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Polymorphisms in FTO and near TMEM18 associate with type 2 diabetes and predispose to younger age at diagnosis of diabetes
Authors:Ineta Kalnina  Linda Zaharenko  Iveta Vaivade  Vita Rovite  Liene Nikitina-Zake  Raitis Peculis  Davids Fridmanis  Kristine Geldnere  Josefin A Jacobsson  Markus S Almen  Valdis Pirags  Helgi B Schiöth  Janis Klovins
Institution:1. Latvian Biomedical Research and Study Centre, Ratsupites Street 1, LV-1067 Riga, Latvia;2. Faculty of Biology, University of Latvia, Kronvalda blvd.4, LV-1586 Riga, Latvia;3. Department of Endocrinology, Pauls Stradins Clinical University Hospital, Pilsonu Street 13, LV1002 Riga, Latvia;4. Faculty of Medicine, University of Latvia, Sarlotes Street 1a, LV1001 Riga, Latvia;5. Department of Neuroscience, Functional Pharmacology, Uppsala University, BMC, PO Box 593, 751 24 Uppsala, Sweden
Abstract:Variations in the FTO gene and near the TMEM18 gene are risk factors for common form of obesity, but have also been linked with type 2 diabetes (T2D). Our aim was to investigate the contribution of these variants to risk of T2D in a population in Latvia. Four single nucleotide polymorphisms (SNP) in the first and fourth intronic regions of FTO and one close to TMEM18 were genotyped in 987 patients with T2D and 1080 controls selected from the Latvian Genome Data Base (LGDB). We confirmed association of SNPs in the first intron (rs11642015, rs62048402 and rs9939609) of FTO and rs7561317 representing the TMEM18 locus with T2D. Association between SNP in FTO and T2D remained significant after correction for body mass index (BMI). The rs57103849 located in the fourth intron of FTO and rs7561317 in TMEM18 showed BMI independent association with younger age at diagnosis of T2D. Our results add to the evidence that BMI related variants in and near FTO and TMEM18 may increase the risk for T2D not only through secondary effects of obesity. The influence of variants in the fourth intron of the FTO gene on development of T2D may be mediated by mechanisms other than those manifested by SNPs in the first intron of the same gene.
Keywords:T2D  type 2 diabetes  SNP  single nucleotide polymorphisms  BMI  body mass index  logBMI  logarithmically transformed body mass index values  FTO  the fat mass and obesity associated  TMEM18  transmembrane 18  GWA  genome wide association  LD  linkage disequilibrium  LGDB  Latvian Genome Data Base  ICD-10  International Statistical Classification of Diseases 10th Revision  OR  odds ratio  CEU  Utah residents with ancestry from northern and western Europe  IRX3  iroquois homeobox 3  SD  standard deviation  CI  confidence interval  freq  frequency  n  number  RAF  risk allele frequency  p-perm  p - values derived performing permutation tests specifying 100000 permutations and corrected for multiple testing (EMP2)  EMP2  corrected empirical p-value  ns  non-significant  Add  additive  Rec  recessive
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