Published online Dec 15, 2023. doi: 10.4239/wjd.v14.i12.1803
Peer-review started: September 1, 2023
First decision: September 29, 2023
Revised: October 10, 2023
Accepted: November 28, 2023
Article in press: November 28, 2023
Published online: December 15, 2023
Processing time: 103 Days and 19.9 Hours
Diabetic nephropathy (DN) is a serious complication of diabetes with no typical clinical manifestations at the beginning of the disease, and treatment efficacy is poor. Currently, it is believed that the pathogenesis of DN is associated with environmental and genetic factors. In this study, we found that CT + TT genotype in glucokinase regulatory protein (GCKR) rs780094 is a risk factor for type 2 diabetes (T2D) complicated with albuminuria.
Human GCKR plays an important role in sugar regulation. However, the association between GCKR gene rs780094 polymorphism and diabetes and its complications is uncertain.
To explore the relationship between the GCKR gene rs780094 polymorphism and T2D with albuminuria.
The correlation between GCKR rs780094 and diabetes mellitus with proteinuria was studied by different grouping methods.
Studies have found that there are many risk factors for T2D with albuminuria. From the perspective of environmental factors, there were history of hypertension, alcohol consumption, history of hyperlipidemia, and blood glucose levels. At the genetic level, CT + TT genotype was identified to be a risk factor for T2D mellitus with albuminuria.
In clinical practice, we can start with proteinuria detection, assess the risk of individuals carrying susceptibility genes, and take comprehensive prevention and control measures to delay the onset of T2D.
While promising, the study has some limitations, including that it did not take into account whether patients were taking lipid-lowering and blood-pressure medications, and did not calculate insulin resistance indexes, among others. In addition, due to the limited geographical options in this study, there may be selection bias, and further clinical trials are needed to refine the conclusions of this study.