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Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Meta-Analysis

Association between ABO Blood Groups and Type 2 Diabetes Mellitus: A Meta-Analysis

Author(s): Earl Adriane Cano, Marion Agatha Esguerra*, Ariane Michaela Batausa, Jessica Rose Baluyut, Ria Cadiz, Hewmy Franci Docto, Jose Ramir Encabo, Reena Mae Gomez and Maria Gina Sadang

Volume 19, Issue 6, 2023

Published on: 11 August, 2022

Article ID: e270422204139 Pages: 12

DOI: 10.2174/1573399818666220427124448

Price: $65

Abstract

Background: The role of the ABO blood group goes beyond immunohematology as there is accumulating evidence on its association with type 2 diabetes mellitus. However, findings regarding the relation have been contradictory and there is a need to determine the validity of claims.

Objective: Evaluate the susceptibility of the ABO blood groups to type 2 diabetes mellitus.

Method: The research design is a meta-analysis. An extensive search was done in PubMed, ScienceDirect, ResearchGate, and Google Scholar. Heterogeneity was determined through Cochran’s Q test and I2 index. Random-effects model was used to measure the risk ratio and confidence intervals. Evaluation of publication bias was done using the funnel plot method; further supported by Egger’s linear regression test and Begg’s test.

Results: The relative susceptibility of ABO blood groups to type 2 diabetes mellitus differs for blood type A (Relative risk [RR] = 1.05, 95% CI, 0.93 to 1.18), blood type B (RR = 1.03, 95% CI, 0.91 to 1.18), blood type AB (RR = 1.25, 95% CI, 0.78 to 1.99), and blood type O (RR = 1.11, 95% CI, 0.82 to 1.48). The highest risk of acquiring the disease was seen in type AB individuals, while the lowest risk was seen in type B individuals.

Conclusion: A significant association was found between ABO blood groups and type 2 diabetes mellitus. ABO phenotype can therefore be considered a possible risk factor or potential genetic determinant of the disease, which can be used to improve diagnosis and treatment.

Keywords: Type 2 diabetes mellitus, type 1 diabetes mellitus, ABO blood group system, blood type, relative risk, gestational diabetes.

