Emerging genetic profile of type 2 diabetes mellitus patients and controls in south western Nigeria: Catalyst for sustainable development
Keywords:
Genetic markers, Type 2 Diabetes Mellitus, Nigerian CommunitiesAbstract
Background: In sub-Saharan Africa, Type 2 diabetes care is greatly hampered
by huge financial burden causing poor accessibility to healthcare. This study
determined the genetic and environmental factors with potentials of attaining
Goals 3 and 17 of the Sustainable Development Goals (SDGs) in Nigeria.
Methodology: This study was a case-control study. A multistage sampling
technique was employed in the selection of 1500 patients with T2DM and 1500
controls in South Western Nigeria. Biophysical measurements and Glycaemic
biomarkers were assessed for all respondents. Odds Ratio (OR) was determined
with a level of significance was set at P<0.05
Results: The prevalence of Type 2 DM was 5%. However rural communities
had older subjects with T2DM as compared with urban communities P<0.01.
Glycaemic biomarkers and biophysical profiles were age and sex-related
p<0.05 in both rural and urban communities. Transcription Factor 7 like 2
(TCF7L2) was found to be genetic marker of T2DM.
Conclusion: Transcription Factor 7 like 2 gene is a genetic marker of T2DM in
Nigeria, which forms a framework for achieving goals 3 and 17 of the SDGs
References
Ekoru K, Doumatey A, Bentley AR, Chen G,
Zhou J, Shriner D, Fasanmade O, Okafor G,
Eghan Jr B, Agyenim-Boateng K, Adeleye J.
Type 2 diabetes complications and comorbidity
in Sub-Saharan Africans. EClinicalMedicine.
1;16:30-41
Dalal S, Beunza JJ, Volmink J, Adebamowo C,
Bajunirwe F, Njelekela M, Mozaffarian D, Fawzi
W, Willett W, Adami HO, Holmes MD. Noncommunicable diseases in sub-Saharan Africa:
what we know now. International journal of
epidemiology. 2011 1;40(4):885-901.
Adeyemo A, Rotimi C. Genetic variants
associated with complex human diseases show
wide variation across multiple populations.
Public health genomics. 2010;13(2):72-9
Osuji NA, Ojo OS, Malomo SO, Ige AM,
Egunjobi AO, Adeyemo AJ. Glycaemic control
and practice of self-care behaviors among people
with type 2 diabetes in Nigeria. PLAID: People
Living with And Inspired by Diabetes. 2019:12-
Afolayan AO, Adebusoye LA, Cadmus EO,
Ayeni FA. Insights into the gut microbiota of
Nigerian elderly with type 2 diabetes and nondiabetic elderly persons. Heliyon. 2020
;6(5):e03971.
Engwa GA, Nwalo FN, Chikezie CC, Onyia CO,
Ojo OO, Mbacham WF, Ubi BE. Possible
association between ABCC8 C49620T
polymorphism and type 2 diabetes in a Nigerian
popul a tion. BMC Medi c a l Gene ti c s.
;19(1):1-7.
Owolabi MO, Sarfo F, Akinyemi R,
Gebregziabher M, Akpa O, Akpalu A, Wahab K,
Obiako R, Owolabi L, Ovbiagele B, Owolabi
MO. Dominant modifiable risk factors for stroke
in Ghana and Nigeria (SIREN): a case-control
study. The Lancet Global Health. 2018
;6(4):e436-46
. 8. Claussnitzer M, Cho JH, Collins R, Cox NJ,
Dermitzakis ET, Hurles ME, Kathiresan S,
Kenny EE, Lindgren CM, MacArthur DG, North
KN. A brief history of human disease genetics.
Nature. 2020 ;577(7789):179-89.
Palmer ND, McDonough CW, Hicks PJ, Roh BH,
Wing MR, An SS, Hester JM, Cooke JN, Bostrom
MA, Rudock ME, Talbert ME. A genome-wide
association search for type 2 diabetes genes in
Afri c an Ame ri c ans. PloS one . 2012
;7(1):e29202.
Cauchi S, El Achhab Y, Choquet H, Dina C,
Krempler F, Weitgasser R, Nejjari C, Patsch W,
Res. J. Health Sci. Vol 12(2), June 2024 102
Akinleye et al., 2024
Chikri M, Meyre D, Froguel P. TCF7L2 is
reproducibly associated with type 2 diabetes in
various ethnic groups: a global meta-analysis.
Journal of molecular medicine. 2007 l;85(7):777-
Ayelagbe OG, Agbedana EO, Ogunniyi A,
Onuegbu AJ. Dyslipidemia, altered erythrocyte
fatty acids and selenium are. Biokemistri. 2019
;23(3)..
