Role of the transforming growth factor-b1 (TGF-b1) gene polymorphisms located at codons 10 and 25 in the genetic predisposition to type 2 diabetes (T2D) and in diabetic nephropathy (DN) in Egyptian patients was investigated. A case control study was done for 99 unrelated Egyptian patients with T2D (50 DN 2 and 49 DN
1) and 98 age-and sex-matched healthy controls. TGF-b1 T869C (codon 10) and G915C (codon 25) polymorphism detection was done by amplification refractory mutation system method. DN 1 patients were younger, with higher body mass index, serum triglycerides, serum creatinine, and lower serum albumin than those in DN 2 patients. Moderate and bad grades of diabetic control were associated with DN (P < 0.001). The TGF-b1 (T869C) C allele, TC and TC 1 CC genotypes were significantly higher in patients; the T allele and TT genotype were significantly higher in controls (Pc < 0.001). The TGF-b1 TC genotype was associated with DN (Pc < 0.05). Non-significant differences were detected between T2D patients and controls in the frequencies of TGF-b1 (G915C) alleles and genotypes. In conclusion, these preliminary data showed that the TGFb1 codon 10 C allele, and C allele-containing genotypes may be susceptible, and T allele/TT genotype may be protective factors for T2D and DN 1 complications.