2008 Barcelona - European Society of Human Genetics

2008 Barcelona - European Society of Human Genetics 2008 Barcelona - European Society of Human Genetics

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Molecular and biochemical basis of disease (RAGE -429T/C, HSP70-2 1267A/G and TNFα -308G/A) were also determined. We identified 53 polymorphisms in the CYP21 gene; ten SNPs were previously not reported. C4B*Q0 was found to significantly linked to two intronic SNPs (1106C/A and 1113T/C) of CYP21 . Analysis of 34 families confirmed that the haplotype block involving the variant form of the SNPs has no C4B gene . These results indicate that the SNPs may contribute to the higher morbidity and mortality rate of C4B*Q0 carriers, presumably by influencing the expression of the CYP21 protein . P06.074 Bisphosphonate related Osteonecrosis of the jaw is associated with polymorphisms of the cytochrome P450 2c8 in multiple myeloma: a genome wide single nucleotide polymorphism analysis M. E. Sarasquete1 , R. Garcia-Sanz1,2 , L. Marin1 , M. Alcoceba1 , M. C. Chillon1 , A. Balanzategui1 , C. Santamaria1 , J. Blade2 , J. de la Rubia2 , J. Petit2 , M. T. Hernandez2 , J. J. Lahuerta2 , M. Gonzalez2,1 , J. F. San Miguel1,2 ; 1 2 Hospital Universitario de Salamanca, Salamanca, Spain, Grupo Español de Mieloma. Red Española de Mieloma (G03/136), Spain, Spain. Osteonecrosis of the jaws (ONJ) is an adverse side effect of bisphosphonate (BP) therapy . Patients with multiple myeloma (MM) usually receive BPs for the treatment of bone destruction . ONJ could be caused by a combination of environmental and genetic risk factors . Our aim was to asses the role of genetics in ONJ development . We performed a genome wide association study using 500 .568 SNPs in two series of MM patients included in the same therapeutic protocol receiving the same BP therapy: 22 cases (MM with ONJ) and 65 matched controls (MM without ONJ) . Clinical and biological characteristics, response to treatment and survival rates were similar in both subsets of patients . Regarding the polymorphisms, we identified four SNPs (rs17110453, rs1934951, rs1934980 and rs1341162) mapped within the Cytochrome P450-2C gene (CYP2C8) with a singular distribution among cases and controls . Rs1934980, rs1341162 and rs17110453 showed a significant correlation with ONJ (p=4 .231e-6 , p=6 .22e-6 and p=2 .15e-5 respectively), although the association was not significant after Bonferroni correction. The SNP rs1934951 kept its statistical significant association with ONJ (P-value=1 .07e-06, P corrected value=0 .02) . Genotyping results displayed an overrepresentation of the T allele in cases vs . controls (0 .475 vs . 0 .125) . Thus, individuals homozygous for the risk allele had a likelihood of ONJ increased by 12.75 (95% confidence interval 3.7 to 43 .5) . Our data suggest that the rs1934951 polymorphism may play a role as a risk factor for developing ONJ in MM patients receiving BPs therapy . P06.075 cYP2D6 polymorphism in patients with Parkinson‘s disease M. Lisak, M. Stefanović, M. Roje Bedeković, Z. Trkanjec, E. Topić, V. Demarin; University Hospital Sestre milosrdnice, Zagreb, Croatia. Aim: CYP2D6 is an enzyme of cytochrome P-450 system that metabolizes some of endogenous substances in central nervous system, including metabolism of dopamine and drugs used for Parkinson’s disease (PD) treatment . Decreased metabolic capability of this enzyme could be associated with increased risk of morbidity and of higher risk for side effects of antiparkinsonian medication . The aim of this study was determination of the incidence and comparison of non-functional alleles with the intention of detecting increased risk for PD in individuals with damaged function of enzyme CYP2D6 . Materials and methods: Multiplex allele-specific polymerase chain reaction (PCR) the incidence of non-functional alleles CYP2D6*3, *4, *6, *7, and *8 was determined in healthy volunteers (n=145) and in patients with PD (n=41) . Results: In a group of healthy volunteers the incidence of CYP2D6 alleles was: CYP2D6*3=1 .4%, CYP2D6*4=11 .0%, CYP2D6*6=1 .0%, CYP2D6-wt=86 .6% . In a group of PD patients the incidence of CYP2D6 alleles was: CY- P2D6*3=1 .2%, CYP2D6*4=20 .7%, CYP2D6*6=1 .2% and CYP2D6wt=76.8%. Statistically significant difference was found only for allele CYP2D6*4 (relative risk=2 .10; 95% CI: 1 .113-3 .994) . The relation of genotype distribution was *3/wt 2 .8% and 2 .4%; *4/wt 18 .6% and 26 .8%; *4/*4 1 .4% and 7 .3%; *6/wt 1 .4% and 2 .4%; *4/*6 0 .7% and 0 .0%; wt/wt 75 .2% and 61 .0% in healthy volunteers and PD patients, respectively). There was no statistically significant difference between these distributions . Discussion: Results of this study indicate that the allele CYP2D6*4 could be considered as a weak risk factor for PD, but similar study should be carried out on larger sample group . P06.076 contribution of gene sequence variant cYP3A4*1B of the hepatic cytochrome P450 3A4 enzyme to variability in individual response to clopidogrel A. N. Stolyarova, O. V. Sirotkina; Petersburg Nuclear Physics Institute Russian Academy of Science, Saint-Petersburg, Russian Federation. Clopidogrel is an inactive pro-drag that requires oxidation by hepatic cytochrome CYP3A4 to generate active metabolite . Because genetic variations are the major determinant of heterogeneity in metabolic activity of enzyme, we hypothesize that polymorphism of CYP3A4 gene may influence platelet aggregation in patients treated with clopidogrel. We examined platelet aggregation in 100 patients with acute coronary syndrome treated by clopidogrel 75mg/day according to variant CYP3A4*1B . Aggregation was induced by ADP 20mkM and measured in two points - before and on day 7 after clopidogrel treatment as level of light transmission (LT,%) determined by optical aggregometry . For detection of the CYP3A4*1B the PCR and original endonuclease digestion with PstI was used and results in patients were compared with 83 healthy persons . Our study showed that the frequencies of CYP3A4*1B genotypes were 89%, 10% and 1% in patients and 90 .5%, 8 .5% and 1% in controls for wild, heterozygous and homozygous genotypes, respectively, and these frequencies didn’t differ in two groups. The LT was significantly lower in patients in second measuring point compared to first point - 20.59±1.58% and 34.03±1.96%, respectively (p

