Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2010) 22 P813

ECE2010 Poster Presentations Thyroid (122 abstracts)

Association of Pro12Ala PPAR-γ gene polymorphism with Graves' orbitopathy

Jacek Daroszewski 1 , Edyta Pawlak 2 , Marek Bolanowski 1 & Irena Frydecka 2,

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1Department of Endocrinology, Diabetology, and Isotope Therapy, Medical University, Wroclaw, Poland; 2Department of Experimental Therapy, Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland; 3Department of Hematology, Blood Neoplastic Diseases, and Bone Marrow Transplantation, Medical University, Wroclaw, Poland.


Introduction: Peroxisome proliferation-activated receptors-γ (PPAR-γ) have been shown to be involved in adipogenesis as well as in immunoregulation and inflammation control. Orbital fibroblast differentiation to adipocytes is a PPAR-γ dependent process essential for pathogenic tissue remodeling in Graves orbitopathy (GO).

Purpose: We studied the occurrence and possible associations of the Pro115Gln and Pro12Ala in the PPARγ2 gene with clinical manifestation of GO.

Material and methods: The Pro12Ala and Pro115Gln polymorphisms were examined using PCR-RFLP technique with restriction enzymes: HpaII and HincII, respectively, in 202 Graves’ disease patients. There were 168 patients with GO and 34 subjects without eye changes. Patients with GO were grouped according to the stage of the disease severity.

Results: We found that Ala allele and (Pro12Ala+Ala12Ala) genotype decreased the risk of OT by a factor of 3.33 and 3.45 (P=0.0002, 95% CI: 0.16–0.59 and P=0.001, 95% CI: 0.13–0.63, respectively). Moreover, the Ala12Ala genotype was not observed in the group of patients with GO. The patients heterozygous at this polymorphic site were significantly more frequent in a group of patients without GO as compared to GO group (38.2 vs 18.5%, P=0.01, 95% CI: 0.17–0.81). However, this polymorphism was not associated with a stage of GO.

The Pro115Gln mutation was not found in any of subjects examined.

Conclusions: We found that the Ala variant in Pro12Ala polymorphism is associated with decreased risk of GO and may be considered as a protective factor.

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