[1]
Legese B, Abebe M, Fasil A. Association of ABO and Rh blood group phenotypes with type 2 diabetes mellitus at Felege Hiwot Comprehensive Referral Hospital Bahir Dar, Northwest Ethiopia. Int J Chronic Dis 2020; 2020: 2535843.
[http://dx.doi.org/10.1155/2020/2535843] [PMID: 33204677]
[2]
Kamil M, Al-Jamal HA, Yusoff NM. Association of ABO blood groups with diabetes mellitus. Libyan J Med 2010; 5(1): 4847.
[http://dx.doi.org/10.3402/ljm.v5i0.4847] [PMID: 21483592]
[3]
Bánhidy F, Ács N, Puhó EH, Czeizel AE. Congenital abnormalities in the offspring of pregnant women with type 1, type 2 and gestational diabetes mellitus: A population-based case-control study. Congenit Anom (Kyoto) 2010; 50(2): 115-21.
[http://dx.doi.org/10.1111/j.1741-4520.2010.00275.x] [PMID: 20184644]
[4]
Froguel P, Velho G. Genetic determinants of type 2 diabetes. Recent Prog Horm Res 2001; 56(1): 91-105.
[http://dx.doi.org/10.1210/rp.56.1.91] [PMID: 11237227]
[5]
Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of type 2 diabetes - global burden of disease and forecasted trends. J Epidemiol Glob Health 2020; 10(1): 107-11.
[http://dx.doi.org/10.2991/jegh.k.191028.001] [PMID: 32175717]
[6]
Liumbruno GM, Franchini M. Beyond immunohaematology: The role of the ABO blood group in human diseases. Blood Transfus 2013; 11(4): 491-9.
[PMID: 24120598]
[7]
Aggarwal T, Singh D, Sharma B, Siddiqui S, Agarwal S. Association of ABO and Rh blood groups with type 2 diabetes mellitus in Muzaffarnagar city. Natl J Physiol Pharm Pharmacol 2018; 8(2): 167-70.
[http://dx.doi.org/10.5455/njppp.2018.8.0830324082017]
[8]
Devra D, Pipliwal S, Dwivedi J. A coorelation study between ABO blood group and type 2 diabetes mellitus. Sch Int J Anat Physiol 2019; 2(10): 289-91.
[http://dx.doi.org/10.36348/SIJAP.2019.v02i10.002]
[9]
Bhandari P. What is quantitative research? | definition, uses and methods. Scribbr. 2020. Retrieved 13 January 2021, from https://www.scribbr.com/methodology/quantitative-research/
[10]
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009; 6(7): e1000097.
[http://dx.doi.org/10.1371/journal.pmed.1000097] [PMID: 19621072]
[11]
West SL, Gartlehner G, Mansfield AJ, et al. Comparative effectiveness review methods: Clinical heterogeneity. US: Agency for Healthcare Research and Quality 2010; p. Report No.: 10-EHC070- EF.
[12]
van Enst WA, Ochodo E, Scholten RJPM, Hooft L, Leeflang MM. Investigation of publication bias in meta-analyses of diagnostic test accuracy: A meta-epidemiological study. BMC Med Res Methodol 2014; 14(1): 70.
[http://dx.doi.org/10.1186/1471-2288-14-70] [PMID: 24884381]
[13]
Pufulete M, Higgins JP, Rogers CA, et al. Protocol for a systematic review and individual participant data meta-analysis of B-type natriuretic peptide-guided therapy for heart failure. Syst Rev 2014; 3(1): 41.
[http://dx.doi.org/10.1186/2046-4053-3-41] [PMID: 24886933]
[14]
Qi L, Cornelis MC, Kraft P, et al. Genetic variants in ABO blood group region, plasma soluble E-selectin levels and risk of type 2 diabetes. Hum Mol Genet 2010; 19(9): 1856-62.
[http://dx.doi.org/10.1093/hmg/ddq057] [PMID: 20147318]
[15]
Dali S, Aour M, Belmokhtar F, Belmokhtar R, Boazza F. The relationship between ABO/rhesus blood groups and type 2 diabetes mellitus in Maghnia, Western Algeria. S Afr Fam Pract 2011; 53(6): 568-72.
[http://dx.doi.org/10.1080/20786204.2011.10874154]
[16]
Shrestha S, Jha S. Case control study of ABO blood group and Rhesus (Rh) factor in type 2 diabetes mellitus. Indian J Appl Res 2011; 4(4): 1-3.
[http://dx.doi.org/10.15373/2249555X/APR2014/196]
[17]
Kucevic I, Vasic J, Svorcan JC, Radisic B. Evaluation of the ABO blood group distribution in Serbian patients with diabetes mellitus type 2. Serb J Exp Clin Res 2013; 14(3): 109-12.
[http://dx.doi.org/10.5937/sjecr14-4214]
[18]
Bener A, Yousafzai MT. The distribution of the ABO blood groups among diabetes mellitus patients in Qatar. Niger J Clin Pract 2014; 17(5): 565-8.
[http://dx.doi.org/10.4103/1119-3077.141418] [PMID: 25244264]
[19]
Fagherazzi G, Gusto G, Clavel-Chapelon F, Balkau B, Bonnet F. ABO and Rhesus blood groups and risk of type 2 diabetes: Evidence from the large E3N cohort study. Diabetologia 2015; 58(3): 519-22.
