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Diabetes 51:3582-3585, 2002
© 2002 by the American Diabetes Association, Inc.


Brief Genetics Reports

Interleukin-1 Receptor Antagonist Genotype Is Associated With Coronary Atherosclerosis in Patients With Type 2 Diabetes

Rodrig Marculescu1, Georg Endler1, Martin Schillinger2, Nelly Iordanova3, Markus Exner1, Evelyn Hayden4, Kurt Huber3, Oswald Wagner1, and Christine Mannhalter1

1 Department of Laboratory Medicine, School of Medicine, University of Vienna, Vienna, Austria
2 Department of Internal Medicine II, Division of Angiology, School of Medicine, University of Vienna, Vienna, Austria
3 Department of Internal Medicine II, Division of Cardiology, School of Medicine, University of Vienna, Vienna, Austria
4 Department of Business Administration, School of Business, Economics and Computer Science, University of Vienna, Vienna, Austria

Recently, inflammation has received considerable attention in the pathogenesis of both type 2 diabetes and atherosclerosis. The interleukin-1 receptor antagonist (IL-1ra) is a major modulator of the interleukin-1 pro-inflammatory pathway. We studied the relationship between a variable number tandem repeat (VNTR) polymorphism in intron 2 of the IL-1ra gene (IL1RN) and coronary artery disease (CAD) in patients with and without type 2 diabetes, following 787 consecutive patients admitted for suspected CAD. According to the current criteria of the American Diabetes Association, 250 patients had type 2 diabetes. In this group of patients, allele 2 carriers (n = 108) had an increased prevalence of CAD compared with noncarriers (85.2 vs. 73.2%), a difference that remained significant in a multivariate logistic regression model (odds ratio 2.2, 95% CI 1.1–4.3, P = 0.02). No association of CAD with allele 2 carrier status was present among nondiabetic patients (n = 537). Enzyme-linked immunosorbent assays showed decreased baseline plasma levels of IL-1ra in patients with type 2 diabetes, which may in part explain the role of the IL1RN VNTR in these patients.



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