Published online Aug 15, 2014. doi: 10.4239/wjd.v5.i4.493
Revised: May 26, 2014
Accepted: June 14, 2014
Published online: August 15, 2014
Processing time: 253 Days and 16.3 Hours
Diabetes mellitus is a combined metabolic disorder which includes hyperglycemia, dyslipidemia, stroke and several other complications. Various groups all over the world are relentlessly working out the possible role of a vast number of genes associated with type 2 diabetes (T2DM). Inflammation is an important outcome of any kind of imbalance in the body and is therefore an indicator of several diseases, including T2DM. Various ethnic populations around the world show different levels of variations in single nucleotide polymorphisms (SNPs). The present review was undertaken to explore the association of cytokine gene polymorphisms with T2DM in populations of different ethnicities. This will lead to the understanding of the role of cytokine genes in T2DM risk and development. Association studies of genotypes of SNPs present in cytokine genes will help to identify risk haplotype(s) for disease susceptibility by developing prognostic markers and alter treatment strategies for T2DM and related complications. This will enable individuals at risk to take prior precautionary measures and avoid or delay the onset of the disease. Future challenges will be to understand the genotypic interactions between SNPs in one cytokine gene or several genes at different loci and study their association with T2DM.
Core tip: Diabetes is the third most widespread disease after heart disease and cancer. Cytokines are mediators of inflammation, namely interleukins (IL)-1β, -1Ra, -18, -4, -6, -10, tumor necrosis factor-α and adiponectin, which cause immune responses in disease pathogenesis, including type 2 diabetes. In the present study, the association of cytokine gene polymorphisms in different ethnic populations is reviewed. Such single nucleotide polymorphism analyses and association studies in different populations will benefit individuals belonging to a particular group.