[http://dx.doi.org/10.1007/s00125-014-3472-9] [PMID: 25533388]
[20]
Jaggi S, Yadav AS. Distribution of ABO and Rh (D) allele frequency among the type 2 diabetes mellitus patients. Int J Health Sci Res 2014; 4(9): 277-81.
[21]
Salih AM, Salman IN. Study ABO/Rh systems with IL-18 & IL-33 in Iraqi Patients with diabetes mellitus type II. Baghdad Science Journal 2014; 11(3): 1136-44.
[http://dx.doi.org/10.21123/bsj.11.3.1136-1144]
[22]
El-Sayed M, Amin H. ABO blood groups in correlation with hyperlipidemia, diabetes mellitus type II and essential hypertension. Asian J Pharm Clin Res 2015; 8(5): 236-43.
[23]
Gupta S, Gupta R, Gupta G, Gupta K. Incidence of ABO blood group in type 2 diabetes mellitus in Western Uttar Pradesh, India. Res J Pharm Biol Chem Sci 2015; 6(5): 1039-43.
[24]
Basak A, Kausik M. Study of relationship between ABO & Rh blood group and type 2 diabetic mellitus. Int J Med Res Rev 2016; 4(11): 1965-9.
[http://dx.doi.org/10.17511/ijmrr.2016.i11.10]
[25]
Oner C, Dogan B, Telatar B, Celik Yagan CF, Oguz A. Frequency of ABO/Rhesus blood groups in patients with diabetes mellitus. JCPSP 2016; 26(1): 74-5.
[PMID: 26787039]
[26]
Tarigoppula RK, Syamala M, Raheem AM, Patil SK. Evaluation of the role of Dermatoglyphics, Oral Micronuclei and ABO blood grouping in determining type 2 diabetes-a multi-parameter approach. J Clin Diagn Res 2018; 12(10): ZC12-7.
[http://dx.doi.org/10.7860/JCDR/2018/35920.12119]
[27]
Zaidi SSH, Musharraf MU, Umair A, Uneeba SCh, Ather AA, Rutaba K. Frequency of Abo blood groups among the type II diabetes melli-tus patient. Endocrinol Diabetes Res 2018; 4(2)
[http://dx.doi.org/10.4172/2470-7570.1000134]
[28]
Albaroodi KA, Hatef ZS, Al-Ali BA, Alahmad S. Association between ABO blood group and diabetes mellitus. Ann Trop Med Public Health 2019; 22(S9e): 11.
[29]
Anwar R, Siddiqui I, Ahmed F, Mustafa N, Askari S, Fawwad A. Possible linkage between ABO blood groups and type 2 diabetes; an observational study from Karachi, Pakistan. Pak J Med Res 2019; 58(1): 17-21.
[30]
Al-Ani L, Mahmood H, Abdulhaleem N. Genetically determined ABO and (Rh) Rhesus blood groups and their associations with diabetes mellitus. Syst Rev Pharm 2020; 11(4): 604-8.
[http://dx.doi.org/10.31838/srp.2020.4.90]
[31]
Berhanie H, Mihretie Z, Anandapandian K. Association between socio-demographic factors and blood groups with risk of diabetes mellitus in Dangila Hospital, Awi Zone, North West Ethiopia. Indian J Med Sci 2020; 71(2): 82-7.
[http://dx.doi.org/10.25259/IJMS_21_2019]
[32]
Kumar R, Varma BH. An analytical study on associated type-II diabetic mellitus with ABO Rhesus blood groups Int J Res PharmSci 2020; 11(SPL4): 264-8.
[http://dx.doi.org/10.26452/ijrps.v11iSPL4.3782]
[33]
Mohammed SJ, Amin SS. The distribution of ABO blood groups among type 2 diabetes mellitus patients with or without chronic microvascular complications. Eur J Mol Clin Med 2020; 7(9): 2893-900.
[34]
Navabi J, Navabi SM, Hemmati N, Shaahmadi Z, Aghaei A. Higher odds of type 2 diabetes for some blood groups. Public Health Genomics 2020; 23(1-2): 37-41.
[http://dx.doi.org/10.1159/000506294] [PMID: 32252060]
[35]
Sapanont K, Sunsaneevithayakul P, Boriboonhirunsarn D. Relationship between ABO blood group and gestational diabetes mellitus. J Matern Fetal Neonatal Med 2021; 34(8): 1255-9.
[http://dx.doi.org/10.1080/14767058.2019.1633299] [PMID: 31204532]
[36]
Parente EB, Harjutsalo V, Lehto M, Forsblom C, Sandholm N, Groop PH. Relationship between ABO blood groups and cardiovascular disease in type 1 diabetes according to diabetic nephropathy status. Cardiovasc Diabetol 2020; 19(1): 68.
[http://dx.doi.org/10.1186/s12933-020-01038-z] [PMID: 32429911]
[37]
Waseem A, Iqbal M, Khan O, Tahir M. Association of diabetes mellitus with ABO and Rh blood groups. Ann Pak Inst Med Sci 2012; 8(2): 134-6.
[38]
Mandal B, Shukla R, Basu A, Sinha A, Maiti A, Bhattacharjee K. Association of ABO blood groups with type-2 diabetes mellitus and its complications. J Diabetes Metab Disord Control 2018; 5(1): 1-7.
[http://dx.doi.org/10.15406/jdmdc.2018.05.00130]
[39]
