Possible role of fructosamine 3-kinase genotyping for the management of diabetic patients

Francesca Avemaria, Paola Carrera, Annunziata Lapolla, Giovanni Sartore, Nino Cristiano Chilelli, Renata Paleari, Alessandro Ambrosi, Maurizio Ferrari, Andrea Mosca

Research output: Contribution to journalArticlepeer-review


Diabetes mellitus is a global pandemic and continues to increase in numbers and significance. Several pathogenic processes are involved in the development of such disease and these mechanisms could be influenced by genetic, epigenetic and environmental factors. Non-enzymatic glycation reactions of proteins have been strongly related to pathogenesis of chronic diabetic complications. The identification of fructosamine 3-kinase (FN3K), an enzyme involved in protein deglycation, a new form of protein repair, is of great interest. FN3K phosphorylates fructosamines on the third carbon of their sugar moiety, making them unstable and causing them to detach from proteins, suggesting a protective role of this enzyme. Moreover, the variability in FN3K activity has been associated with some polymorphisms in the FN3K gene. Here we argue about genetic studies and evidence of FN3K involvement in diabetes, together with results of our analysis of the FN3K gene on a Caucasian cohort of diabetic patients. Present knowledge suggests that FN3K could act in concert with other molecular mechanisms and may impact on gene expression and activity of other enzymes involved in deglycation process.

Original languageEnglish
Pages (from-to)1315-1320
Number of pages6
JournalClinical Chemistry and Laboratory Medicine
Issue number9
Publication statusPublished - Aug 1 2015


  • deglycation
  • diabetes
  • fructosamine 3-kinase (FN3K)
  • glycated hemoglobin (HbA1c)
  • glycation
  • single nucleotide polymorphisms

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical


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