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Polymorphisms in the interleukin‐6 receptor gene are associated with body mass index and with characteristics of the metabolic syndrome
Author(s) -
Esteve Eduardo,
Villuendas Gemma,
Mallolas Judith,
Vendrell Joan,
LópezBermejo Abel,
Rodríguez Matilde,
Recasens Mónica,
Ricart Wifredo,
San Millán José L.,
EscobarMorreale Héctor,
Richart Cristóbal,
FernándezReal José Manuel
Publication year - 2006
Publication title -
clinical endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.055
H-Index - 147
eISSN - 1365-2265
pISSN - 0300-0664
DOI - 10.1111/j.1365-2265.2006.02553.x
Subject(s) - medicine , metabolic syndrome , insulin resistance , endocrinology , body mass index , linkage disequilibrium , obesity , allele , population , biology , national cholesterol education program , haplotype , genetics , gene , environmental health
Summary Objective Low‐grade inflammation has been related to obesity, insulin resistance and the metabolic syndrome. The Asp358Ala variant and the CA‐repeat polymorphism in the interleukin‐6 receptor ( IL‐6R ) gene have been reported to be associated with obesity in Pima Indians and Spanish women, respectively. The aim of this study was to investigate the association between these polymorphisms and obesity in a Mediterranean‐Caucasian population, and to determine whether this polymorphism was related to the metabolic syndrome as defined by the National Cholesterol Education Program – Adult Treatment Panel III (NCEP/ATP‐III) criteria. Design Cross‐sectional. Patients Three hundred and ninety subjects from the general population. Methods The Asp358Ala and CA‐repeat polymorphisms were analysed by polymerase chain reaction (PCR) amplification, followed by restriction fragment length polymorphism or capillary electrophoresis, respectively. Results Both polymorphisms were in strong linkage disequilibrium, Asp358 alleles being associated with 149 CA‐repeat alleles (χ 2 = 76·275, P < 0·0001). Therefore, only the association of the Asp358Ala variant with obesity and the metabolic syndrome was assessed in the whole series of subjects. Subjects homozygous for Asp358 alleles had statistically higher body mass index (BMI) compared with Ala358 carriers (27·7 ± 5·41 vs. 26·6 ± 4·96 kg/m 2 ; P < 0·05). Moreover, the prevalence of the metabolic syndrome was significantly higher in carriers of the Asp358 allele compared with Ala358 homozygotes (12·7% vs. 0·0%; P = 0·01). This relationship remained significant after adjusting for age, insulin resistance, sex and BMI. Conclusions The Asp358Ala and CA‐repeat polymorphisms in the IL‐6R gene are associated with obesity and characteristics of the metabolic syndrome in our population of Mediterranean subjects.