Association between variants and gestational diabetes mellitus susceptibility in a Chinese population: a preliminary study.

Background: () plays a crucial role in defending against glycation. Single nucleotide polymorphism (SNP) variants in the gene may affect gene expression and alter enzyme activity. However, there have been limited studies evaluating the association between and diabetes, especially gestational diabetes mellitus (GDM). Therefore, this study is the first to explore the association of SNPs and GDM risk.

Methods: The study included a total of 500 GDM patients and 502 control subjects. The SNPscan™ genotyping assay was used to genotype rs1781735, rs4746 and rs1130534. To assess the disparities in genotype, allele, and haplotype distributions and their correlation with GDM risk, the independent sample t-test, logistic regression, and chi-square test were employed during the data processing phase. Furthermore, one-way ANOVA was conducted to determine the differences in genotype and blood glucose and methylglyoxal(MG) levels.

Results: Significant differences were observed in prepregnancy body mass index (pre-BMI), age, systolic blood pressure (SBP), diastolic blood pressure (DBP), and parity between GDM and healthy subjects ( < 0.05). After adjusting for these factors, rs1130534 TA remained associated with an increased risk of GDM (TA . TT + AA: OR = 1.320; 95% CI: 1.008-1.728; = 0.044), especially in the pre-BMI ≥ 24 subgroup (TA . TT + AA: OR = 2.424; 95% CI: 1.048-5.607; = 0.039), with fasting glucose levels being significantly elevated in the TA genotype compared to the TT genotype ( < 0.05). Conversely, the rs4746 TG was associated with a decreased risk of GDM (TG . TT: OR = 0.740; 95% CI: 0.548-0.999; = 0.049; TG . TT + GG: OR = 0.740; 95% CI: 0.548-0.998; = 0.048). Additionally, the haplotype T-G-T of rs1781735, rs4746 and rs1130534 was associated with a decreased risk of GDM among individuals with a pre-BMI ≥ 24 (OR = 0.423; 95% CI: 0.188-0.955; = 0.038). Furthermore, the rs1781735 GG genotype was found to be more closely related to maternal MG accumulation and neonatal weight gain ( < 0.05).

Conclusion: Our findings suggested that rs1130534 was associated with an increased susceptibility to GDM and higher blood glucose levels, but rs4746 was associated with a decreased risk of GDM. The rs1781735 has been associated with the accumulation of maternal MG and subsequent weight gain in neonates.