Association of KCNJ11 (rs5219) gene polymorphism with susceptibility to gestational diabetes mellitus: a systematic review and meta-analysis

Document Type : Review Article

Authors

1 Department of Physiology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Medicinal Plant Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Department of Physiology, Faculty of Medicine Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.

4 Department of Biostatistics and Epidemiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

5 Department of Biology, Faculty of Science, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

6 Department of Medical Genetics, Faculty of Medicine, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

7 Student Research Committee, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

10.22038/ijogi.2024.70879.5639

Abstract

Background: Changes in the activity of the gene encoding internal rectifier potassium inwardly rectifying channel, subfamily J, member 11 (KCNJ11), due to its polymorphisms have far-reaching effects on the metabolic processes of people with gestational diabetes mellitus (GDM). This systematic review and meta-analysis was conducted to further evaluate the association between the KCNJ11 (rs5219) polymorphism and GDM.

Materials and Methods: In this systematic review and meta-analysis, a literature search was performed to identify relevant articles in electronic databases such as PubMed, Web of Science, Scopus, Cochrane, EMBASE, and some Persian-language databases. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to evaluate the association between KCNJ11 (rs5219) polymorphisms and susceptibility to GDM in four genetic models.

Results: A total of 5578 participants from six articles were included in the meta-analysis. We identified a significant relationship between the KCNJ11 (rs5219) gene polymorphism and GDM in the study population through an additive genetic model (OR = 1/14; 95%CI: 1.00–1/30; P = 0/049) and a recessive genetic model (OR = 0/86; 95% CI: 0/75–0/98; P = 0/033). On the contrary, there is no significant association between the KCNJ11 (rs5219) gene polymorphism and GDM in an allelic genetic model (OR = 1/25; 95%CI: 0/93–1/69; P = 0/136) and the dominant genetic model (OR = 1/15; 95% CI: 0/94–1/41; P = 0/157).

Conclusion: The results indicated that KCNJ11 gene polymorphism (rs5219) is associated with susceptibility to GDM in women. However, more studies on different ethnicities are required to confirm our results.

Keywords

Main Subjects