Authors: J. Šobra; R. Češka Authors‘ workplace: III. interní klinika 1. LF UK a VFN, Praha Published in: Čas. Lék. čes. 1999; : 70-74 Category:
The author presents a review on candidate genes of proteins involved in the metabolism of glukose, lipids andother metabolites (glucose carriers, insulin receptors, proinsulin, glucokinase, amyline, glycogen synthase).One of the main causes of enhanced atherogenesis in patients with type II diabetes (NIDDM) are marked geneticallyconditioned deviations of the lipid, lipoprotein and apolipoprotein metabolism. In the metabolic dyshomeostasis ofmultiple metabolic syndrome participate in the process of atherogenesis also: isoforms of apolipoprotein E4, isoformsof apolipoprotein A-IV-1/1, hyperuricaemia, raised levels of the plasminogen activator inhibitor 1 (PAI-1),hyperfibrinogenaemia, hyperhomocysteinaemia and other metabolites (cytokines, endothelin etc.). Patients with agreated genetic sensitivity manifest diabetes sooner and more intensely and die at a younger age in particular fromcardiovascular disease, but also on account of a higher incidence of tumours diseases.
Key words: candidate genes for type II diabetes mellitus, multiple metabolic syndrome, atherogenesis, geneticepidemiology, insulin resistance.
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