Molecular and biochemical basis of disease P06.078 the association between gene polymorphism of cytochrome P450 2D6 and behavioral characteristics V. A. Shleptsova1 , J. Shchegolkova2 , A. G. Tonevitsky3 ; 1Faculty of basic medicine, Moscow State University, Moscow, Russian Federation, 2Biological faculty, Moscow State University, Moscow, Russian Federation, 3Russian research institute of sport and physical education, Moscow, Russian Federation. The cytochrome P450 2D6 (CYP2D6) enzyme is involved in the hepatic metabolism of many drugs and other exogenous substances . There are a little evidences that CYP2D6 involves in metabolism of endogenous psychoactive substances and expresses not only in liver but also in the brain. Therefore it may influence on psychological process. It has been shown that there are significant differences in personality between extensive and poor metabolizers . In our investigation we investigated an association of gene polymorphism of CYP2D6 and personality traits . 160 healthy subjects took part in the study (women - 82, men - 78) . There were tested by different psychological questionnaires which examine aggression, impulsivity, anxiety and others and also by psychophisiological measurements . We genotyped with PCR-method any gene variations of CYP2D6: CYP2D6*1, CYP2D6*2 (C2850T), CYP2D6*4 (G1934A), CYP2D6*10 (C100T) We showed that CYP2D6 poor metabolizers (CYP2D6*4, CY- P2D6*10) had significantly higher level of verbal aggression (p=0.04) and inability of stopping aggression (p=0 .04) and had more pleasure of aggression (p=0 .02) than extensive metabolizers (CYP2D6*1, CY- P2D6*2) . Furthermore, this relationship expressed to the same extent both at men, and at women . Association between CYP2D6 gene polymorphism and personality characteristics can indicate on influence cytochrome activity on neuromediator`s metabolism in brain . P06.079 cytokine genes polymorphisms are associated with essential hypertension in tatars from Bashkortostan, Russia Y. R. Timasheva1 , T. R. Nasibullin1 , A. N. Zakirova2 , O. E. Mustafina1 ; 1 2 Institute of Biochemistry and Genetics, Ufa, Russian Federation, Bashkir State Medical University, Ufa, Russian Federation. Cardiovascular disease is the leading cause of death in the Western world . Recently inflammation was proved to be the main substrate underlying the development atherosclerosis . Cytokines mediate interactions of all cells participating in atherogenesis . However, the role of certain cytokines genetic variants on disease risk is not well understood. We tested the hypothesis that specific genetic polymorphisms of some cytokines are associated with increased risk of essential hypertension (EH) and its cardiovascular complications . 355 patients with EH and 343 unrelated normotensive individuals without family history of cardiovascular disease were enrolled in the study . Both patients and control originated from Tatar ethnic group from Bashkortostan, Russia . DNA was isolated from peripheral venous blood . Genotyping was performed using polymerase chain reaction and restriction analysis . Statistical analysis was performed using Fisher’s exact test. Odds ratios with 95% confidence interval were also calculated . We have shown that IL-10 -627*C/*C genotype is associated with decreased hypertension risk (OR=0 .53, CI: 0 .22-0 .78). TNFA -308*G/*G was found to be protective against stroke in hypertensive patients (OR=0 .48, CI: 0 .24-0 .97) . 1159*A/*A IL12B genotype was also associated with lower stroke risk (OR= 0 .43, CI: 0 .21_0 .9) . We demonstrate that common genetic variants of IL10, TNFA and IL12B genes are associated with the risk of EH and its complications . Our data suggest a role for cytokine genes polymorphisms in cardiovascular disease . P06.080 strong linkage disequilibrium for the frequent GJB 35delG mutation in the Greek population H. Kokotas 1 , L. Van Laer 2 , M. Grigoriadou 1 , V. Iliadou 3 , J. Economides 4 , S. Pomoni 1 , A. Pampanos 1 , N. Eleftheriades 5 , E. Ferekidou 6 , S. Korres 6 , A. Giannoulia-Karantana 7 , G. Van Camp 2 , M. B. Petersen 1 ; 1 Institute of Child Health, Athens, Greece, 2 University of Antwerp, Antwerp, Belgium, 3 AHEPA Hospital, Thessaloniki, Greece, 4 ‘Aghia Sophia’ Children’s Hospital, Athens, Greece, 5 St. Loukas Hospital, Thessaloniki, Greece, 