WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT• Rosiglitazone is one of the thiazolidinedione medicines that is widely used in patients with Type 2 diabetes (T2DM); it acts by activation of peroxisome proliferatoractivated receptor-g. • There are no reports on the influence of genetic variations of UCP2 and ADRB3 on rosiglitazone response in Chinese T2DM patients.• The current study was designed to evaluate the relationship between the genetic polymorphisms of UCP2 -866G/A and ADRB3 Trp64Arg with susceptibility to T2DM development and the therapeutic efficacy of multiple-dose rosiglitazone in Chinese patients with T2DM.
WHAT THIS STUDY ADDS• The genetic polymorphisms of UCP2 -866G/A and ADRB3 Trp64Arg are associated with the therapeutic efficacy of multipledose rosiglitazone in Chinese T2DM patients.
AIMSThe aim of this study was to explore the impact of UCP2 and ADRB3 genetic polymorphisms on the therapeutic efficacy of rosiglitazone in Chinese Type 2 diabetes (T2DM) patients. ) for 12 weeks. Serum fasting plasma glucose, postprandial plasma glucose, glycated haemoglobin (HbA1c), fasting serum insulin, postprandial serum insulin (PINS), triglycerol (TG), cholesterol, homeostasis model assessment for insulin resistance, leptin and adiponectin in all T2DM patients were determined before and after rosiglitazone treatment.
METHODS
RESULTSThere were no differences in allele frequency of either ADRB3 Trp64Arg or UCP2 -866 G/A between T2DM patients and control subjects. The A allele carriers of UCP2 in the T2DM patients had significantly lower PINS (61.5 Ϯ 34.3 vs. 41.6 Ϯ 28.7 mU l -1 , P < 0.01) (37.57, 59.16 vs. 34.82, 49.39) and low-density lipoprotein (LDL)-cholesterol compared with GG genotypes (3.4 Ϯ 1.1 vs. 2.7 Ϯ 1.1 mmol l -1 , P < 0.05) (2.64, 3.52 vs. 2.66, 3.15). After rosiglitazone treatment for 12 consecutive weeks, we found that A allele carriers of UCP2 in the T2DM patients had smaller attenuated PINS (-3.82 Ϯ 13.2 vs. -42.1 Ϯ 30.7 mU l -1 , P < 0.01) (9.45, 51.31 vs. 0.48, 11.88) and greater attenuated HbA1c (-1.85 Ϯ 1.62 vs. -0.61 Ϯ 0.80, P < 0.05) (0.14, 1.37 vs. 1.10, 2.38) compared with GG genotypes, and ADRB3 Trp64Arg had greater attenuated serum TG (-3