Nagpal B, Hedge U. The distribution of the ABO and Rh (D) blood types in patients with type II diabetes mellitus. Int J Adv Res (Indore) 2015; 3(11): 1561-5.
[40]
Paré G, Chasman DI, Kellogg M, et al. Novel association of ABO histo-blood group antigen with soluble ICAM-1: Results of a genome-wide association study of 6,578 women. PLoS Genet 2008; 4(7): e1000118.
[http://dx.doi.org/10.1371/journal.pgen.1000118] [PMID: 18604267]
[41]
Kiechl S, Paré G, Barbalic M, et al. Association of variation at the ABO locus with circulating levels of soluble intercellular adhesion mol-ecule-1, soluble P-selectin, and soluble E-selectin: A meta-analysis. Circ Cardiovasc Genet 2011; 4(6): 681-6.
[http://dx.doi.org/10.1161/CIRCGENETICS.111.960682] [PMID: 22010135]
[42]
Naitza S, Porcu E, Steri M, et al. A genome-wide association scan on the levels of markers of inflammation in Sardinians reveals associations that underpin its complex regulation. PLoS Genet 2012; 8(1): e1002480.
[http://dx.doi.org/10.1371/journal.pgen.1002480] [PMID: 22291609]
[43]
Gong P, Li S, Luo SH, et al. High-sensitivity C-reactive protein mediates in part the impact of ABO blood group on coronary artery disease. Int J Cardiol 2014; 177(2): 641-3.
[http://dx.doi.org/10.1016/j.ijcard.2014.09.182] [PMID: 25449469]
[44]
Wang X, Bao W, Liu J, et al. Inflammatory markers and risk of type 2 diabetes: A systematic review and meta-analysis. Diabetes Care 2013; 36(1): 166-75.
[http://dx.doi.org/10.2337/dc12-0702] [PMID: 23264288]
[45]
Tiongco RE, Aguas IS, Cabrera FJ, et al. The role of the TNF-α gene -308 G/A polymorphism in the development of diabetic nephropathy: An updated meta-analysis. Diabetes Metab Syndr 2020; 14(6): 2123-9.
[http://dx.doi.org/10.1016/j.dsx.2020.10.032] [PMID: 33395772]
[46]
Rizvi S, Raza ST, Mahdi F. Association of genetic variants with diabetic nephropathy. World J Diabetes 2014; 5(6): 809-16.
[http://dx.doi.org/10.4239/wjd.v5.i6.809] [PMID: 25512783]
[47]
Freedman BI, Bostrom M, Daeihagh P, Bowden DW. Genetic factors in diabetic nephropathy. Clin J Am Soc Nephrol 2007; 2(6): 1306-16.
[http://dx.doi.org/10.2215/CJN.02560607] [PMID: 17942768]
[48]
Alexander KS, Zakai NA, Gillett S, et al. ABO blood type, factor VIII, and incident cognitive impairment in the REGARDS cohort. Neurology 2014; 83(14): 1271-6.
[http://dx.doi.org/10.1212/WNL.0000000000000844] [PMID: 25209581]
[49]
Soares AL, Kazmi RS, Borges MA, et al. Elevated plasma factor VIII and von Willebrand factor in women with type 2 diabetes: Inflammatory reaction, endothelial perturbation or else? Blood Coagul Fibrinolysis 2011; 22(7): 600-5.
[http://dx.doi.org/10.1097/MBC.0b013e32834b2fe1] [PMID: 21934489]
[50]
Carr ME. Diabetes mellitus: A hypercoagulable state. J Diabetes Complications 2001; 15(1): 44-54.
[http://dx.doi.org/10.1016/S1056-8727(00)00132-X] [PMID: 11259926]
[51]
Blann AD. Plasma von Willebrand factor, thrombosis, and the endothelium: The first 30 years. Thromb Haemost 2006; 95(1): 49-55.
[http://dx.doi.org/10.1160/TH05-07-0527] [PMID: 16543961]
[52]
Frankel DS, Meigs JB, Massaro JM, et al. Von Willebrand factor, type 2 diabetes mellitus, and risk of cardiovascular disease: The Framingham offspring study. Circulation 2008; 118(24): 2533-9.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.108.792986] [PMID: 19029465]
[53]
Umadevi B, Roopakala MS, Wilma Delphine Silvia CR, Prasanna Kumar KM. Role of von Willebrand factor in type 2 diabetes mellitus patients. J Evol Med Dent Sci 2016; 5(81): 6075-9.
[http://dx.doi.org/10.14260/jemds/2016/1372]
[54]
Larson NB, Bell EJ, Decker PA, et al. ABO blood group associations with markers of endothelial dysfunction in the Multi-Ethnic Study of Atherosclerosis. Atherosclerosis 2016; 251: 422-9.
[http://dx.doi.org/10.1016/j.atherosclerosis.2016.05.049] [PMID: 27298014]
[55]
Ghazanfari Z, Haghdoost AA, Alizadeh SM, Atapour J, Zolala F. A comparison of HbA1c and fasting blood sugar tests in general population. Int J Prev Med 2010; 1(3): 187-94.
[PMID: 21566790]
[56]
World Health Organization Global report on diabetes 2021. Available from: https://www.who.int/publications/i/item/9789241565257

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