Department of Endocrinology, Shanghai Medical College Fudan University, Shanghai, China.
PLoS One. 2010 Feb 10;5(2):e9153. doi: 10.1371/journal.pone.0009153.
BACKGROUND: Recent genome-wide association studies (GWASs) have reported several genetic variants to be reproducibly associated with type 2 diabetes. Additional variants have also been detected from a metaanalysis of three GWASs, performed in populations of European ancestry. In the present study, we evaluated the influence of 17 genetic variants from 15 candidate loci, identified in type 2 diabetes GWASs and the metaanalysis, in a Han Chinese cohort. METHODOLOGY/PRINCIPAL FINDINGS: Selected type 2 diabetes-associated genetic variants were genotyped in 1,165 type 2 diabetic patients and 1,136 normoglycemic control individuals of Southern Han Chinese ancestry. The OR for risk of developing type 2 diabetes was calculated using a logistic regression model adjusted for age, sex, and BMI. Genotype-phenotype associations were tested using a multivariate linear regression model. Genetic variants in CDKN2A/B, CDKAL1, TCF7L2, TCF2, MC4R, and PPARG showed a nominal association with type 2 diabetes (P<or=0.05), of whom the three first would stand correction for multiple testing: CDKN2A/B rs10811661, OR: 1.26 (1.12-1.43) P = 1.810(-4); CDKAL1 rs10946398, OR: 1.23 (1.09-1.39); P = 7.110(-4), and TCF7L2 rs7903146, OR: 1.61 (1.19-2.18) P = 2.3 * 10(-3). Only nominal phenotype associations were observed, notably for rs8050136 in FTO and fasting plasma glucose (P = 0.002), postprandial plasma glucose (P = 0.002), and fasting C-peptide levels (P = 0.006) in the diabetic patients, and with BMI in controls (P = 0.033). CONCLUSIONS/SIGNIFICANCE: We have identified significant association between variants in CDKN2A/B, CDKAL1 and TCF7L2, and type 2 diabetes in a Han Chinese cohort, indicating these genes as strong candidates conferring susceptibility to type 2 diabetes across different ethnicities.
背景:最近的全基因组关联研究(GWAS)已经报道了一些与 2 型糖尿病有重复关联性的遗传变异。在一项欧洲人群的三项 GWAS 的荟萃分析中,也发现了其他的变异。在本研究中,我们评估了在一个汉族人群中,15 个候选位点的 2 型糖尿病 GWAS 和荟萃分析中鉴定出的 17 个遗传变异对 2 型糖尿病的影响。
方法/主要发现:选择与 2 型糖尿病相关的遗传变异在 1165 例 2 型糖尿病患者和 1136 名血糖正常的汉族对照个体中进行基因分型。使用逻辑回归模型调整年龄、性别和 BMI 计算发生 2 型糖尿病的风险的 OR。使用多元线性回归模型测试基因型与表型的关联。CDKN2A/B、CDKAL1、TCF7L2、TCF2、MC4R 和 PPARG 中的遗传变异与 2 型糖尿病有显著关联(P<or=0.05),其中前三个在进行多重检测校正后仍然显著:CDKN2A/B rs10811661,OR:1.26(1.12-1.43),P=1.810(-4);CDKAL1 rs10946398,OR:1.23(1.09-1.39),P=7.110(-4);以及 TCF7L2 rs7903146,OR:1.61(1.19-2.18),P=2.3*10(-3)。仅观察到名义上的表型关联,特别是 FTO 中的 rs8050136 与糖尿病患者的空腹血糖(P=0.002)、餐后血糖(P=0.002)和空腹 C 肽水平(P=0.006)以及对照者的 BMI(P=0.033)相关。
结论/意义:我们在一个汉族人群中发现 CDKN2A/B、CDKAL1 和 TCF7L2 中的变异与 2 型糖尿病之间存在显著关联,表明这些基因是不同种族 2 型糖尿病易感性的强候选基因。
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