Abstract
Background
The major enzyme that is responsible for Sulfonylureas (SUs) metabolism is hepatic cytochrome P-450 2C9 (CYP2C9). It is encoded by the polymorphic gene CYP2C9, which has many allelic variants, among those the CYP2C9*2 and CYP2C9*3 are the most common and clinically significant allelic variations. People with diabetes mellitus type 2 (T2DM) are more likely to develop cardiovascular disease (CVD), and their risk of dying from it is more than two times higher than that of people without the condition. The purpose of this study was to evaluate the association of genetic variations in the CYP2C9 gene with cardiovascular risk factors by investigating CYP2C9*1, *2, *3, *5, *11, and *13 allelic variants.
Methods and results
A total of 226 participants were enrolled in the current case-control study. Allele-specific amplification- PCR (ASA-PCR) was used to determine the allele of different variations and the results were confirmed by sequencing. The findings of this study showed the presence of the CYP2C9*2 allele in the T2DM group does not differ from its percentage in the control group. Also, CYP2C9*3 allele frequencies identified by Hardy-Weinberg equilibrium (HWE) analysis law were not significant, p = 0.6593 and 0.5828 in T2DM and control groups. There is no statistically significant difference between the control and diabetes groups involving the distribution of CYP2C9 alleles and CYP2C9*5, *11, and *13 polymorphisms were absent in the Iraqi population. No carrier for the CYP2C9*3 homozygous state was found in both groups.
Conclusions
According to these results T2DM patients with the CYP2C9*2 and *3 variants have an increased risk of develo** hypertension.
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Data availability
All data generated or analyzed during this study are available from the authors.
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Acknowledgements
The authors are grateful to all staff members in Al-Salam Hospital and Al-Wafaa Center for Diabetes and Endocrinology in Mosul/ Iraq for their facilities, which helped improve the quality of this work, as well as all study participants.
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GSR: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Data curation, Writing – original draft. SJA, AAH: Supervision, Project administration, Methodology, Formal analysis, Investigation, Data curation. MA: Formal analysis, Investigation, Data curation, Writing – original draft.
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This study was approved by the Ethics Committee of (Ministry of Health/Baghdad, Iraq (decree order 1061/ 12-1-2020).
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Rasool, G.S., Al-Awadi, S.J., Hussien, A.A. et al. Genetic variation of CYP2C9 gene and its correlation with cardiovascular disease risk factors. Mol Biol Rep 51, 105 (2024). https://doi.org/10.1007/s11033-023-09151-4
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DOI: https://doi.org/10.1007/s11033-023-09151-4