Gastric inhibitory polypeptide receptor methylation in newly diagnosed, drug-naïve patients with type 2 diabetes: a case-control study

PLoS One. 2013 Sep 23;8(9):e75474. doi: 10.1371/journal.pone.0075474. eCollection 2013.

Abstract

GIP action in type 2 diabetic (T2D) patients is altered. We hypothesized that methylation changes could be present in GIP receptor of T2D patients. This study aimed to assess the differences in DNA methylation profile of GIPR promoter between T2D patients and age- and Body Mass Index (BMI)-matched controls. We included 93 T2D patients (cases) that were uniquely on diet (without any anti-diabetic pharmacological treatment). We matched one control (with oral glucose tolerance test negative, non diabetic), by age and BMI, for every case. Cytokines and hormones were determined by ELISA. DNA was extracted from whole blood and DNA methylation was assessed using the Sequenom EpiTYPER system. Our results showed that T2D patients were more insulin resistant and had a poorer β cell function than their controls. Fasting adiponectin was lower in T2D patients as compared to controls (7.0±3.8 µgr/mL vs. 10.0±4.2 µgr/mL). Levels of IL 12 in serum were almost double in T2D patients (52.8±58.3 pg/mL vs. 29.7±37.4 pg/mL). We found that GIPR promoter was hypomethylated in T2D patients as compared to controls. In addition, HOMA-IR and fasting glucose correlated negatively with mean methylation of GIPR promoter, especially in T2D patients. This case-control study confirms that newly diagnosed, drug-naïve T2D patients are more insulin resistant and have worse β cell function than age- and BMI-matched controls, which is partly related to changes in the insulin-sensitizing metabolites (adiponectin), in the proinflammatory profile (IL12) and we suggest in the methylation pattern of GIPR. Our study provides novel findings on GIPR promoter methylation profile which may improve our ability to understand type 2 diabetes pathogenesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / blood
  • Age Factors
  • Body Mass Index
  • Case-Control Studies
  • Cytokines / blood
  • DNA Methylation / genetics*
  • Diabetes Mellitus, Type 2 / metabolism*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Insulin Resistance / genetics
  • Interleukin-12 / blood
  • Promoter Regions, Genetic / genetics*
  • Receptors, Gastrointestinal Hormone / genetics
  • Receptors, Gastrointestinal Hormone / metabolism*

Substances

  • Adiponectin
  • Cytokines
  • Receptors, Gastrointestinal Hormone
  • Interleukin-12
  • gastric inhibitory polypeptide receptor

Grants and funding

This work was supported by the FIS Grant PI 1000219, the MEDIGENE project, grant agreement number 279171, funded by the EC Seventh Framework Programme theme FP7-HEALTH-2011 and by the Spanish Ministry of Science and Innovation (under de the grant agreement number SAF 2010-19527). CIBER de Diabetes y Enfermedades Metabólicas is an initiative of the Spanish Ministry of Science and Innovation. The Rio Hortega Grant from the Spanish Ministry of Science and Innovation was awarded to Silvia Canivell. Eduardo Fernandez-Rebollo (EF-R) has been the recipient of a BIOTRACK Postdoctoral Fellowship in Institut d’Investigacions Biomèdiques August Pi i Sunyer, supported by the European Community's Seventh Framework Programme (EC FP7/2009-2013) under the agreement no. 229673. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.