BACKGROUNDCardiovascular disease (CVD) is a signi cant complication of type 2 diabetes mellitus (T2DM), with oxidative stress playing a signi cant role. Glutathione S-transferase (GST) polymorphisms -GSTM1, GSTT1 -have been linked to CVD and T2DM. The role of GSTM1 and GSTT1 in CVD development among T2DM patients in the South Indian population is investigated in this study.
MATERIALS AND METHODSThe volunteers were grouped as Group 1: control, Group 2: T2DM, Group 3: CVD, and Group 4: T2DM with CVD (n = 100 each). Blood glucose, lipid pro le, plasma GST, MDA, and total antioxidants were measured. GSTM1 and GSTT1 were genotyped using PCR.
RESULTSGSTT1 plays a signi cant role in the development of T2DM and CVD ), < 0.001 and 3.05(1.67-5.58), < 0.001] while GSTM1 null genotype was not associated with disease development.Individuals with dual null GSTM1/GSTT1 genotype had the highest risk of developing CVD [3.70(1.50-9.11), 0.004]. Group 2 and 3 individuals showed higher lipid peroxidation and lower total antioxidant levels. Pathway analysis further indicated that GSTT1 signi cantly affects GST plasma levels.
CONCLUSIONGSTT1 null genotype may be considered as a factor for increasing the susceptibility and risk of CVD and T2DM in the South Indian population.