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. 2016 Jul 15:215:482-6.
doi: 10.1016/j.ijcard.2016.04.079. Epub 2016 Apr 13.

Alpha2A adrenergic receptor genetic variation contributes to hyperglycemia after myocardial infarction

Abiodun Adefurin  1 , Charles Vanderbilt  1 , Chimalum Okafor  1 , Vivian Kawai  1 , Chun Li  2 , Anushi Shah  3 , Wei-Qi Wei  3 , Daniel Kurnik  4 , C Michael Stein  1
Affiliations

Alpha2A adrenergic receptor genetic variation contributes to hyperglycemia after myocardial infarction

Abiodun Adefurin et al. Int J Cardiol. .

Abstract

Background: Acute myocardial infarction (AMI) is frequently associated with transient hyperglycemia even in patients without pre-existing diabetes. Acute stress can lead to increased blood glucose through the effect of catecholamines on alpha2A-adrenergic receptors (α2A-ARs) present in pancreatic islet β-cells. Variation in the gene (ADRA2A) that encodes the α2A-AR affects insulin release and glucose control and may play a particularly important role during times of stress.

Methods: We performed a retrospective cohort study using de-identified electronic medical records linked to a DNA repository in 521 Caucasians and 55 African-American non-diabetic patients with AMI. We examined the association between admission blood glucose concentrations and ten selected ADRA2A SNPs in Caucasians.

Results: Three ADRA2A SNPS were associated with stress-induced hyperglycemia in Caucasians. Individuals homozygous for the rs10885122 variant (n=9) had a 23% lower admission glucose (geometric mean [95% CI], 99 [83-118]mg/dl) compared with non-carriers (121 [118-125] mg/dl; n=401; P=0.001). Admission glucose was 14% higher in rs1800544 variant homozygotes (134 [119-150]mg/dl; n=36) compared to non-carriers (118 [115-121]mg/dl; n=290, P=0.046). Furthermore, homozygotes of the rs553668 variant (n=13) had a 13% higher glucose (133 [110-160]mg/dl) compared to non-carriers (118 [115-122]mg/dl; n=366; P=0.056). Haplotypes including these ADRA2A SNPs were associated with higher admission glucose levels.

Conclusions: Three ADRA2A genetic variants are associated with blood glucose and stress-induced hyperglycemia after AMI in Caucasians.

Keywords: Alpha adrenergic receptors; Glucose; Stress.

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Figures

Figure 1
Figure 1
Schematic diagram of selection of 576 AMI cases for the study
Figure 2
Figure 2
rs10885122 genotype in Caucasians and its association with admission glucose following acute myocardial infarction.
See this image and copyright information in PMC

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