Distribution of cytochrome P450*4 (CYP2A6*4) allele gene among Javanese Indonesian T2DM patients

Christine Patramurti, Dita Maria Virginia

Abstract


Smoking had been increasing the risk factor of type 2 diabetes mellitus (T2DM), both active and passive smokers, which is caused by nicotine contained in cigarettes. Nicotine has metabolized by cytochrome p450 2a6 (CYP2A6) enzyme coded by the CYP2A6 gene. This gene was a high polymorphism that is the CYP2A6*4 allele gene was inactive. Thus, our objective was to describe the CYP2A6*4 allele gene among active and passive Javanese smokers with T2DM. From this cross-sectional study, we identified this allele gene among 46 of the adults with T2DM, which were consist of 23 active smokers and 23 passive smokers. The CYP2A6*4 allele gene identification has done using polymerase chain reaction (PCR) methods. The CYP2A6*4 allele frequency was analyzed to describe the distribution of this allele among the participants. This study supports the hypothesis that smoking, including cigarette smoke, was an environmentally modifiable risk factor for developing T2DM. Based on our result, the allele frequency among the participants was 42.39%. A high frequency of the CYP2A4 allele gene among the participants was indicating that the CYP2A4 allele gene was also the other risk factor in developing T2DM.


Keywords


Smoking; Polymorphism; CYP2A6*4; Type 2 Diabetes Mellitus

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References


ADA. (2014). Standards of Medical Care in Diabetes- 2014. Diabetes Care, 37, S14–S80. https://doi.org/10.2337/dc14-S014

Agbogli, H. K., & Annan, R. (2017). Prevalence and risk factors of diabetes mellitus among the inhabitants of kumasi metropolis. Archives of Clinical and Biomedical Research, 1(4), 224–234. https://doi.org/10.26502/acbr.50170025

Al Mansour, M. A. (2020). The prevalence and risk factors of type 2 diabetes mellitus (DMT2) in a semi-urban Saudi population. International Journal of Environmental Research and Public Health, 17(1), 1–8. https://doi.org/10.3390/ijerph17010007

Alva, M. L., Hoerger, T. J., Zhang, P., & Gregg, E. W. (2017). Identifying risk for type 2 diabetes in different age cohorts : does one size fit all ? Diabetes Research and Care, 1–7. https://doi.org/10.1136/bmjdrc-2017-000447

Ando, M., Hamajima, N., Ariyoshi, N., Kamataki, T., Matsuo, K., & Ohno, Y. (2003). Association of CYP2A6 gene deletion with cigarette smoking status in Japanese adults. Journal of Epidemiology, 13(3), 176–181. https://doi.org/10.2188/jea.13.176

Asiimwe, D., Mauti, G. O., & Kiconco, R. (2020). Prevalence and Risk Factors Associated with Type 2 Diabetes in Elderly Patients Aged 45-80 Years at Kanungu District. 2020.

Association, A. D. (2011). Executive Summary: Standards of Medical Care in Diabetes—2011. Diabetes Care, 34(Supplement 1), S4–S10. https://doi.org/10.2337/dc11-S004

Bajaj, M. (2012). Nicotine and Insulin Resistance: When the Smoke Clears. Diabetes, 61(12), 3078–3080. https://doi.org/10.2337/db12-1100

Barber, S., Adioetomo, S. M., Ahsan, A., & Setyonaluri, D. (2008). Tobacco Economics in Indonesia. The Union.

Berenson, Q. M. N. J.-H. X. W. C. S. R. S. G. S. (2012). Correlates of age onset of type 2 diabetes among relatively young black and white adults in a community. Diabetes Care, 35, 1341–1246. https://doi.org/10.2337/dc11-1818

Bergman, B. C., Perreault, L., Hunerdosse, D., Kerege, A., Playdon, M., Samek, A. M., & Eckel, R. H. (2012). Novel and Reversible Mechanisms of Smoking-Induced Insulin Resistance in Humans. Diabetes, 61(12), 3156–3166. https://doi.org/10.2337/db12-0418

