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Scientific paper - Original scientific paper
The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus
Diabetology and Metabolic Syndrome, 9 (2017); 97. https://doi.org/10.1186/s13098-017-0295-0
Božek, Tomislav; Blažeković, Antonela; Nikolac Perkovic, Matea; Gotovac Jerčić, Kristina; Šustar, Aleksandra; Smirčić- Duvnjak, Lea; Outeiro, Tiago; Pivac, Nela; Borovečki, Fran

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Božek, T., Blažeković, A., Nikolac Perkovic, M., Gotovac Jerčić, K., Šustar, A., Smirčić Duvnjak, L. ... Borovečki, F. (2017). The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus. Diabetology and Metabolic Syndrome, 9.. doi: 10.1186/s13098-017-0295-0

Božek, Tomislav, et al. "The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus." Diabetology and Metabolic Syndrome, vol. 9, 2017. https://doi.org/10.1186/s13098-017-0295-0

Božek, Tomislav, Antonela Blažeković, Matea Nikolac Perkovic, Kristina Gotovac Jerčić, Aleksandra Šustar, Lea Smirčić Duvnjak, Tiago Outeiro, Nela Pivac and Fran Borovečki. "The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus." Diabetology and Metabolic Syndrome 9 (2017). https://doi.org/10.1186/s13098-017-0295-0

Božek, T., et al. (2017) 'The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus', Diabetology and Metabolic Syndrome, 9. doi: 10.1186/s13098-017-0295-0

Božek T, Blažeković A, Nikolac Perkovic M, Gotovac Jerčić K, Šustar A, Smirčić Duvnjak L, and sur.. The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus. Diabetology and Metabolic Syndrome [Internet]. 2017 [cited 2024 November 08];9. doi: 10.1186/s13098-017-0295-0

T. Božek, et al., "The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus", Diabetology and Metabolic Syndrome, vol. 9, 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:036313. [Accessed: 08 November 2024]

Metadata
Title (english)The influence of dopamine-beta-hydroxylase and catechol O-methyltransferase gene polymorphism on the efficacy of insulin detemir therapy in patients with type 2 diabetes mellitus
AuthorTomislav Božek
AuthorAntonela Blažeković
MBZ: 360660
AuthorMatea Nikolac Perkovic
MBZ: 315511
AuthorKristina Gotovac Jerčić
MBZ: 321526
AuthorAleksandra Šustar
AuthorLea Smirčić- Duvnjak
MBZ: 171570
AuthorTiago Outeiro
AuthorNela Pivac
MBZ: 113176
AuthorFran Borovečki
MBZ: 230266
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
Type II diabetes is an important health problem with a complex connection to obesity, leading to a broad range of cardiovascular complications. Insulin therapy often results in weight gain and does not always ensure adequate glycemic control. However, previous studies reported that insulin detemir is an efficient long-acting insulin with a weight sparing effect. The aim of this study was to determine the association of catechol O-methyltransferase (COMT) Val108/158Met and dopamine-beta- hydroxylase (DBH) 1021C/T polymorphisms with the effectiveness of insulin detemir in achieving glucose control and body weight control. Participants and methods: This 52-week observational study included 185 patients with inadequate glycemic control treated with premix insulin analogues, which were replaced with insulin aspart and insulin detemir, and 156 healthy controls. After DNA isolation from blood samples, genotyping of DBH-1021C/T polymorphism (rs1611115) and COMT Val108/158Met polymorphism (rs4680) was performed. Results Our results confirmed that insulin detemir did not lead to weight gain. The most significant finding was that A carriers (the combined AG and AA genotype) of the COMT Val108/158Met achieved significantly better hemoglobin A1c (HbA1c) values compared to patients carrying GG genotype. No association between DBH-1021C/T genotypes and weight and/or glucose control was detected in diabetes patients or in healthy control subjects. Conclusions This study showed that the presence of one or two A allele of the COMT Val108/158Met was associated with improved glycemic response, and with a better response to insulin detemir therapy in patients with type II diabetes, separating them as best candidates for detemir therapy.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleDiabetology and Metabolic Syndrome
Numberingvol. 9, 97
p-ISSN1758-5996
DOIhttps://doi.org/10.1186/s13098-017-0295-0
URN:NBNurn:nbn:hr:184:036313
Publication2017
Document URLhttp://bib.irb.hr/910678
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-03-11 14:18:46