We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Skip main navigation
Aging Health
Bioelectronics in Medicine
Biomarkers in Medicine
Breast Cancer Management
CNS Oncology
Colorectal Cancer
Concussion
Epigenomics
Future Cardiology
Future Microbiology
Future Neurology
Future Oncology
Future Rare Diseases
Future Virology
Hepatic Oncology
HIV Therapy
Immunotherapy
International Journal of Endocrine Oncology
International Journal of Hematologic Oncology
Journal of 3D Printing in Medicine
Journal of Comparative Effectiveness Research
Lung Cancer Management
Melanoma Management
Nanomedicine
Neurodegenerative Disease Management
Pain Management
Pediatric Health
Personalized Medicine
Pharmacogenomics
Regenerative Medicine

Association between haptoglobin gene and insulin resistance in Arab–Americans

    Kyle J Burghardt

    *Author for correspondence:

    E-mail Address: kburg@wayne.edu

    Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, Detroit, MI 48201, USA

    ,
    Dana El Masri

    Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, Detroit, MI 48201, USA

    ,
    Sabrina E Dass

    Department of Chemistry, Kalamazoo College, Kalamazoo, MI 49006, USA

    ,
    Sara S Shikwana

    Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, Detroit, MI 48201, USA

    &
    Linda A Jaber

    Eugene Applebaum College of Pharmacy & Health Sciences, Wayne State University, Detroit, MI 48201, USA

