Evaluation of glutathione S-transferase genetic variants affecting type 2 diabetes susceptibility: a meta-analysis

Gene. 2013 Nov 10;530(2):301-8. doi: 10.1016/j.gene.2013.08.043. Epub 2013 Sep 2.

Abstract

Genetic polymorphisms of glutathione S-transferases (GSTs) and type 2 diabetes mellitus (T2DM) risk have been widely studied, however, the results were somewhat conflicting. To evaluate the association of GSTs (GSTM1, GSTT1 and GSTP1) gene polymorphisms with T2DM, a meta-analysis was performed before October, 2012. ORs were pooled according to random-effects model. There were a total of 1354/1666 (n=9) cases/controls (studies) for GSTM1, 1271/1470 (n=8) for GSTT1, and 1205/1250 (n=7) for GSTM1. There were significant associations between GSTM1 polymorphism, GSTT1 polymorphism and T2DM in the contrast of present genotype vs. null genotype, with pooled OR=1.99 (95%CI=1.46-2.71) and OR=1.61 (95%CI=1.19-2.17), respectively. Yet no significant association of GSTP1 polymorphism and T2DM was showed. When stratified by ethnicity, the significant associations were also existed in Asians for GSTM1 and GSTT1, but not GSTP1. No publication bias but some extent of heterogeneity was observed. Finally, the accumulated evidence proved the obvious associations of GSTM1 and GSTT1 polymorphisms with an increased risk of T2DM.

Keywords: CI; Diabetes; GSTM; GSTP; GSTT; GSTs; Glutathione S-transferase; HWE; Hardy–Weinberg equilibrium; Meta-analysis; OR; PCR; PCR-RFLP; R; ROS; Susceptibility; T2DM; confidence interval; glutathione S-transferase-mu; glutathione S-transferase-pi; glutathione S-transferase-theta; glutathione S-transferases; odds ratio; polymerase chain reaction; polymerase chain reaction with restriction fragment length polymorphism; random effect model; reactive oxygen species; type 2 diabetes mellitus.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Diabetes Mellitus, Type 2 / genetics*
  • Female
  • Genetic Predisposition to Disease*
  • Genotype
  • Glutathione S-Transferase pi / genetics*
  • Glutathione Transferase / genetics*
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Genetic*
  • Risk

Substances

  • glutathione S-transferase T1
  • GSTP1 protein, human
  • Glutathione S-Transferase pi
  • Glutathione Transferase
  • glutathione S-transferase M1