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Table 2 Evidence from studies involving the Gitelman’s Syndrome individuals in risk of nephropathy and T2DM

From: Arg913Gln variation of SLC12A3 gene is associated with diabetic nephropathy in type 2 diabetes and Gitelman syndrome: a systematic review

Author (year)

Study design

Population

N Sample

Characteristics of GS individuals with risk of nephropathy and T2DM

Major diagnosis

Main results of association in GS individuals with risk of nephropathy and T2DM.

   

Cases

Controls

   

Yuan et al [32] (2017)

Case-control

Chinese

28

20

AUC glucose (mmol·h/L) ± SD = 17.4 ± 5.1; AUC insulin (μU·h/mL ± SD = 221.5 ± 128.1; ISSI±SD = 81,389 ± 34,680; QUICKI±SD = 0.6 ± 0.1;

GS/DN

This study reported abnormalities in glucose metabolism and insulin secretion in GS patients. It was also observed that the areas under the serum glucose curves were higher in the GS patients than those in the healthy controls (p = 0.02).

Tseng et al [35] (2012)

Follow-up

Taiwanese

117

NA

Female n = 47; Male n = 70; Duration of diabetes ± SD(years) = 23 ± 3; FBS ± SD = 131–225; S-Cr (mg/dl) ± SD = 2.2 ± 1.0

GS/DN

This study reported that a large proportion of GS-patients had triple SLC12A3 mutations. Also, these individuals showed an increased risk for the development of chronic kidney disease and T2DM.

Ren et al [33] (2013)

Case-control

Chinese

16

12

AUC glucose (mEq · h/L) = 16.1(IQR 12.5–25.4); AUC insulin (μU · h/mL) = 81.0 (IQR 58.9–138).

GS/DN

This study found that GS patients showed a higher glucose level compared with control group (p < 0.05).Also, Ren and colleagues observed that GS patients showed a delay of insulin secretion peak which was observed 120 min after a glucose load.

Balavoine et al [49] (2011)

Follow-up

French

15

5

Age (years) ± SD = 35 ± 15; BMI(kg/m2) ± SD = 24.3 ± 6.7; T2DM = 20% (3/15); S Cr (mg/l) ± SD = 8.2 ± 1.1.

GS/DN

In this study was found an increased susceptibility to glucose intolerance in GS heterozygous patients. Additionally, Balavoine and colleagues confirmed the presence of mutations of the SLC12A3 gene in 80% of cases.

  1. Abbreviations: AUC area under curve, CKD chronic kidney disease, DN diabetic nephropathy, FBS Fasting blood sugar, GS Gitelman’s syndrome, IQR interquartile range, ISSI insulin secretion-sensitivity index, NA not applicable, SD standard desviation, SLC12A3 gene solute carrier family 12 member 3-gene, T2DM type 2 diabetes mellitus, QUICKI quantitative insulin sensitivity check index