Possible role of the TGFB1 polymorphism rs1800470, transforming growth factor β1 (TGF-β1) and connective tissue growth factor (CTGF) in the progression of diabetic retinopathy in type 2 diabetes mellitus
 
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1
Ophthalmology, Danylo Halytsky Lviv National Medical University, Ukraine
 
2
Pathophysiology, Bogomolets National Medical University, Ukraine
 
 
Submission date: 2025-01-27
 
 
Final revision date: 2025-06-23
 
 
Acceptance date: 2025-08-28
 
 
Publication date: 2025-10-30
 
 
Corresponding author
Andriy Hudz   

Ophthalmology, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
 
 
Wiadomości Lekarskie 2025;(10):2088-2094
 
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ABSTRACT
Aim:
To determine the significance of growth factors (TGF-β1 and CTGF) in the development and progression of diabetic retinopathy (DR) in carriers of different genotypes of the TGFB1 rs1800470 polymorphism in type 2 diabetes mellitus (T2DM).

Material and methods:
A study examined 102 individuals with T2DM and DR, divided into three groups: non-proliferative DR (35), preproliferative DR (34), and proliferative DR (33), with 61 as controls. Standard ophthalmological exams and enzyme-linked immunosorbent assays were conducted. Alleles rs1800470 were determined using polymerase chain reaction. Statistical analyses were done using MedStat and MedCalc v.15.1.

Results:
Results showed rs1800470 A/A carriers had worse visual acuity and higher retinal thickness than G/G carriers. TGF-β1 and CTGF levels in DR patients were significantly higher than in controls, especially in G/A and A/A carriers. TGF-β1 levels were highest in proliferative DR, and CTGF levels increased in A/A carriers compared to G/A and G/G carriers.

Conclusions:
Thus, the content of both TGF-β1 and CTGF was higher in carriers of the G/A and A/A genotypes compared with the ancestral G/G genotype. Therefore, the clinically worse course of DR in carriers of the SNP rs1800470 of the TGFB1 gene could be associated with a higher concentration of TGF-β1 and CTGF in the IOF of such patients.
eISSN:2719-342X
ISSN:0043-5147
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