6 Athens University, Athens, Greece, 7 Athens University Medical School, Athens, Greece. Approximately one in 1,000 children is affected by severe or profound hearing loss at birth or during early childhood (prelingual deafness) . Up to forty percent of autosomal recessive, congenital, severe to profound hearing impairment cases result from mutations in a single gene, GJB2 . The 35delG mutation accounts for the majority of GJB2 mutations detected in Caucasian populations and represents one of the most frequent disease mutations identified so far. Some previous studies have assumed that the high frequency of the 35delG mutation reflects the presence of a mutational hot spot, whilst other studies support the theory of a common founder . Greece is amongst the countries presenting high frequency of the 35delG mutation (3 .5%), and a recent study raised the hypothesis of the origin of this mutation in ancient Greece . We genotyped 60 Greek deafness patients homozygous for the 35delG mutation for six single nucleotide polymorphisms (SNPs) and two microsatellite markers, mapping within or flanking the GJB2 gene, as compared to 60 Greek hearing controls . A strong linkage disequilibrium was found between the 35delG mutation and markers inside or flanking the GJB2 gene, at distances of 34 kb on the centromeric and 90 kb on the telomeric side of the gene, respectively . Our study supports the hypothesis of a founder effect and we further propose that ethnic groups of Greek ancestry could have propagated the 35delG mutation, as evidenced by historical data beginning from the 15 th century BC . P06.081 Detoxification system gene variants and small-for-gestationalage births N. Nabieva 1 , T. Ivashchenko 2 , N. Shabalov 1 , V. Baranov 2 ; 1 Medical Pediatrics Academy, St.Petersburg, Russian Federation, 2 Ott’s institute of Obstetrics and Gynecology, St.Petersburg, Russian Federation. Small-for-gestational-age (SGA) is defined as birth weight below the 10th percentile according to gestational age and sex based on national standards. Little is known about the role of detoxification system gene variants as risk factors for SGA births . Only a few studies have considered the direct role of polymorphic xenobiotic-metabolizing genes in fetal growth . GSTM1 and GSTT1, in the GST family, are both involved in the biotransformation of a wide range of reactive toxic and mutagenic compounds, including ROS oxygen species and components of tobacco smoke . GST enzymes are present in large amounts in the placenta in early pregnancy and are expressed early in embryonic development . The polymorphisms of xenobiotic-metabolizing genes (GSTM1, GSTT1, NAT2) responsible for xenobiotics conjugating enzymes of Phase II detoxification system were studied by PCR-RFLP in SGA infants and control group newborns . The genotypes distribution for NAT2 gene was identical in controls group and in group of SGA patients . The analysis of genotypes distribution for polymorphism and GST M1 in patients and in controls has not revealed significant differences. The frequency of GSTT10/0 genotype was significantly higher in group of patients compared to controls (34% versus 10% respectively, p=0 .003) . Concordance of both GSTT1 0/0 and NAT2 S/S genotypes were found in 17 .2% of patients and was almost 4 times more compared to only 4% in control (p=0 .01) . The 37% of patients had at least two functionally impaired genotypes for studied genes . The study provides new information on the role of polymorphic detoxification genes in development of SGA. P06.082 Analysis of the association between LEcAm-1 P213s polymorphism and EsRD in diabetic patients C. M. Tecuceanu, D. Cimponeriu, P. Apostol, M. Stavarachi, M. Toma, L. Gavrila; Institute of Genetics, Bucharest, Romania. Mutations in lyam-1 gene (1 q23-q25) may predispose to phenotypes that can aggravate the evolution of vascular complications in diabetic patients, including renal disease . The purpose of this case-control study was to estimate the association of LECAM P213S polymorphism with end-stage renal disease (ESRD) in diabetic patients . Clinical information and biological samples were collected from dialyzed type I diabetic patients (n=100, M:F = 50:50) and healthy subjects (n=200, fasting glycemia 93 .2±8 .2 mg/dl) . Healthy subjects were 0

