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在汉族人群中,对 2 型糖尿病风险等位基因的研究支持 CDKN2A/B、CDKAL1 和 TCF7L2 作为易感基因。

Investigation of type 2 diabetes risk alleles support CDKN2A/B, CDKAL1, and TCF7L2 as susceptibility genes in a Han Chinese cohort.

机构信息

Department of Endocrinology, Shanghai Medical College Fudan University, Shanghai, China.

出版信息

PLoS One. 2010 Feb 10;5(2):e9153. doi: 10.1371/journal.pone.0009153.


DOI:10.1371/journal.pone.0009153
PMID:20161779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2818850/
Abstract

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.

摘要

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。

相似文献

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[2]
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本文引用的文献

[1]
A common variant in MTNR1B, encoding melatonin receptor 1B, is associated with type 2 diabetes and fasting plasma glucose in Han Chinese individuals.

Diabetologia. 2009-5

[2]
FTO gene variants are strongly associated with type 2 diabetes in South Asian Indians.

Diabetologia. 2009-2

[3]
Positive association between variations in CDKAL1 and type 2 diabetes in Han Chinese individuals.

Diabetologia. 2008-11

[4]
Common variants in CDKAL1, CDKN2A/B, IGF2BP2, SLC30A8, and HHEX/IDE genes are associated with type 2 diabetes and impaired fasting glucose in a Chinese Han population.

Diabetes. 2008-10

[5]
Exon sequencing and association analysis of polymorphisms in TCF7L2 with type 2 diabetes in a Chinese population.

Diabetologia. 2008-7

[6]
Implication of genetic variants near TCF7L2, SLC30A8, HHEX, CDKAL1, CDKN2A/B, IGF2BP2, and FTO in type 2 diabetes and obesity in 6,719 Asians.

Diabetes. 2008-8

[7]
Common variants near MC4R are associated with fat mass, weight and risk of obesity.

Nat Genet. 2008-6

[8]
Common genetic variation near MC4R is associated with waist circumference and insulin resistance.

Nat Genet. 2008-6

[9]
Meta-analysis of genome-wide association data and large-scale replication identifies additional susceptibility loci for type 2 diabetes.

Nat Genet. 2008-5

[10]
Quantitative trait analysis of type 2 diabetes susceptibility loci identified from whole genome association studies in the Insulin Resistance Atherosclerosis Family Study.

Diabetes. 2008-4

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