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Common genetic variants differentially influence the transition from clinically defined states of fasting glucose metabolism.

TitleCommon genetic variants differentially influence the transition from clinically defined states of fasting glucose metabolism.
Publication TypeJournal Article
Year of Publication2012
AuthorsWalford, GA, Green, T, Neale, B, Isakova, T, Rotter, JI, Grant, SFA, Fox, CS, Pankow, JS, Wilson, JG, Meigs, JB, Siscovick, DS, Bowden, DW, Daly, MJ, Florez, JC
JournalDiabetologia
Volume55
Issue2
Pagination331-9
Date Published2012 Feb
ISSN1432-0428
KeywordsAdult, Aged, Blood Glucose, Cohort Studies, Diabetes Mellitus, Type 2, Disease Progression, Fasting, Female, Genetic Variation, Genotype, Humans, Male, Middle Aged, Models, Genetic, Polymorphism, Single Nucleotide, Proportional Hazards Models, Regression Analysis, Risk
Abstract<p><b>AIMS/HYPOTHESIS: </b>Common genetic variants have been associated with type 2 diabetes. We hypothesised that a subset of these variants may have different effects on the transition from normal fasting glucose (NFG) to impaired fasting glucose (IFG) than on that from IFG to diabetes.</p><p><b>METHODS: </b>We identified 16 type 2 diabetes risk variants from the Illumina Broad Candidate-gene Association Resource (CARe) array genotyped in 26,576 CARe participants. Participants were categorised at baseline as NFG, IFG or type 2 diabetic (n = 16,465, 8,017 or 2,291, respectively). Using Cox proportional hazards and likelihood ratio tests (LRTs), we compared rates of progression by genotype for 4,909 (NFG to IFG) and 1,518 (IFG to type 2 diabetes) individuals, respectively. We then performed multinomial regression analyses at baseline, comparing the risk of assignment to the NFG, IFG or diabetes groups by genotype.</p><p><b>RESULTS: </b>The rate of progression from NFG to IFG was significantly greater in participants carrying the risk allele at MTNR1B (p = 1 × 10(-4)), nominally greater at GCK and SLC30A8 (p < 0.05) and nominally smaller at IGF2BP2 (p = 0.01) than the rate of progression from IFG to diabetes by the LRT. Results of the baseline, multinomial regression model were consistent with these findings.</p><p><b>CONCLUSIONS/INTERPRETATION: </b>Common genetic risk variants at GCK, SLC30A8, IGF2BP2 and MTNR1B influence to different extents the development of IFG and the transition from IFG to type 2 diabetes. Our findings may have implications for understanding the genetic contribution of these variants to the development of IFG and type 2 diabetes.</p>
DOI10.1007/s00125-011-2353-8
Alternate JournalDiabetologia
PubMed ID22038522
PubMed Central IDPMC3589986
Grant ListR01 DK078616 / DK / NIDDK NIH HHS / United States
DK007028 / DK / NIDDK NIH HHS / United States
UL1 TR000124 / TR / NCATS NIH HHS / United States
P30 DK063491 / DK / NIDDK NIH HHS / United States
K24 DK080140 / DK / NIDDK NIH HHS / United States
UL1 RR025758 / RR / NCRR NIH HHS / United States
K23 DK087858 / DK / NIDDK NIH HHS / United States