Abstract:These results support a direct linkage between diabetic vascular disease and the Hp genotype. These Hp-modified mice may serve as a platform on which to test a variety of pharmacological agents in order to decrease diabetic vascular disease.
“…We have therefore sought to recapitulate the association of the Hp genotype and diabetic vascular disease in mice genetically modified at the Hp locus, where the only difference between the groups of mice is the Hp genotype. In the kidneys of these mice we have recently reported Hp genotype and DM‐dependent differences in renal hypertrophy, an early marker of diabetic renal disease 8. Thickening of microvascular basement membranes has been widely observed in diabetic humans and animals and is an early morphological characteristic of diabetic retinal disease 9.…”
A highly significant increase in RCBM thickness was observed in DM mice with the Hp 2 genotype. These data provide important support for association studies done in humans showing an increased prevalence of diabetic retinopathy in individuals with the Hp 2 genotype.
“…We have therefore sought to recapitulate the association of the Hp genotype and diabetic vascular disease in mice genetically modified at the Hp locus, where the only difference between the groups of mice is the Hp genotype. In the kidneys of these mice we have recently reported Hp genotype and DM‐dependent differences in renal hypertrophy, an early marker of diabetic renal disease 8. Thickening of microvascular basement membranes has been widely observed in diabetic humans and animals and is an early morphological characteristic of diabetic retinal disease 9.…”
A highly significant increase in RCBM thickness was observed in DM mice with the Hp 2 genotype. These data provide important support for association studies done in humans showing an increased prevalence of diabetic retinopathy in individuals with the Hp 2 genotype.
“…In the setting of DM, it has been shown by several groups that the Hp 2-2 polymorphism confers a 2-5 fold increased risk for CVD compared to the Hp 1-1 and Hp 2-1 genotype[188-192]. This was also seen in in vivo studies, where Hp 2-2 DM mice were more prone to develop retinopathy[193], nephropathy[194] and atherosclerosis[195, 196]. Interestingly in the absence of DM, the Hp 1-1 genotype may be associated with increased CVD[197, 198].…”
Section: Haptoglobin and Hemoglobin-mediated Oxidative Stressmentioning
Prospective identification of which individuals with diabetes mellitus (DM) are at greatest risk of developing cardiovascular (CVD) complications would have considerable public health importance by allowing the allocation of limited resources to be focused on those individuals who would most benefit from aggressive intervention. Over the past 20 years genetic disease association studies have demonstrated that polymorphisms at specific genetic loci may identify those individuals at greatest risk of developing CVD in the setting of DM. This article reviews the evidence accumulated to date on four polymorphic loci with the aim of explaining how these polymorphisms modify the risk of CVD in DM by modifying the functional activity of a specific gene. Utilization of the knowledge of these genetic differences among individuals in targeting drug therapy (pharmacogenomics) is also discussed.
“…Specifically, diabetic Hp 2-2 transgenic mice showed a significant increase in renal and glomerular hypertrophy compared to diabetic Hp 1-1 mice [17]. No difference was found between Hp 2-2 and Hp 1-1 mice in the absence of diabetes.…”
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