학술논문

Association of Met420del Variant of Metformin Transporter Gene SLC22A1 with Metformin Treatment Response in Ethiopian Patients with Type 2 Diabetes
Document Type
Clinical report
Source
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. September 30, 2023, Vol. 16, p2523, 13 p.
Subject
Sub-Saharan Africa
Ethiopia
Malaysia
Language
English
ISSN
1178-7007
Abstract
Objective: This study aimed to evaluate whether the M420del variants of SLC22A1 (rs72552763) is associated with metformin treatment response in Ethiopian patients with type 2 diabetes mellitus (T2DM). Patients and Methods: A prospective observational cohort study was conducted on 86 patients with T2DM who had been receiving metformin monotherapy for Results: The minor allele frequency of the rs72552763 SNP of SLC22A1 was 9.3%. Metformin response was significantly higher in deletion_GAT (del_G) genotypes as compared to the wild-type GAT_GAT (G_G) genotypes. Furthermore, a significantly lower median treatment HbA1 level was found in del_G genotypes as compared to G_G genotypes. However, the association of rs72552763 with metformin response was not replicated at the allele level. In contrast, the minor del_allele was significantly associated with good glycemic control compared to the G_allele, though not replicated at del_G genotypes level. Conclusion: This study demonstrated that metformin response was significantly higher in study participants with a heterozygous carrier of M420del variants of SLC22A1 as compared to the wild-type G_G genotypes after 3 months of treatment. Keywords: T2DM, glycemic response, metformin, SLC22A1 gene, Met420del, Ethiopia
Introduction Type 2 diabetes mellitus (T2DM), which accounts for ~90% of the total diabetic population, is a significant cause of adult morbidity and mortality. (1,2) Optimal glycemic control prevents the [...]