Coronary Heart Disease in Type 2 Diabetes Mellitus: Genetic Factors and Their Mechanisms, Gene-Gene, and Gene-Environment Interactions in the Asian Populations

Asians are more susceptible to type 2 diabetes mellitus (T2D) and its coronary heart disease (CHD) complications than the Western populations, possibly due to genetic factors, higher degrees of obesity, insulin resistance, and endothelial dysfunction that could occur even in healthy individuals. The...

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Veröffentlicht in:International journal of environmental research and public health 2022-01, Vol.19 (2), p.647
Hauptverfasser: Zarkasi, Khairul Anwar, Abdul Murad, Nor Azian, Ahmad, Norfazilah, Jamal, Rahman, Abdullah, Noraidatulakma
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Jamal, Rahman
Abdullah, Noraidatulakma
description Asians are more susceptible to type 2 diabetes mellitus (T2D) and its coronary heart disease (CHD) complications than the Western populations, possibly due to genetic factors, higher degrees of obesity, insulin resistance, and endothelial dysfunction that could occur even in healthy individuals. The genetic factors and their mechanisms, along with gene-gene and gene-environment interactions associated with CHD in T2D Asians, are yet to be explored. Therefore, the objectives of this paper were to review the current evidence of genetic factors for CHD, summarize the proposed mechanisms of these genes and how they may associate with CHD risk, and review the gene-gene and gene-environment interactions in T2D Asians with CHD. The genetic factors can be grouped according to their involvement in the energy and lipoprotein metabolism, vascular and endothelial pathology, antioxidation, cell cycle regulation, DNA damage repair, hormonal regulation of glucose metabolism, as well as cytoskeletal function and intracellular transport. Meanwhile, interactions between single nucleotide polymorphisms (SNPs) from different genes, SNPs within a single gene, and genetic interaction with environmental factors including obesity, smoking habit, and hyperlipidemia could modify the gene's effect on the disease risk. Collectively, these factors illustrate the complexities of CHD in T2D, specifically among Asians.
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subjects Angina pectoris
Apolipoproteins
Asian people
Asian People - genetics
Cardiovascular disease
Cardiovascular diseases
Cell cycle
Complications
Coronary artery disease
Coronary Disease - genetics
Cytoskeleton
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - genetics
DNA damage
DNA methylation
DNA repair
Energy metabolism
Environmental factors
Enzymes
Gene expression
Gene-Environment Interaction
Genes
Genetic factors
Genetic Predisposition to Disease
Glucose
Glucose metabolism
Health risk assessment
Health risks
Heart attacks
Heart diseases
High density lipoprotein
Humans
Hyperlipidemia
Hypertension
Insulin
Insulin resistance
Lipid metabolism
Lipids
Lipoproteins
Metabolism
Nucleotides
Obesity
Polymorphism, Single Nucleotide
Population
Population genetics
Populations
Protein expression
Proteins
Review
Risk Factors
Single-nucleotide polymorphism
White people
title Coronary Heart Disease in Type 2 Diabetes Mellitus: Genetic Factors and Their Mechanisms, Gene-Gene, and Gene-Environment Interactions in the Asian Populations
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