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法国普通人群中2型糖尿病新风险位点的分析:D.E.S.I.R.研究

Analysis of novel risk loci for type 2 diabetes in a general French population: the D.E.S.I.R. study.

作者信息

Cauchi Stéphane, Proença Christine, Choquet Hélène, Gaget Stefan, De Graeve Franck, Marre Michel, Balkau Beverley, Tichet Jean, Meyre David, Vaxillaire Martine, Froguel Philippe

机构信息

CNRS 8090-Institute of Biology, Pasteur Institute, Lille, France.

出版信息

J Mol Med (Berl). 2008 Mar;86(3):341-8. doi: 10.1007/s00109-007-0295-x. Epub 2008 Jan 22.


DOI:10.1007/s00109-007-0295-x
PMID:18210030
Abstract

Recently, Genome Wide Association (GWA) studies identified novel single nucleotide polymorphisms (SNPs), highly associated with type 2 diabetes (T2D) in several case-control studies of European descent. However, the impact of these markers on glucose homeostasis in a population-based study remains to be clarified. The French prospective D.E.S.I.R. study (N = 4,707) was genotyped for 22 polymorphisms within 14 loci showing nominal to strong association with T2D in recently published GWA analyses (CDKAL1, IGFBP2, CDKN2A/2B, EXT2, HHEX, LOC646279, SLC30A8, MMP26, KCTD12, LDLR, CAMTA1, LOC38776, NGN3 and CXCR4). We assessed their effects on quantitative traits related to glucose homeostasis in 4,283 normoglycemic middle-aged participants at baseline and their contribution to T2D incidence during 9 years of follow-up. Individuals carrying T2D risk alleles of CDKAL1 or SLC30A8 had lower fasting plasma insulin level (rs7756992 P = 0.003) or lower basal insulin secretion (rs13266634 P = 0.0005), respectively, than non-carriers. Furthermore, NGN3 and MMP26 risk alleles associated with higher fasting plasma glucose levels (rs10823406 P = 0.01 and rs2499953 P = 0.04, respectively). However, for these SNPs, only modest associations were found with a higher incidence of T2D: hazard ratios of 2.03 [1.00-4.11] for MMP26 (rs2499953 P = 0.05) and 1.33 [1.02-1.73] for NGN3 (rs10823406 P = 0.03). We confirmed deleterious effects of SLC30A8, CDKAL1, NGN3 and MMP26 risk alleles on glucose homeostasis in the D.E.S.I.R. prospective cohort. However, in contrast to TCF7L2, the contribution of novel loci to T2D incidence seems only modest in the general middle-aged French population and should be replicated in larger cohorts.

摘要

最近,全基因组关联(GWA)研究在几项欧洲血统的病例对照研究中发现了与2型糖尿病(T2D)高度相关的新型单核苷酸多态性(SNP)。然而,在一项基于人群的研究中,这些标记物对葡萄糖稳态的影响仍有待阐明。对法国前瞻性D.E.S.I.R.研究(N = 4707)中的14个基因座内的22个多态性进行了基因分型,这些基因座在最近发表的GWA分析中显示出与T2D存在名义上至强的关联(CDKAL1、IGFBP2、CDKN2A/2B、EXT2、HHEX、LOC646279、SLC30A8、MMP26、KCTD12、LDLR、CAMTA1、LOC38776、NGN3和CXCR4)。我们评估了它们对4283名基线时血糖正常的中年参与者中与葡萄糖稳态相关的定量性状的影响,以及它们在9年随访期间对T2D发病率的贡献。携带CDKAL1或SLC30A8的T2D风险等位基因的个体,其空腹血浆胰岛素水平(rs7756992 P = 0.003)或基础胰岛素分泌(rs13266634 P = 0.0005)分别低于非携带者。此外,与较高空腹血糖水平相关的NGN3和MMP26风险等位基因(rs10823406 P = 0.01和rs2499953 P = 0.04)。然而,对于这些SNP,仅发现与较高的T2D发病率存在适度关联:MMP26的风险比为2.03 [1.00 - 4.11](rs2499953 P = 0.05),NGN3的风险比为1.33 [1.02 - 1.73](rs10823406 P = 0.03)。我们在D.E.S.I.R.前瞻性队列中证实了SLC30A8、CDKAL1、NGN3和MMP26风险等位基因对葡萄糖稳态的有害影响。然而,与TCF7L2不同,新基因座对T2D发病率的贡献在法国普通中年人群中似乎仅为适度,应在更大的队列中进行重复验证。

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本文引用的文献

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