ACE 基因I/D 多态性 , D 等位基因 , 健康新生儿 , 胰岛素敏感性," /> ACE 基因I/D 多态性 , D 等位基因 , 健康新生儿 , 胰岛素敏感性,"/> ACE gene insertion/deletion polymorphism , D allele , Healthy newborns , HInsulin sensitivity,"/> <span style="font-size:14px;line-height:2;">血管紧张素转化酶基因插入或缺失多态性</span><span style="font-size:14px;line-height:2;">与健康新生儿胰岛素敏感性关系的研究</span>
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发育医学电子杂志  2014, Vol. 2 Issue (1): 1-5    
  围产医学   论著 |
血管紧张素转化酶基因插入或缺失多态性与健康新生儿胰岛素敏感性关系的研究
韩彤妍 崔蕴璞 王新利 叶鸿瑁 朴梅花 童笑梅 李松
北京医科大学第三医院 儿科,北京 100191
Relationship between angiotensin-converting enzyme gene insertion or deletion polymorphism and insulin sensitivity in healthy newborns
HAN Tong-yan, CUI Yun-pu, WANG Xin-li, et al
Basic Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China 
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摘要  【摘要】 目的 研究血管紧张素转化酶(ACE)基因插入或缺失(I /D)多态性与健康新生儿胰岛素敏感性的关系。方法 180 例健康新生儿(孕周>33 周,1 分钟Apgar 评分>7 分)在出生时测量体重、身长,生后2~3 天上午8 ~ 9 时哺乳前取足跟血,测空腹血糖(FG)和空腹胰岛素(FI)水平,提取DNA 进行ACE 基因分型,用FI 和内稳态模式评估值(HOMA)衡量胰岛素敏感性。结果 ACE基因分布符合Hardy-Weinberg 平衡定(χ2=0.188, P =0.910)。不同ACE 基因型间出生体格无差异。DD 基因型的HOMA 对数值最高(0.21±0.45),但与ID 和II 基因型相比差异无显著性。DD 基因与≥ 1 个I 等位基因(即ID+II 基因型)比较, DD 基因型FI 对数值较高(0.93±0.41 比0.76±0.36,P=0.018),DD 基因型的HOMA 对数值较高(0.21±0.45 比 0.01±0.38,P=0.010)。结论 在健康新生儿,D 等位基因与相对差的胰岛素敏感性相关。这可能是解释远期胰岛素抵抗与D 等位基因相关的线索。
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关键词:  ACE 基因I/D 多态性 ')" href="#">ACE 基因I/D 多态性   D 等位基因   健康新生儿   胰岛素敏感性    
Abstract: 

 【Abstract】 Objective Our goal was to investigate the relationship between angiotensin-converting enzyme gene insertion/deletion polymorphism and the insulin sensitivity in healthy newborns. Method One hundred eighty healthy newborns, all of whom had a 1-minute Apgar score of >7 and gestational age >33 weeks, were enrolled in the study. Fasting glucose and insulin levels were measured on day 2 or 3 after birth, and angiotensin-converting enzyme genotype was determined.Result The observed frequency distribution of angiotensin

converting enzyme genotypes did not deviate from that predicted by Hardy-Weinberg equilibrium in this group. There were no statistically significant differences in birth size and shape in different angiotensinconverting

enzyme genotypes. Those carriers of the genotype homozygous for the deletion allele had the highest
logarithmically transformed homeostasis model assessment (HOMA) compared with those who were heterozygous
or homozygous for the insertion polymorphism. When compared with those with ≥1 insertion allele, those of
the genotype homozygous for the deletion allele had significantly higher logarithmically transformed fasting
insulin and logarithmically transformed homeostasis model assessment . results Regarding birth weight, birth
length, ponderal index, and fasting glucose concentration, there were no significant differences between the
genotype homozygous for the deletion allele and the genotypes heterozygous or homozygous for the insertion
allele. Conclusion In this study, the deletion allele was associated with relatively impaired insulin sensitivity in healthy neonates. It may be a clue to explain the association between the deletion allele and insulin resistance
in the long-term.

Key words:  ACE gene insertion/deletion polymorphism ')" href="#">ACE gene insertion/deletion polymorphism    D allele     ')" href="#"> Healthy newborns     Insulin sensitivity')" href="#"> HInsulin sensitivity
收稿日期:  2013-12-09                出版日期:  2014-01-30      发布日期:  2019-09-05      期的出版日期:  2014-01-30
通讯作者:  童笑梅https://baike.baidu.com/item/%E7%AB%A5%E7%AC%91%E6%A2%85/9708592    E-mail:  tongxm2007@126.com
引用本文:    
韩彤妍 崔蕴璞 王新利 叶鸿瑁 朴梅花 童笑梅 李松. 血管紧张素转化酶基因插入或缺失多态性与健康新生儿胰岛素敏感性关系的研究[J]. 发育医学电子杂志, 2014, 2(1): 1-5.
HAN Tong-yan, CUI Yun-pu, WANG Xin-li, et al. Relationship between angiotensin-converting enzyme gene insertion or deletion polymorphism and insulin sensitivity in healthy newborns. Journal of Developmental Medicine(Electronic Version), 2014, 2(1): 1-5.
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