    Published Online:https://doi.org/10.2217/bmm-2017-0094

    Aim: To analyze associations between variation in the HP gene and lipid and glucose-related measures in Arab–Americans. Secondary analyses were performed based on sex. Patients & methods: Genomic DNA was extracted from samples obtained from a previous epidemiological study of diabetes in Arab–Americans. The HP 1 and 2 alleles were analyzed by polymerase chain reaction and gel electrophoresis. Associations were analyzed by linear regression. Results & conclusion: Associations were identified between the heterozygous haptoglobin 2–1 genotype and insulin resistance, fasting insulin and fasting c-peptide. The effect of sex did not remain significant after adjustment for relevant variables. HP genetic variation may have utility as a biomarker of insulin resistance and diabetes risk in Arab–Americans, however, future prospective studies are needed.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1 Jaber LA, Brown MB, Hammad A et al. Epidemiology of diabetes among Arab–Americans. Diabetes Care 26(2), 308–313 (2003). •• First establishing high rate of diabetes among Arab–Americans.Crossref, MedlineGoogle Scholar
    • 2 Jaber LA, Brown MB, Hammad A, Zhu Q, Herman WH. The prevalence of the metabolic syndrome among Arab–Americans. Diabetes Care 27(1), 234–238 (2004). • Establishing high rate of metabolic syndrome among Arab–Americans.Crossref, MedlineGoogle Scholar
    • 3 Salinitri FD, Pinelli NR, Martin ET, Jaber LA. Insulin sensitivity and secretion in Arab–Americans with glucose intolerance. Diabetes Technol. Ther. 15(12), 1019–1024 (2013).Crossref, Medline, CASGoogle Scholar
    • 4 El-Sayed AM, Galea S. The health of Arab–Americans living in the United States: a systematic review of the literature. BMC Public Health 9, 272 (2009).Crossref, MedlineGoogle Scholar
    • 5 El-Sayed AM, Tracy M, Scarborough P, Galea S. Ethnic inequalities in mortality: the case of Arab–Americans. PLoS ONE 6(12), e29185 (2011). • Discussion of disproportionate effects of mortality among different ethnicities.Crossref, Medline, CASGoogle Scholar
    • 6 Al Muftah WA, Al-Shafai M, Zaghlool SB et al. Epigenetic associations of Type 2 diabetes and BMI in an Arab population. Clin. Epigenet. 8, 13 (2016).Crossref, MedlineGoogle Scholar
    • 7 Lasram K, Ben Halim N, Hsouna S et al. Evidence for association of the E23K variant of KCNJ11 gene with Type 2 diabetes in Tunisian population. Population-based study and meta-analysis. Biomed. Res. Int. 2014, 265274 (2014).MedlineGoogle Scholar
    • 8 Khodaeian M, Enayati S, Tabatabaei-Malazy O, Amoli MM. Association between genetic variants and diabetes mellitus in Iranian populations: a systematic review of observational studies. J. Diabetes. Res. 2015, 585917 (2015).MedlineGoogle Scholar
    • 9 Langlois MR, Delanghe JR. Biological and clinical significance of haptoglobin polymorphism in humans. Clin. Chem. 42(10), 1589–1600 (1996). •• Describes the importance of the haptoglobin protein and its associated polymorphisms.Crossref, Medline, CASGoogle Scholar
    • 10 Wassell J. Haptoglobin: function and polymorphism. Clin. Lab. 46(11–12), 547–552 (2000).Medline, CASGoogle Scholar
    • 11 Gueye PM, Glasser N, Ferard G, Lessinger JM. Influence of human haptoglobin polymorphism on oxidative stress induced by free hemoglobin on red blood cells. Clin. Chem. Lab. Med. 44(5), 542–547 (2006).Crossref, Medline, CASGoogle Scholar
    • 12 Van Vlierberghe H, Langlois M, Delanghe J. Haptoglobin polymorphisms and iron homeostasis in health and in disease. Clin. Chim. Acta 345(1–2), 35–42 (2004).Crossref, Medline, CASGoogle Scholar
    • 13 Szafranek T, Marsh S, Levy AP. Haptoglobin: a major susceptibility gene for diabetic vascular complications. Exp. Clin. Cardiol. 7(2–3), 113–119 (2002).Medline, CASGoogle Scholar
    • 14 Mackellar M, Vigerust DJ. Role of haptoglobin in health and disease: a focus on diabetes. Clin. Diabetes 34(3), 148–157 (2016).Crossref, MedlineGoogle Scholar
    • 15 Carter K, Worwood M. Haptoglobin: a review of the major allele frequencies worldwide and their association with diseases. Int. J. Lab. Hematol. 29(2), 92–110 (2007).Crossref, MedlineGoogle Scholar
    • 16 Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin. Chem. 18(6), 499–502 (1972).Crossref, Medline, CASGoogle Scholar
    • 17 American Diabetes Association. Classification and Diagnosis of Diabetes. Diabetes Care 39(Suppl. 1), S13–S22 (2016).MedlineGoogle Scholar
    • 18 HOMA calculator. www.dtu.ox.ac.uk/homacalculator/.Google Scholar
    • 19 Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7), 412–419 (1985).Crossref, Medline, CASGoogle Scholar
