The association between CYBA gene C242T variant and risk of metabolic syndrome

Eur J Clin Invest. 2020 Sep;50(9):e13275. doi: 10.1111/eci.13275. Epub 2020 Jul 29.

Abstract

Background: Both inflammation and oxidative stress may contribute to pathogenesis of metabolic syndrome (MetS). The C242T polymorphism (rs4673) in the CYBA gene, as the main components of NAD (P) H oxidase, causes inter-individual variability in the enzyme activity. We aimed to investigate the association between this polymorphism with MetS and its components.

Methods: Two hundred nine patients with MetS and 232 controls were included in this study. MetS was defined based on NCEP ATP-III A criteria with some modifications. The C242T polymorphism within CYBA gene was determined by using PCR-based restriction fragment length polymorphism (PCR-RFLP) method.

Results: After applying a multiple logistic regression model with adjusting for potential confounders of MetS including, age, sex, body mass index, hypertension, used medications, and diabetes mellitus, C242T polymorphism was found to be associated with the presence of MetS in men but not in the total population or in women. T allele as compared to C allele was associated with decreased odds of MetS in men (adjusted OR = 0.42, 95% CI = 0.24-0.74; P = .003), but not in women (adjusted OR = 1.03, 95% CI = 0.07-1.61; P = .890), or in the total population (adjusted OR = 0.72, 95% CI = 0.51-1.02; P = .063).

Conclusion: This study shows that T allele of C242T polymorphism in CYBA gene is protective against MetS in Iranian men but not in women. Further cohort studies with larger sample size in subgroups of men and women are required to confirm such association in other racial or ethnic group.

Keywords: C242T polymorphism; CYBA gene; NADPH oxidase; ROS; metabolic syndrome; phoxp22.

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / metabolism
  • Blood Pressure / genetics
  • Body Mass Index
  • C-Reactive Protein / metabolism
  • Case-Control Studies
  • Cholesterol, HDL / metabolism
  • Cholesterol, LDL / metabolism
  • Dyslipidemias / genetics
  • Dyslipidemias / metabolism
  • Female
  • Genetic Predisposition to Disease
  • Glycated Hemoglobin / metabolism
  • Humans
  • Hypertension / genetics
  • Logistic Models
  • Male
  • Metabolic Syndrome / genetics*
  • Metabolic Syndrome / metabolism
  • Middle Aged
  • NADPH Oxidases / genetics*
  • Obesity, Abdominal / genetics
  • Odds Ratio
  • Polymerase Chain Reaction
  • Polymorphism, Genetic
  • Polymorphism, Restriction Fragment Length
  • Sex Factors
  • Triglycerides / metabolism
  • Waist Circumference / genetics

Substances

  • Blood Glucose
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Glycated Hemoglobin A
  • Triglycerides
  • hemoglobin A1c protein, human
  • C-Reactive Protein
  • NADPH Oxidases
  • CYBA protein, human