Binh, T. Q., & Nhung, B. T. (2016). Prevalence and risk factors of type 2 diabetes in middle-aged women in Northern Vietnam. International Journal of Diabetes in Developing Countries, 36(2), 150–157. https://doi.org/10.1007/s13410-015-0372-6

Borowitz, J. L., & Isom, G. E. (2008). Nicotine and Type 2 Diabetes. Toxicological Sciences, 103(2), 225–227. https://doi.org/10.1093/toxsci/kfn050

Buell, C., Kermah, D., & Davidson, M. B. (2007). Utility of A1C for diabetes screening in the 1999 2004 NHANES population. Diabetes Care, 30(9), 2233–2235. https://doi.org/10.2337/dc07-0585

Campagna, D., Alamo, A., Pino, A. Di, Russo, C., Calogero, A. E., Purrello, F., & Polosa, R. (2019). Smoking and diabetes : dangerous liaisons and confusing relationships. Diabetology & Metabolic Syndrome, 1–12. https://doi.org/10.1186/s13098-019-0482-2

Cederberg, H., & Stan, A. (2014). Family history of type 2 diabetes increases the risk of both obesity and its complications : is type 2 diabetes a disease of inappropriate lipid storage ? https://doi.org/10.1111/joim.12289

Chang, S. A. (2012). Smoking and type 2 diabetes mellitus. Diabetes & Metabolism Journal, 36(6), 399–403. https://doi.org/10.4093/dmj.2012.36.6.399

Chenoweth, M. J., O’Loughlin, J., Sylvestre, M.-P., & Tyndale, R. F. (2013). CYP2A6 slow nicotine metabolism is associated with increased quitting by adolescent smokers. Pharmacogenetics and Genomics, 23(4), 232–235. https://doi.org/10.1097/FPC.0b013e32835f834d

Cho, N. H., Chan, J. C. N., Jang, H. C., Lim, S., Kim, H. L., & Choi, S. H. (2009). Cigarette Smoking is An Independent Risk Factor for Type 2 Diabetes : a Four-Year Community-Based Prospective Study. J. Clin. Endocrinol., 71, 679–685. https://doi.org/10.1111/j.1365-2265.2009.03586.x

Chowdhury, G., Calcutt, M. W., & Guengerich, F. P. (2010). Oxidation of N-Nitrosoalkylamines by human cytochrome P450 2A6: sequential oxidation to aldehydes and carboxylic acids and analysis of reaction steps. The Journal of Biological Chemistry, 285(11), 8031–8044. https://doi.org/10.1074/jbc.M109.088039

Cornier, M., Donahoo, W. T., Pereira, R., Gurevich, I., Westergren, R., Enerback, S., Eckel, P. J., Goalstone, M. L., Hill, J. O., Eckel, R. H., Draznin, B., Donahoo, W. T., Pereira, R., Gurevich, I., Enerback, S., Eckel, P. J., Goalstone, M. L., Hill, J. O., Robert, H., & Draznin, B. (2005). Insulin sensitivity determines the effectiveness of dietary macronutrient composition on weight loss in obese women. Obesity Research, 13(4), 703–709.

Eze, I. C., Schaffner, E., Zemp, E., Eckardstein, A. Von, Turk, A., Bettschart, R., Schindler, C., & Probst-hensch, N. (2014). Environmental tobacco smoke exposure and diabetes in adult never-smokers. Environmental Health, 13, 1–9.

Fujieda, M., Yamazaki, H., Saito, T., Kiyotani, K., Gyamfi, M. A., Sakurai, M., Dosaka-Akita, H., Sawamura, Y., Yokota, J., Kunitoh, H., & Kamataki, T. (2004). Evaluation of CYP2A6 genetic polymorphisms as determinants of smoking behavior and tobacco-related lung cancer risk in male Japanese smokers. Carcinogenesis, 25(12), 2451–2458. https://doi.org/10.1093/carcin/bgh258

Gatineau Mary, Hancock Caroline, Holman Naomi, Outhwaite Helen, Oldridge Lorraine, C. A. and E. L. (2014). Adult obesity and type 2 diabetes. Public Health England.

