Analysis of the association of polymorphisms of genes markers functions of endothelium and vascular-plate hemostasis with development of diabetic foot syndrome
https://doi.org/10.29413/ABS.2021-6.4.2
Abstract
The aim. To study the prevalence of various combinations of polymorphic variants of genes markers of endothelial function and vascular-platelet hemostasis in the development of diabetic foot syndrome.
Materials and methods. In 198 patients with uncomplicated diabetes mellitus and 199 patients with diabetic foot syndrome, the frequency of polymorphic variants of the NOS 786C>T, END1 Lys198Asn, ITGB3 1565T>C (Leu33Pro), F5 1691G>A, F2 20210G>A, MMP9 8202A>G, MTHFR 1298A>C, VEGFA-634C>G genes was studied. Using binary logistic regression analysis, the relationship of various combinations of polymorphisms of the studied genes with the development of diabetic foot was assessed.
Results. In diabetic foot syndrome, the most significant contribution is made by the combination of polymorphic variants of the ITGB3 1565T>C (Leu33Pro) and MTHFR 1298A>C genes. With the development of this complication of diabetes mellitus, a combination of the 1565 TC polymorphism of gene ITGB3 and the 1298AA polymorphism of gene MTHFR is 2.1 times more common. The association of the 1565TT polymorphism of gene ITGB3 and the 1298AC polymorphism of gene MTHFR is 2 times more common in diabetes mellitus without complications.
Conclusion. The combination of the 1565TС polymorphism of gene ITGB3 and the 1298АА polymorphism of gene MTHFR is associated with the risk of developing a diabetic foot and increases the risk of developing this complication by 2.4 times. The presence of a combination of the 1565TT polymorphisms of gene ITGB3 and the 1298AC polymorphism of gene MTHFR is more common in uncomplicated diabetes mellitus, which suggests its protective effect against the development of diabetic foot syndrome.
About the Authors
N. I. Troitskaya
Chita State Medical Academy
Russian Federation
Russian Federation
Cand. Sc. (Med.), Teaching Assistant at the Department of Advanced Level Surgery
Gorkogo str. 39A, Chita 672000, Russian Federation
K. G. Shapovalov
Chita State Medical Academy
Russian Federation
Russian Federation
Dr. Sc. (Med.), Professor, Head of the Department of Anesthesiology, Resuscitation and Intensive Care
Gorkogo str. 39A, Chita 672000, Russian Federation
V. A. Mudrov
Chita State Medical Academy
Russian Federation
Russian Federation
Cand. Sc. (Med.), Associate Professor of the Department of Obstetrics and Gynecology of the Faculty of Medicine and Dentistry
Gorkogo str. 39A, Chita 672000, Russian Federation
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Review
For citations:
Troitskaya N.I., Shapovalov K.G., Mudrov V.A. Analysis of the association of polymorphisms of genes markers functions of endothelium and vascular-plate hemostasis with development of diabetic foot syndrome. Acta Biomedica Scientifica. 2021;6(4):18-26. (In Russ.) https://doi.org/10.29413/ABS.2021-6.4.2
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