Molecular and biochemical basis <strong>of</strong> disease<br />

P06.078<br />

the association between gene polymorphism <strong>of</strong> cytochrome<br />

P450 2D6 and behavioral characteristics<br />

V. A. Shleptsova1 , J. Shchegolkova2 , A. G. Tonevitsky3 ;<br />

1Faculty <strong>of</strong> basic medicine, Moscow State University, Moscow, Russian Federation,<br />

2Biological faculty, Moscow State University, Moscow, Russian Federation,<br />

3Russian research institute <strong>of</strong> sport and physical education, Moscow, Russian<br />

Federation.<br />

The cytochrome P450 2D6 (CYP2D6) enzyme is involved in the hepatic<br />

metabolism <strong>of</strong> many drugs and other exogenous substances . There<br />

are a little evidences that CYP2D6 involves in metabolism <strong>of</strong> endogenous<br />

psychoactive substances and expresses not only in liver but<br />

also in the brain. Therefore it may influence on psychological process.<br />

It has been shown that there are significant differences in personality<br />

between extensive and poor metabolizers .<br />

In our investigation we investigated an association <strong>of</strong> gene polymorphism<br />

<strong>of</strong> CYP2D6 and personality traits . 160 healthy subjects took part<br />

in the study (women - 82, men - 78) . There were tested by different<br />

psychological questionnaires which examine aggression, impulsivity,<br />

anxiety and others and also by psychophisiological measurements .<br />

We genotyped with PCR-method any gene variations <strong>of</strong> CYP2D6:<br />

CYP2D6*1, CYP2D6*2 (C2850T), CYP2D6*4 (G1934A), CYP2D6*10<br />

(C100T) We showed that CYP2D6 poor metabolizers (CYP2D6*4, CY-<br />

P2D6*10) had significantly higher level <strong>of</strong> verbal aggression (p=0.04)<br />

and inability <strong>of</strong> stopping aggression (p=0 .04) and had more pleasure<br />

<strong>of</strong> aggression (p=0 .02) than extensive metabolizers (CYP2D6*1, CY-<br />

