Fan Ying-Chi, Yang Po-Jen, Liu Yu-Fan, Chang Lun-Ching, Su Shih-Chi, Yang Shun-Fa
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Department of Neurology, Chung Shan Medical University Hospital, Taichung, Taiwan.
Int J Med Sci. 2025 Jul 10;22(13):3242-3249. doi: 10.7150/ijms.112883. eCollection 2025.
Diabetic neuropathy (DN), known to result from an interplay of acquired and genetic factors, is a common comorbidity of diabetes characterized by various forms of nerve damage. Maternally expressed gene 3 (MEG3) is an imprinted, non-coding RNA gene originally identified as a tumor suppressor. Recently, dysregulation of MEG3 levels was also observed in various neurodegenerative diseases. In this study, we aimed to investigate the potential association of gene polymorphisms with the risk for DN through genotyping five single-nucleotide polymorphisms (SNPs) of gene (rs4081134, rs10144253, rs7158663, rs3087918, and rs11160608) between 712 DN patients and 820 controls (diabetic individuals without neuropathic conditions). Our survey revealed a gender-specific association of rs7158663 with DN. We found that rs7158663 of gene was associated with an increased risk for DN in diabetic women (GA vs GG, AOR=1.604, =0.005; GA+AA vs GG, AOR=1.547, =0.007). Nevertheless, such genetic association was particularly seen in women but not detected in diabetic males. Moreover, a higher level of LDL-cholesterol was noted in female DN patients who carry homozygous major allele of rs7158663 (GG) than in those bearing at least one minor allele (GA+AA) (=0.016), suggesting an effect of rs7158663 on modulating lipoprotein levels. Taken together, our results demonstrate a link of gene variants with dyslipidemia and neuropathic conditions in diabetic patients in a gender-specific manner.
糖尿病神经病变(DN)是糖尿病常见的合并症,由后天因素和遗传因素相互作用导致,其特征为多种形式的神经损伤。母系表达基因3(MEG3)是一种印记非编码RNA基因,最初被鉴定为肿瘤抑制因子。最近,在各种神经退行性疾病中也观察到MEG3水平失调。在本研究中,我们旨在通过对712例DN患者和820名对照(无神经病变的糖尿病个体)的MEG3基因的五个单核苷酸多态性(SNP,rs4081134、rs10144253、rs7158663、rs3087918和rs11160608)进行基因分型,来研究基因多态性与DN风险之间的潜在关联。我们的调查揭示了rs7158663与DN存在性别特异性关联。我们发现,MEG3基因的rs7158663与糖尿病女性患DN的风险增加相关(GA与GG相比,优势比[AOR]=1.604,P=0.005;GA+AA与GG相比,AOR=1.547,P=0.007)。然而,这种遗传关联在女性中尤为明显,在糖尿病男性中未检测到。此外,携带rs7158663纯合主要等位基因(GG)的女性DN患者的低密度脂蛋白胆固醇水平高于携带至少一个次要等位基因(GA+AA)的患者(P=0.016),这表明rs7158663对调节脂蛋白水平有影响。综上所述,我们的结果表明MEG3基因变异与糖尿病患者的血脂异常和神经病变状况存在性别特异性关联。