Review Article

Association of Peroxisome Proliferator-Activated Receptors (PPARs) with Diabetic Retinopathy in Human and Animal Models: Analysis of the Literature and Genome Browsers

Table 1

Summary of extracted data from studies reporting association between PPAR genes and DR/PDR in humans.

Gene symbolGene IDGene locationSequence variantrs ID of the polymorphismDiabetes typeRetinopathy typeDOIDPopulationNumber of samples (cases/controls)Statistical significanceMethodMain result of the studyType of studyReferencePMID

PPARG54683p25.2//T1DM
T2DM
PDR13207Japan17 (12 PDR, 5 controls)Quantitative real-time PCR, ELISA, immunohistochemistry analysisHigher expression of PPARG in PDR versus controlsExpression studyKatome et al. [20]25468312
PPARG54683p25.2rs1801282
rs3856806
rs12497191
rs1801282
rs3856806
rs12497191
T2DMDR, PDR8947, 13207Chinese792 T2DM (448 DR, 344 diabetes without DR)OR (95% CI) dominant model GG: 1.40 (0.85-2.29); PCR-LDRNo significant association between polymorphisms in the PPARG gene and DR or PDRCase-control studyZhang et al. [22]25274455
PPARG54683p25.2Pro12Ala/T2DMDR8947Caucasian
Asian
5170 (2720 DR cases, 2450 controls)Caucasian subgroup (; 95% CI: 0.59-0.94, )
Asian subgroup (; 95% CI: 0.55-1.07, )
StatisticsProtective effect of Pro12Ala on DR in T2DM with ethnic differencesMeta-analysisMa et al. [23]22993484
PPARG54683p25.2C1341T
Intron A>C
Pro12Ala
Intron C>T
rs3856806
rs709158
rs1805192
rs4684847
T2DMDR8947Chinese500 T2DM (247 DR cases, 253 controls)OR (0.65-0.96), Quantitative PCRrs1805192 minor allele (Ala) of PPARG is significantly associated with lower DR risk; combined effect of Ala-BMI interaction between polymorphism and overweight on DRCase-control studyWang et al. [24]26885119
PPARG54683p25.2rs1801282 (c.34C>G, Pro12Ala)rs1801282T2DMDR, PDR8947, 13207Pakistani573 (189 DR, 193 DNR, 200 controls); PCR-RFLPProtective role of the 12Ala polymorphism against PDR in T2DMCase-control studyTariq et al. [25]23559865
PPARG54683p25.2p.Pro12Ala/T2DMDR8947Indian1325 (717 DR, 608 T2DM without DR)Real-time PCRNo significant associationCase-control studyKaur et al. [21]27427939
PPARA546522q13.31rs4253778
rs135539
rs1800206
rs4253778
rs135539
rs1800206
T2DMDR8947Chinese Han812 (402 DR, 410 control) (0.66-0.94)Quantitative PCRAssociation between rs1800206 minor (V) allele and lower risk for DR; interaction between rs1800206 and abdominal obesityCase-control studyQi et al. [26]26671228

/ = data not available; the country where the study was conducted; PPARA = peroxisome proliferator-activated receptor alpha; PPARG = peroxisome proliferator-activated receptor gamma; PPARD = peroxisome proliferator-activated receptor delta; DR = diabetic retinopathy; PDR = proliferative diabetic retinopathy; DOID = disease ontology ID; PMID = PubMed ID; T1DM = type 1 diabetes mellitus; T2DM = type 2 diabetes mellitus; DNR = diabetes no retinopathy; LDR: ligase detection reaction.