PMID- 10480624 OWN - NLM STAT- MEDLINE DCOM- 19990930 LR - 20190515 IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 48 IP - 9 DP - 1999 Sep TI - A polymorphism (K121Q) of the human glycoprotein PC-1 gene coding region is strongly associated with insulin resistance. PG - 1881-4 AB - The genes responsible for insulin resistance are poorly defined. Plasma cell differentiation antigen (PC-1) glycoprotein inhibits insulin receptor signaling and is associated with insulin resistance. We describe here a novel polymorphism in exon 4 of the PC-1 gene (K121Q) and demonstrate that it is strongly associated with insulin resistance in 121 healthy nonobese (BMI <30 kg/m2) nondiabetic (by oral glucose tolerance test [OGTT]) Caucasians from Sicily. Compared with 80 KK subjects, Q allele carriers (n = 41, 39 KQ and 2 QQ) showed higher glucose and insulin levels during OGTT (P < 0.001 by two-way analysis of variance) and insulin resistance by euglycemic clamp (M value = 5.25 +/- 1.38 [n = 24] vs. 6.30 +/- 1.39 mg x kg(-1) x min(-1) [n = 49], P = 0.005). Q carriers had higher risk of being hyperinsulinemic and insulin resistant (odds ratio [CI]: 2.99 [1.28-7.0], P < 0.001). Insulin receptor autophosphorylation was reduced (P < 0.01) in cultured skin fibroblasts from KQ versus KK subjects. Skeletal muscle PC-1 content was not different in 11 KQ versus 32 KK subjects (33 +/- 16.1 vs. 17.5 +/- 15 ng/mg protein, P = 0.3). These results suggest a cause-effect relationship between the Q carrying genotype and the insulin resistance phenotype, and raise the possibility that PC-1 genotyping could identify individuals who are at risk of developing insulin resistance, a condition that predisposes to type 2 diabetes and coronary artery disease. FAU - Pizzuti, A AU - Pizzuti A AD - Divisione e Unita di Ricerca di Endocrinologia, Istituto Scientifico Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy. FAU - Frittitta, L AU - Frittitta L FAU - Argiolas, A AU - Argiolas A FAU - Baratta, R AU - Baratta R FAU - Goldfine, I D AU - Goldfine ID FAU - Bozzali, M AU - Bozzali M FAU - Ercolino, T AU - Ercolino T FAU - Scarlato, G AU - Scarlato G FAU - Iacoviello, L AU - Iacoviello L FAU - Vigneri, R AU - Vigneri R FAU - Tassi, V AU - Tassi V FAU - Trischitta, V AU - Trischitta V LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Membrane Glycoproteins) RN - EC 3.1.4.- (Phosphoric Diester Hydrolases) RN - EC 3.1.4.1 (ectonucleotide pyrophosphatase phosphodiesterase 1) RN - EC 3.6.1.- (Pyrophosphatases) SB - IM MH - Adult MH - Analysis of Variance MH - Cells, Cultured MH - Exons MH - Female MH - Genetic Code MH - Glucose Clamp Technique MH - Glucose Tolerance Test MH - Humans MH - Insulin Resistance/*genetics MH - Male MH - Membrane Glycoproteins/*genetics MH - *Phosphoric Diester Hydrolases MH - Phosphorylation MH - *Polymorphism, Genetic MH - *Pyrophosphatases MH - Reference Values EDAT- 1999/09/10 00:00 MHDA- 1999/09/10 00:01 CRDT- 1999/09/10 00:00 PHST- 1999/09/10 00:00 [pubmed] PHST- 1999/09/10 00:01 [medline] PHST- 1999/09/10 00:00 [entrez] AID - 10.2337/diabetes.48.9.1881 [doi] PST - ppublish SO - Diabetes. 1999 Sep;48(9):1881-4. doi: 10.2337/diabetes.48.9.1881.