Gudbjornsdottir, N. S. A. R. S. F. A. R. A.-M. S. A. R. D. K. M. B. E. S. (2019). Age at Diagnosis of Type 2 Diabetes Mellitus and Associations With. Circulation, 2228–2237. https://doi.org/10.1161/CIRCULATIONAHA.118.037885

Hackethal, V. (2015). Passive smoking increases risk for type 2 diabetes. 9–11.

Heatherton, T. . F., Kozlowki, L., Frecker, R. C., & Fagerstrom, K. ar.-O. (1991). The Fagerstrom Test for Nicotine Dependence: A revision of the fagerstrom tolerance questionnaire (pp. 1119–1127). British Journal of Addiction.

Hilawe, E. H., Yatsuya, H., Li, Y., Uemura, M., Wang, C., Chiang, C., Toyoshima, H., Tamakoshi, K., Zhang, Y., Kawazoe, N., & Aoyama, A. (2015). Smoking and diabetes : Is the association mediated by adiponectin , Leptin , or C-reactive Protein ? 25(2), 99–109. https://doi.org/10.2188/jea.JE20140055

Hong, J. W., Ku, C. R., Noh, J. H., Ko, K. S., Rhee, B. D., & Kim, D. J. (2018). Association between Self-Reported Smoking and Hemoglobin A1c in a Korean Population without Diabetes : The 2011 – 2012 Korean National Health and Nutrition Examination Survey. PLoS ONE, 10(5), 1–8.

Hu, F. B. (2011). Globalization of Diabetes The role of diet , lifestyle , and genes. Diabetes Care, 34, 1249–1257. https://doi.org/10.2337/dc11-0442

Jee, S.H.; Foong, A.W.; Hur, N.W.; Samet, J. M. (2010). Smoking and Risk for Diabetes Incidence. Diabetes Care, 33(12), 2567–2572. https://doi.org/10.2337/dc10-0261.

Kirkman, M.S; Briscoe, V.J; Clark, N.; Florez, H.; Haas, L.B.; Halter, J.B.; Huang, E.S.; Korytkwoski, M.T., Munshi, M.N.; Odegard, P.S.; Pratley, R.E.; Swift, C. S. (2012). Diabetes in Older Adults. Diabetes Care, 35(10), 2650–2664. https://doi.org/10.2337/dc12-1801

Kowall, B., Rathmann, W., Strassburger, K., Heier, M., Holle, R., Thorand, B., Giani, G., Peters, A., & Meisinger, C. (2010). Association of passive and active smoking with incident type 2 diabetes mellitus in the elderly population: the KORA S4/F4 cohort study. European Journal of Epidemiology, 25(6), 393–402. https://doi.org/10.1007/s10654-010-9452-6

Kushida, H., Fujita, K., Suzuki, A., Yamada, M., Endo, T., Nohmi, T., & Kamataki, T. (2000). Metabolic activation of N-alkylnitrosamines in genetically engineered Salmonella typhimurium expressing CYP2E1 or CYP2A6 together with human NADPH-cytochrome P450 reductase. Carcinogenesis, 21(6), 1227–1232. https://doi.org/10.1093/carcin/21.6.1227

Lees, D. J., Barnett, Y. A., & Barnett, C. R. (2004). DNA damage and cytotoxicity in pancreatic b -cells expressing human CYP2E1. Biochemical Pharmacology, 68, 523–530. https://doi.org/10.1016/j.bcp.2004.04.008

Liu, S., Manson, J. E., Stampfer, M. J., Hu, F. B., Giovannucci, E., Colditz, G. A., Hennekens, C. H., & Willett, W. C. (2000). A Prospective Study of Whole-Grain Intake and Risk of Type 2 Diabetes Mellitus in US Women. American Journal of Public Health, 90(9), 1409–1415.

