Volume 27, Issue 5 pp. 404-409
ORIGINAL ARTICLE

Acetyl-coenzyme A carboxylase beta gene polymorphism does not predict cardiovascular risk susceptibility in Chinese type 2 diabetic individuals

Gary C. W. Chan

Gary C. W. Chan

Division of Nephrology, Department of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong

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Helen Zhi

Helen Zhi

Department of Biostatistics and Clinical Research Methodology Unit, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong

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Pamela J. Hicks

Pamela J. Hicks

Department of Biochemistry and Centers for Genomics and Personalized Medicine Research & Diabetes Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA

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Barry I. Freedman

Barry I. Freedman

Department of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA

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Sydney C. W. Tang

Corresponding Author

Sydney C. W. Tang

Division of Nephrology, Department of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong

Correspondence

Sydney C. W. Tang, Rm 415 Professorial block, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.

Email: [email protected]

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First published: 22 December 2021
Citations: 1

Funding information: Hong Kong Society of Nephrology Research; University of Hong Kong; Sanofi-Aventis Hong Kong Limited

Abstract

Aim

Type 2 diabetes (T2D) is associated with significant cardiovascular (CV) morbidity and mortality. A single-nucleotide polymorphism (SNP) in the acetyl-coenzyme A carboxylase beta (ACACB) gene, rs2268388, reproducibly associates with diabetic nephropathy (DN). ACACB regulates fatty-acid oxidation. As such, we assessed whether ACACB SNP rs2268388 was associated with CV disease in Chinese individuals with T2D.

Methods

Chinese individuals with T2D were genotyped for SNP rs2268388. Baseline demographics were recorded and clinical data regarding coronary, carotid, and peripheral arterial disease and congestive heart failure were retrieved from electronic patient records. Statistical analyses were performed to detect associations between the rs2268388 T risk allele with CV outcomes in the cohort.

Results

A total of 596 Chinese individuals with T2D were genotyped. Their mean age was 66.8 ± 10.9 years at the time of data extraction. Genotyping revealed 59.7%, 33.2% and 7.1% of the study population were non-carriers, heterozygous and homozygous carriers of the rs2268388 T risk allele in ACACB. No statistically significant correlations of the risk allele were observed with CV outcomes.

Conclusion

These results did not demonstrate association between rs2268388 SNP in ACACB with CV outcomes in Chinese T2D patients. The ACACB gene and its role in CV risk susceptibility, via alterations in fatty acid oxidation, remains an interesting postulate and studies with larger cohort sizes and in different ethnic groups remain warranted.

CONFLICT OF INTEREST

All authors declare no conflict of interest.

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