Ng MC, Shriner D, Chen BH, Li J, Chen WM,
Guo X, Liu J, Bielinski SJ, Yanek LR, Nalls MA,
Comeau ME. Meta-analysis of genome-wide
association studies in African Americans
provides insights into the genetic architecture of
type 2 diabetes. PLoS genetics. 2014
;10(8):e1004517.
Steinthorsdottir V, Thorleifsson G, Sulem P,
Helgason H, Grarup N, Sigurdsson A,
Helgadottir HT, Johannsdottir H, Magnusson OT,
Gudjonsson SA, Justesen JM. Identification of
low-frequency and rare sequence variants
associated with elevated or reduced risk of type 2
diabetes. Nature genetics. 2014;46(3):294-8
Scott RA, Scott LJ, Mägi R, Marullo L, Gaulton
KJ, Kaakinen M, Pervjakova N, Pers TH,
Johnson AD, Eicher JD, Jackson AU. An
expanded genome-wide association study of type
diabetes in Europeans. Diabetes. 2017
;66(11):2888-902.
Choudhury A, Aron S, Botigué LR, Sengupta D,
Botha G, Bensellak T, Wells G, Kumuthini J,
Shriner D, Fakim YJ, Ghoorah AW. High-depth
African genomes inform human migration and
health. Nature. 2020 ;586(7831):741-8
Majithia AR, Flannick J, Shahinian P, Guo M,
Bray MA, Fontanillas P, Gabriel SB, JHS N,
Rosen ED, Altshuler D, GoT2D Consortium.
Rare variants in PPARG with decreased activity
in adipocyte differentiation are associated with
increased risk of type 2 diabetes. Proceedings of
the National Academy of Sciences. 2014
;111(36):13127-32
Helgason A, Pálsson S, Thorleifsson G, Grant SF,
Emilsson V, Gunnarsdottir S, Adeyemo A, Chen
Y, Chen G, Reynisdottir I, Benediktsson R.
Refining the impact of TCF7L2 gene variants on
type 2 diabetes and adaptive evolution. Nature
genetics. 2007;39(2):218-25.
Adeyemo AA, Zaghloul NA, Chen G, Doumatey
AP, Leitch CC, Hostelley TL, Nesmith JE, Zhou
J, Bentley AR, Shriner D, Fasanmade O.
ZRANB3 is an African-specific type 2 diabetes
locus associated with beta-cell mass and insulin
response. Nature communications. 2019
;10(1):1-2.
Doumatey AP, Ekoru K, Adeyemo A, Rotimi CN.
Genetic basis of obesity and type 2 diabetes in
Africans: impact on precision medicine. Current
Diabetes Reports. 2019;19(10):1-1.
Cirillo E, Kutmon M, Gonzalez Hernandez M,
Hooimeijer T, Adriaens ME, Eijssen LM, Parnell
LD, Coort SL, Evelo CT. From SNPs to
pathways: Biological interpretation of type 2
diabetes (T2DM) genome wide association study
( GWA S) r e s u lts. PLoS O n e . 2 0 1 8
;13(4):e0193515.
Uma Jyothi K, Jayaraj M, Subburaj KS, Prasad
KJ, Kumuda I, Lakshmi V, Reddy BM.
Association of TCF7L2 gene polymorphisms
with T2DM in the population of Hyderabad,
India. PLoS One. 2013 5;8(4):e60212.
Rodrigues KF, Pietrani NT, Bosco AA, Campos
FM, Sandrim VC, Gomes KB. IL-6, TNF-á, and
IL-10 levels/polymorphisms and their
association with type 2 diabetes mellitus and
obesity in Brazilian individuals. Archives of
endocrinology and metabolism. 2017 16;61:438-
Olamoyegun MA, Raimi TH, Ala OA, Fadare JO.
Mobile phone ownership and willingness to
receive mHealth services among patients with
diabetes mellitus in South-West, Nigeria. The
Pan African Medical Journal. 2020;37
Ipingbemi AE, Erhun WO, Adisa R. Pharmacistled intervention in treatment non-adherence and
associated direct costs of management among
ambulatory patients with type 2 diabetes in
southwestern Nigeria. BMC Health Services
Research. 2021;21(1):1-6.
Omobuwa O, Alebiosu OC. Awareness of
diabetes amongst undergraduates in a Nigerian
University, South West Nigeria. Sahel Medical
Journal. 2014 1;17(1):29
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Research Journal of Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Research Journal of Health Sciences journal is a peer reviewed, Open Access journal. The Journal subscribed to terms and conditions of Open Access publication. Articles are distributed under the terms of Creative Commons License (CC BY-NC-ND 4.0). (http://creativecommons.org/licences/by-nc-nd/4.0). All articles are made freely accessible for everyone to read, download, copy and distribute as long as appropriate credit is given and the new creations are licensed under the identical terms.