Liu, T., Chen, W.-Q., David, S. P., Tyndale, R. F., Wang, H., Chen, Y.-M., Yu, X.-Q., Chen, W., Zhou, Q., & Ling, W.-H. (2011). Interaction between heavy smoking and CYP2A6 genotypes on type 2 diabetes and its possible pathways. European Journal of Endocrinology / European Federation of Endocrine Societies, 165(6), 961–967. https://doi.org/10.1530/EJE-11-0596

Liu, X., Bragg, F., Yang, L., Kartsonaki, C., Guo, Y., Du, H., Bian, Z., Chen, Y., Yu, C., Lv, J., & Wang, K. (2018). Articles Smoking and smoking cessation in relation to risk of diabetes in Chinese men and women : a 9-year prospective study of 0 · 5 million people. Lancet Public Health, 3, 167–176. https://doi.org/10.1016/S2468-2667(18)30026-4

Luo, J., Rossouw, J., Tong, E., Giovino, G. A., Lee, C. C., Chen, C., Ockene, J. K., Qi, L., & Margolis, K. L. (2013). Original Contribution Smoking and Diabetes : Does the Increased Risk Ever Go Away ? 178(6), 937–945. https://doi.org/10.1093/aje/kwt071

Maddatu, J., Anderson-baucum, E., Evans-molina, C., & Physiology, I. (2017). Smoking and the Risk of Type 2 Diabetes. Transl Res., 184, 101–107. https://doi.org/10.1016/j.trsl.2017.02.004.Smoking

Minematsu, N., Nakamura, H., Furuuchi, M., Nakajima, T., Takahashi, S., Tateno, H., & Ishizaka, A. (2006). Limitation of cigarette consumption by CYP2A6*4, *7 and *9 polymorphisms. The European Respiratory Journal, 27(2), 289–292. https://doi.org/10.1183/09031936.06.00056305

Morimoto, A., Tatsumi, Y., Deura, K., Mizuno, S., Ohno, Y., & Watanabe, S. (2013). Impact of cigarette smoking on impaired insulin secretion and insulin resistance in Japanese men: The Saku Study. Journal of Diabetes Investigation, 4(3), 274–280. https://doi.org/10.1111/jdi.12019

Mwenifumbo, J. C., Al Koudsi, N., Ho, M. K., Zhou, Q., Hoffmann, E. B., Sellers, E. M., & Tyndale, R. F. (2008). Novel and established CYP2A6 alleles impair in vivo nicotine metabolism in a population of Black African descent. Human Mutation, 29(5), 679–688. https://doi.org/10.1002/humu.20698

Nilsson, P. M., Ardanaz, E., Gavrila, D., & Agudo, A. (2014). Smoking and Long-Term Risk of Type 2 Diabetes : The EPIC- InterAct Study in European Populations. Diabetes Care, 37, 3164–3171. https://doi.org/10.2337/dc14-1020

O’Loughlin, J. (2004). Genetically decreased CYP2A6 and the risk of tobacco dependence: a prospective study of novice smokers. Tobacco Control, 13(4), 422–428. https://doi.org/10.1136/tc.2003.007070

Padmawati, R. S., Ng, N., Prabandari, Y. S., & Nichter, M. (2009). Smoking among Diabetes Patients in Yogyakarta , Indonesia : Cessation Efforts are Urgently Needed. Trop. Med. Int. Health, 14(4), 412–419. https://doi.org/10.1111/j.1365-3156.2009.02241.x

Patramurti, C., & Fenty, F. (2020). Association of smoking behaviour and glycohemoglobine levels among adults Javanese Indonesian smokers. 11–13.

Patramurti, C., Nurrochmad, A., Martono, S., Science, P., Mada, G., & Chemistry, P. (2015). Poymorphism of Cytochrome P450 2A6 ( CYP2A6 * 1 AND CYP2A6 * 4 ) among Javaneses Indonesia Smoker and Non Smoker. MFI, 26(1), 11–19. https://doi.org/10.14499/indonesianjpharm26iss1pp11

R.I., K. K. (2018a). Hari diabetes sedunia tahun 2018. Departemen Kesehatan R.I.

R.I., K. K. (2018b). Hasil utama riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan.

Sakurai, M., Nakamura, K., Miura, K., Takamura, T., Yoshita, K., & Sasaki, S. (2013). Family history of diabetes , lifestyle factors , and the 7-year incident risk of type 2 diabetes mellitus in middle-aged Japanese men and women. 4(3), 261–268. https://doi.org/10.1111/jdi.12033

Schoedel, K. a, Hoffmann, E. B., Rao, Y., Sellers, E. M., & Tyndale, R. F. (2004). Ethnic variation in CYP2A6 and association of genetically slow nicotine metabolism and smoking in adult Caucasians. Pharmacogenetics, 14(9), 615–626. https://doi.org/10.1097/00008571-200409000-00006

Schulze, M. B., Manson, J. E., Ludwig, D. S., Colditz, G. A., Stampfer, M. J., & Willett, W. C. (2015). and Incidence of Type 2 Diabetes in young and middle-aged women. 292(8), 927–934.