P2D6*2) . Furthermore, this relationship expressed to the same extent<br />

both at men, and at women .<br />

Association between CYP2D6 gene polymorphism and personality<br />

characteristics can indicate on influence cytochrome activity on<br />

neuromediator`s metabolism in brain .<br />

P06.079<br />

cytokine genes polymorphisms are associated with essential<br />

hypertension in tatars from Bashkortostan, Russia<br />

Y. R. Timasheva1 , T. R. Nasibullin1 , A. N. Zakirova2 , O. E. Mustafina1 ;<br />

1 2 Institute <strong>of</strong> Biochemistry and <strong>Genetics</strong>, Ufa, Russian Federation, Bashkir<br />

State Medical University, Ufa, Russian Federation.<br />

Cardiovascular disease is the leading cause <strong>of</strong> death in the Western<br />

world . Recently inflammation was proved to be the main substrate underlying<br />

the development atherosclerosis . Cytokines mediate interactions<br />

<strong>of</strong> all cells participating in atherogenesis . However, the role <strong>of</strong><br />

certain cytokines genetic variants on disease risk is not well understood.<br />

We tested the hypothesis that specific genetic polymorphisms<br />

<strong>of</strong> some cytokines are associated with increased risk <strong>of</strong> essential hypertension<br />

(EH) and its cardiovascular complications .<br />

355 patients with EH and 343 unrelated normotensive individuals<br />

without family history <strong>of</strong> cardiovascular disease were enrolled in the<br />

study . Both patients and control originated from Tatar ethnic group<br />

from Bashkortostan, Russia . DNA was isolated from peripheral venous<br />

blood . Genotyping was performed using polymerase chain reaction<br />

and restriction analysis . Statistical analysis was performed using<br />

Fisher’s exact test. Odds ratios with 95% confidence interval were also<br />

calculated .<br />

We have shown that IL-10 -627*C/*C genotype is associated with decreased<br />

hypertension risk (OR=0 .53, CI: 0 .22-0 .78). TNFA -308*G/*G<br />

was found to be protective against stroke in hypertensive patients<br />

(OR=0 .48, CI: 0 .24-0 .97) . 1159*A/*A IL12B genotype was also associated<br />

with lower stroke risk (OR= 0 .43, CI: 0 .21_0 .9) .<br />

We demonstrate that common genetic variants <strong>of</strong> IL10, TNFA and<br />

IL12B genes are associated with the risk <strong>of</strong> EH and its complications .<br />

Our data suggest a role for cytokine genes polymorphisms in cardiovascular<br />

disease .<br />

P06.080<br />

strong linkage disequilibrium for the frequent GJB 35delG<br />

mutation in the Greek population<br />

H. Kokotas 1 , L. Van Laer 2 , M. Grigoriadou 1 , V. Iliadou 3 , J. Economides 4 , S.<br />

Pomoni 1 , A. Pampanos 1 , N. Eleftheriades 5 , E. Ferekidou 6 , S. Korres 6 , A. Giannoulia-Karantana<br />

7 , G. Van Camp 2 , M. B. Petersen 1 ;<br />

1 Institute <strong>of</strong> Child Health, Athens, Greece, 2 University <strong>of</strong> Antwerp, Antwerp,<br />

Belgium, 3 AHEPA Hospital, Thessaloniki, Greece, 4 ‘Aghia Sophia’ Children’s<br />

Hospital, Athens, Greece, 5 St. Loukas Hospital, Thessaloniki, Greece, 6 Athens<br />

University, Athens, Greece, 7 Athens University Medical School, Athens, Greece.<br />

Approximately one in 1,000 children is affected by severe or pr<strong>of</strong>ound<br />

hearing loss at birth or during early childhood (prelingual deafness) .<br />

Up to forty percent <strong>of</strong> autosomal recessive, congenital, severe to<br />

pr<strong>of</strong>ound hearing impairment cases result from mutations in a single<br />

gene, GJB2 . The 35delG mutation accounts for the majority <strong>of</strong> GJB2<br />

mutations detected in Caucasian populations and represents one <strong>of</strong><br />

the most frequent disease mutations identified so far. Some previous<br />

studies have assumed that the high frequency <strong>of</strong> the 35delG mutation<br />

reflects the presence <strong>of</strong> a mutational hot spot, whilst other studies support<br />

the theory <strong>of</strong> a common founder . Greece is amongst the countries<br />

presenting high frequency <strong>of</strong> the 35delG mutation (3 .5%), and a recent<br />

study raised the hypothesis <strong>of</strong> the origin <strong>of</strong> this mutation in ancient<br />

