Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, 430030 Wuhan, People's Republic of China.
Diabetologia. 2012 Jun;55(6):1685-8. doi: 10.1007/s00125-012-2518-0. Epub 2012 Mar 13.
AIMS/HYPOTHESIS: Variants of the high-mobility group A1 (HMGA1) gene have been shown to be associated with insulin resistance and type 2 diabetes in individuals of European origin. We aimed to determine whether this locus confers significant susceptibility to type 2 diabetes in the Han Chinese population, and thus cross-race susceptibility to type 2 diabetes.
Polymorphisms in HMGA1 were identified by direct sequencing of genomic DNA derived from 192 Chinese participants (96 patients with type 2 diabetes and 96 controls). We then genotyped the common variant IVS5-13insC (c.136-14_136-13insC) in two other independent cohorts, including a total of 2,533 cases and 2,643 ethnically matched controls.
We confirmed the association of the HMGA1 variant IVS5-13insC (c.136-14_136-13insC) with type 2 diabetes with an OR of 1.34 (95% CI 1.15, 1.56, p = 0.0002 under a dominant model, and 95% CI 1.16, 1.55, p = 0.0002 under an additive model) in the Han Chinese population, corresponding to a population attributable risk fraction of 5.0%.
CONCLUSIONS/INTERPRETATION: HMGA1 is an important susceptibility locus that confers a high cross-race risk of the development of type 2 diabetes.
目的/假设:高迁移率族 A1(HMGA1)基因的变体已被证明与欧洲血统个体的胰岛素抵抗和 2 型糖尿病有关。我们旨在确定该基因座是否在汉族人群中赋予 2 型糖尿病的显著易感性,从而赋予 2 型糖尿病的跨种族易感性。
通过对 192 名中国参与者(96 名 2 型糖尿病患者和 96 名对照)的基因组 DNA 进行直接测序,确定 HMGA1 多态性。然后,我们在另外两个独立的队列中对常见变体 IVS5-13insC(c.136-14_136-13insC)进行了基因分型,总共包括 2533 例病例和 2643 名种族匹配的对照。
我们证实了 HMGA1 变体 IVS5-13insC(c.136-14_136-13insC)与 2 型糖尿病的关联,在汉族人群中,显性模型下的 OR 为 1.34(95%CI 1.15,1.56,p=0.0002),加性模型下的 OR 为 1.34(95%CI 1.15,1.56,p=0.0002),对应的人群归因风险分数为 5.0%。
结论/解释:HMGA1 是一个重要的易感基因座,赋予 2 型糖尿病发生的高跨种族风险。