Scott, R. A., Langenberg, C., Sharp, S. J., Franks, P. W., Rolandsson, O., & Drogan, D. (2014). Europe PMC Funders Group The link between Family History and risk of Type 2 Diabetes is Not Explained by Anthropometric , Lifestyle or Genetic Risk Factors : the EPIC-InterAct Study. 56(1), 60–69. https://doi.org/10.1007/s00125-012-2715-x.The

Sugiyama, K., Inaba, Y., Ohkubo, T., Uchiyama, S., Takagi, Y., & Kunugita, N. (2012). Determination of tobacco-specific N’-nitrosamines in mainstream smoke from Japanese cigarettes. Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene, 67(3), 423–430.

Tanner, J., & Tyndale, R. F. (2017). Variation in CYP2A6 Activity and Personalized Medicine. 6, 1–29. https://doi.org/10.3390/jpm7040018

Wang, J., Xu, Y., Li, J., Sun, X., Wang, L.-P., & Ji, W.-Y. (2012). The tobacco-specific carcinogen NNK induces DNA methyltransferase 1 accumulation in laryngeal carcinoma. Oral Oncology, 48(6), 541–546. https://doi.org/10.1016/j.oraloncology.2012.01.007

Wang, Y., Ji, J., Liu, Y., Deng, X., & He, Q. (2013). Passive Smoking and Risk of Type 2 Diabetes : A Meta- Analysis of Prospective Cohort Studies. Plos One, 8(7), 1–6. https://doi.org/10.1371/journal.pone.0069915

Wei, X., Meng, E., & Yu, S. (2014). A meta-analysis of passive smoking and risk of developing Type 2 Diabetes Mellitus. Diabetes Research and Clinical Practice, 107(1), 9–14. https://doi.org/10.1016/j.diabres.2014.09.019

Xie, X., Liu, Q., Wu, J., & Wakui, M. (2009). Impact of cigarette smoking in type 2 diabetes development. Acta Pharmacologica Sinica, 30(6), 784–787. https://doi.org/10.1038/aps.2009.49

Yalcin, E.; de la Monte, S. (2017). Tobacco nitrosamines as culprits in disease: mechanisms reviewed. J Physiol Bhiochem, 72(1), 107–120. https://doi.org/10.1007/s13105-016-0465-9.Tobacco

Yeh, H.-C., Duncan, B. B., Schmidt, M. I., Wang, N.-Y., & Brancati, F. L. (2010). Smoking, Smoking Cessation, and Risk for Type 2 Diabetes MellitusA Cohort Study. Annals of Internal Medicine, 152(1), 10–17. https://doi.org/10.7326/0003-4819-152-1-201001050-00005

Yuan, J., Nelson, H. H., Carmella, S. G., Wang, R., Kuriger-laber, J., Jin, A., Adams-haduch, J., Hecht, S. S., Koh, W., & Murphy, S. E. (2017). CYP2A6 genetic polymorphisms and biomarkers of tobacco smoke constituents in relation to risk of lung cancer in the Singapore Chinese Health Study. Carcinogenesis, 38(4), 411–418. https://doi.org/10.1093/carcin/bgx012

Zhao, Y., Song, C., Ma, X., Ma, X., Wang, Q., Ji, H., Guo, F., & Qin, G. (2017). Synergistic Effect of Family History of Diabetes and Dietary Habits on the Risk of Type 2 Diabetes in Central China. 2017.

Zheng, R.; Marquez, P.V.; Ahsan, A.; Wang, Y.; Hu, X. (2018). Affordability in Indonesia : 2002-2017. The World Bank Group. https://doi.org/10.1596/30027




DOI: http://dx.doi.org/10.12928/pharmaciana.v11i1.18468

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