Greece . We genotyped 60 Greek deafness patients homozygous for<br />

the 35delG mutation for six single nucleotide polymorphisms (SNPs)<br />

and two microsatellite markers, mapping within or flanking the GJB2<br />

gene, as compared to 60 Greek hearing controls . A strong linkage<br />

disequilibrium was found between the 35delG mutation and markers<br />

inside or flanking the GJB2 gene, at distances <strong>of</strong> 34 kb on the centromeric<br />

and 90 kb on the telomeric side <strong>of</strong> the gene, respectively .<br />

Our study supports the hypothesis <strong>of</strong> a founder effect and we further<br />

propose that ethnic groups <strong>of</strong> Greek ancestry could have propagated<br />

the 35delG mutation, as evidenced by historical data beginning from<br />

the 15 th century BC .<br />

P06.081<br />

Detoxification system gene variants and small-for-gestationalage<br />

births<br />

N. Nabieva 1 , T. Ivashchenko 2 , N. Shabalov 1 , V. Baranov 2 ;<br />

1 Medical Pediatrics Academy, St.Petersburg, Russian Federation, 2 Ott’s institute<br />

<strong>of</strong> Obstetrics and Gynecology, St.Petersburg, Russian Federation.<br />

Small-for-gestational-age (SGA) is defined as birth weight below the<br />

10th percentile according to gestational age and sex based on national<br />

standards. Little is known about the role <strong>of</strong> detoxification system gene<br />

variants as risk factors for SGA births . Only a few studies have considered<br />

the direct role <strong>of</strong> polymorphic xenobiotic-metabolizing genes in<br />

fetal growth . GSTM1 and GSTT1, in the GST family, are both involved<br />

in the biotransformation <strong>of</strong> a wide range <strong>of</strong> reactive toxic and mutagenic<br />

compounds, including ROS oxygen species and components <strong>of</strong><br />

tobacco smoke . GST enzymes are present in large amounts in the<br />

placenta in early pregnancy and are expressed early in embryonic<br />

development . The polymorphisms <strong>of</strong> xenobiotic-metabolizing genes<br />

(GSTM1, GSTT1, NAT2) responsible for xenobiotics conjugating enzymes<br />

<strong>of</strong> Phase II detoxification system were studied by PCR-RFLP in<br />

SGA infants and control group newborns .<br />

The genotypes distribution for NAT2 gene was identical in controls<br />

group and in group <strong>of</strong> SGA patients . The analysis <strong>of</strong> genotypes distribution<br />

for polymorphism and GST M1 in patients and in controls has<br />

not revealed significant differences.<br />

The frequency <strong>of</strong> GSTT10/0 genotype was significantly higher in<br />

group <strong>of</strong> patients compared to controls (34% versus 10% respectively,<br />

p=0 .003) . Concordance <strong>of</strong> both GSTT1 0/0 and NAT2 S/S genotypes<br />

were found in 17 .2% <strong>of</strong> patients and was almost 4 times more compared<br />

to only 4% in control (p=0 .01) . The 37% <strong>of</strong> patients had at least<br />

two functionally impaired genotypes for studied genes .<br />

The study provides new information on the role <strong>of</strong> polymorphic detoxification<br />

genes in development <strong>of</strong> SGA.<br />

P06.082<br />

Analysis <strong>of</strong> the association between LEcAm-1 P213s<br />

polymorphism and EsRD in diabetic patients<br />

C. M. Tecuceanu, D. Cimponeriu, P. Apostol, M. Stavarachi, M. Toma, L.<br />

Gavrila;<br />

Institute <strong>of</strong> <strong>Genetics</strong>, Bucharest, Romania.<br />

Mutations in lyam-1 gene (1 q23-q25) may predispose to phenotypes<br />

that can aggravate the evolution <strong>of</strong> vascular complications in diabetic<br />

patients, including renal disease .<br />

The purpose <strong>of</strong> this case-control study was to estimate the association<br />

<strong>of</strong> LECAM P213S polymorphism with end-stage renal disease (ESRD)<br />

in diabetic patients .<br />

Clinical information and biological samples were collected from dialyzed<br />

type I diabetic patients (n=100, M:F = 50:50) and healthy subjects<br />

(n=200, fasting glycemia 93 .2±8 .2 mg/dl) . Healthy subjects were<br />

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