes, Hypertension, Microalbuminuria, Cardiovascular Events, and Ramipril (DIABHYCAR) Study (14.9% of CAD incidence at follow-up). An independent, hospital-based cohort of 335 men, 52% of whom had CAD, was also studied.RESULTS-We observed an inverse association of the A allele with incident cases of CAD in a dominant model (hazard risk 0.88 [95% CI 0.80-0.96]; P = 0.006). Similar results were observed for baseline cases of CAD. Stratification by sex confirmed an allelic association with CAD in men, whereas no association was observed in women. All CAD phenotypes considered-myocardial infarction, angina pectoris, coronary artery bypass graft (CABG), and sudden death-contributed significantly to the association. Results were replicated in a cross-sectional study of an independent cohort (odds ratio 0.47 [95% CI 0.25-0.89]; P = 0.02 for a recessive model).CONCLUSIONS-The A allele of the -866G>A variant of UCP2 was associated with reduced risk of CAD in men with type 2 diabetes in a 6-year prospective study. Decreased risk of myocardial infarction, angina pectoris, CABG, and sudden death contributed individually and significantly to the reduction of CAD risk. This association was independent of other common CAD risk factors.
ISSN: 0012-1797
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