The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.

作者: David Altshuler , Joel N. Hirschhorn , Mia Klannemark , Cecilia M. Lindgren , Marie-Claude Vohl

DOI: 10.1038/79216

关键词:

摘要: Genetic association studies are viewed as problematic and plagued by irreproducibility1. Many associations have been reported for type 2 diabetes2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17, but none confirmed in multiple samples with comprehensive controls. We evaluated 16 published genetic to diabetes related sub-phenotypes using a family-based design control population stratification, replication increase power. were able confirm only one association, that of the common Pro12Ala polymorphism peroxisome proliferator-activated receptor-γ (PPARγ) diabetes. By analysing over 3,000 individuals, we found modest (1.25-fold) significant (P=0.002) risk associated more proline allele (∼85% frequency). Moreover, our results resolve controversy about variation PPARγ. An initial study threefold effect12, four five subsequent publications18,19,20,21,22 failed association. All six consistent odds ratio describe. The data implicate inherited PPARγ pathogenesis Because occurs at such high frequency, its effect translates into large attributable risk—influencing much 25% general population.

参考文章(38)
S. Ishiyama-Shigemoto, K. Yamada, X. Yuan, F. Ichikawa, K. Nonaka, Association of polymorphisms in the β2-adrenergic receptor gene with obesity, hypertriglyceridaemia, and diabetes mellitus (Short Communication) Diabetologia. ,vol. 42, pp. 98- 101 ,(1999) , 10.1007/S001250051120
I. Barroso, M. Gurnell, V. E. F. Crowley, M. Agostini, J. W. Schwabe, M. A. Soos, G. LI Maslen, T. D. M. Williams, H. Lewis, A. J. Schafer, V. K. K. Chatterjee, S. O'Rahilly, Dominant negative mutations in human PPARγ associated with severe insulin resistance, diabetes mellitus and hypertension Nature. ,vol. 402, pp. 880- 883 ,(1999) , 10.1038/47254
Samir S. Deeb, Lluis Fajas, Masami Nemoto, Jussi Pihlajamäki, Leena Mykkänen, Johanna Kuusisto, Markku Laakso, Wilfred Fujimoto, Johan Auwerx, A Pro12Ala substitution in PPARgamma2 associated with decreased receptor activity, lower body mass index and improved insulin sensitivity. Nature Genetics. ,vol. 20, pp. 284- 287 ,(1998) , 10.1038/3099
W J Ewens, R S Spielman, R E McGinnis, Transmission test for linkage disequilibrium: the insulin gene region and insulin-dependent diabetes mellitus (IDDM). American Journal of Human Genetics. ,vol. 52, pp. 506- 516 ,(1993)
Allison Db, Transmission-disequilibrium tests for quantitative traits. American Journal of Human Genetics. ,vol. 60, pp. 676- 690 ,(1997)
H. Shimomura, T. Sanke, K. Ueda, T. Hanabusa, S. Sakagashira, K. Nanjo, A missense mutation of the muscle glycogen synthase gene (M416V) is associated with insulin resistance in the Japanese population Diabetologia. ,vol. 40, pp. 947- 952 ,(1997) , 10.1007/S001250050772
Elisabeth Widén, Markku Lehto, Timo Kanninen, Jeremy Walston, Alan R. Shuldiner, Leif C. Groop, Association of a Polymorphism in the β3-Adrenergic–Receptor Gene with Features of the Insulin Resistance Syndrome in Finns New England Journal of Medicine. ,vol. 333, pp. 348- 352 ,(1995) , 10.1056/NEJM199508103330604
X. Chen, B. Zehnbauer, A. Gnirke, P.-Y. Kwok, Fluorescence energy transfer detection as a homogeneous DNA diagnostic method Proceedings of the National Academy of Sciences of the United States of America. ,vol. 94, pp. 10756- 10761 ,(1997) , 10.1073/PNAS.94.20.10756
Jens Ringel, Stefan Engeli, Armin Distler, Arya M. Sharma, PRO12ALA MISSENSE MUTATION OF THE PEROXISOME PROLIFERATOR ACTIVATED RECEPTOR GAMMA AND DIABETES MELLITUS Biochemical and Biophysical Research Communications. ,vol. 254, pp. 450- 453 ,(1999) , 10.1006/BBRC.1998.9962
Robert A Hegele, Philip W Connelly, Stephen W Scherer, Anthony JG Hanley, Stewart B Harris, Lap-Chee Tsui, Bernard Zinman, None, Paraoxonase-2 Gene (PON2) G148 Variant Associated with Elevated Fasting Plasma Glucose in Noninsulin- Dependent Diabetes Mellitus* The Journal of Clinical Endocrinology and Metabolism. ,vol. 82, pp. 3373- 3377 ,(1997) , 10.1210/JCEM.82.10.4289