    • 20 Levy JC, Matthews DR, Hermans MP. Correct homeostasis model assessment (HOMA) evaluation uses the computer program. Diabetes Care 21(12), 2191–2192 (1998).Crossref, Medline, CASGoogle Scholar
    • 21 Defronzo RA, Matsuda M. Reduced time points to calculate the composite index. Diabetes Care 33(7), e93 (2010).Crossref, MedlineGoogle Scholar
    • 22 Lahiri DK, Nurnberger JI Jr. A rapid nonenzymatic method for the preparation of HMW DNA from blood for RFLP studies. Nucl. Acids Res. 19(19), 5444 (1991).Crossref, Medline, CASGoogle Scholar
    • 23 Koch W, Latz W, Eichinger M et al. Genotyping of the common haptoglobin Hp 1/2 polymorphism based on PCR. Clin. Chem. 48(9), 1377–1382 (2002).Crossref, Medline, CASGoogle Scholar
    • 24 Louagie HK, Brouwer JT, Delanghe JR, De Buyzere ML, Leroux-Roels GG. Haptoglobin polymorphism and chronic hepatitis C. J. Hepatol. 25(1), 10–14 (1996).Crossref, Medline, CASGoogle Scholar
    • 25 Horita N, Kaneko T. Genetic model selection for a case–control study and a meta-analysis. Meta Gene 5, 1–8 (2015).Crossref, MedlineGoogle Scholar
    • 26 Doumatey AP, Lashley KS, Huang H et al. Relationships among obesity, inflammation and insulin resistance in African Americans and West Africans. Obesity (Silver Spring, MD) 18(3), 598–603 (2010).Crossref, Medline, CASGoogle Scholar
    • 27 De Pergola G, Di Roma P, Paoli G, Guida P, Pannacciulli N, Giorgino R. Haptoglobin serum levels are independently associated with insulinemia in overweight and obese women. J. Endocrinol. Invest. 30(5), 399–403 (2007).Crossref, Medline, CASGoogle Scholar
    • 28 De Stefano V, Martinelli I, Mannucci PM et al. The risk of recurrent deep venous thrombosis among heterozygous carriers of both factor V Leiden and the G20210A prothrombin mutation. N. Engl. J. Med. 341(11), 801–806 (1999).Crossref, Medline, CASGoogle Scholar
    • 29 Aly TA, Ide A, Jahromi MM et al. Extreme genetic risk for Type 1A diabetes. Proc. Natl Acad. Sci. USA 103(38), 14074–14079 (2006).Crossref, Medline, CASGoogle Scholar
    • 30 Henderson R, O’Kane M, McGilligan V, Watterson S. The genetics and screening of familial hypercholesterolaemia. J. Biomed. Sci. 23, 39 (2016).Crossref, MedlineGoogle Scholar
    • 31 Cahill LE, Levy AP, Chiuve SE et al. Haptoglobin genotype is a consistent marker of coronary heart disease risk among individuals with elevated glycosylated hemoglobin. J. Am. Coll. Cardiol. 61(7), 728–737 (2013).Crossref, Medline, CASGoogle Scholar
    • 32 Cahill LE, Jensen MK, Chiuve SE et al. The risk of coronary heart disease associated with glycosylated hemoglobin of 6.5% or greater is pronounced in the haptoglobin 2–2 genotype. J. Am. Coll. Cardiol. 66(16), 1791–1799 (2015).Crossref, Medline, CASGoogle Scholar
    • 33 Pechlaner R, Kiechl S, Willeit P et al. Haptoglobin 2–2 genotype is not associated with cardiovascular risk in subjects with elevated glycohemoglobin-results from the Bruneck Study. J. Am. Heart Assoc. 3(3), e000732 (2014). • Describes the importance of haptoglobin genotype in cardoivascular risk in patients with high HBA1C levels.Crossref, MedlineGoogle Scholar
    • 34 Amiri AA, Hashemi-Soteh MB, Haghshenas MR, Daneshvar F, Rastegar A, Farazmand T. Haptoglobin polymorphism in individuals with Type 2 diabetic microangiopathy. North Am. J. Med. Sci. 5(9), 529–535 (2013).Crossref, MedlineGoogle Scholar
    • 35 Awadallah SM, Ramadan AR, Nusier MK. Haptoglobin polymorphism in relation to antioxidative enzymes activity in Type 2 diabetes mellitus. Diabetes Metabol. Syndr. 7(1), 26–31 (2013).Crossref, MedlineGoogle Scholar
    • 36 Adams JN, Cox AJ, Freedman BI, Langefeld CD, Carr JJ, Bowden DW. Genetic analysis of haptoglobin polymorphisms with cardiovascular disease and Type 2 diabetes in the Diabetes Heart Study. Cardiovasc. Diabetol. 12, 31 (2013). • Investigates common haptoglobin polymorphism and other variants and their association with metabolic markers in subjects with Type 2 diabetes.Crossref, Medline, CASGoogle Scholar
    • 37 Shi X, Sun L, Wang L et al. Haptoglobin 2–2 genotype is associated with increased risk of Type 2 diabetes mellitus in northern Chinese. Genet. Test. Mol. Biomark. 16(6), 563–568 (2012).Crossref, Medline, CASGoogle Scholar
    • 38 Perreault L, Ma Y, Dagogo-Jack S et al. Sex differences in diabetes risk and the effect of intensive lifestyle modification in the Diabetes Prevention Program. Diabetes Care 31(7), 1416–1421 (2008).Crossref, Medline, CASGoogle Scholar
    • 39 Goodarzi MO, Li X, Krauss RM, Rotter JI, Chen YD. Relationship of sex to diabetes risk in statin trials. Diabetes Care 36(7), e100–e101 (2013).Crossref, MedlineGoogle Scholar