Glucose tolerance, insulin sensitivity and insulin release in European non-diabetic carriers of a polymorphism upstream of CDKN2A and CDKN2B

M L Hribal, I Presta, T Procopio, M A Marini, A Stancáková, J Kuusisto, F Andreozzi, A Hammarstedt, P-A Jansson, N Grarup, T Hansen, M Walker, N Stefan, A Fritsche, H U Häring, O Pedersen, U Smith, M Laakso, G Sesti, EUGENE2 Consortium

20 Citations (Scopus)

Abstract

Aims/hypothesis: The aim of this study was to investigate the association of the rs10811661 polymorphism near the CDKN2B/CDKN2A genes with glucose tolerance, insulin sensitivity and insulin release in three samples of white people with European ancestry. Methods: Sample 1 comprised 845 non-diabetic offspring of type 2 diabetes patients recruited in five European centres participating in the EUGENE2 study. Samples 2 and 3 comprised, respectively, 864 and 524 Italian non-diabetic participants. All individuals underwent an OGTT. Screening for the rs10811661 polymorphism was performed using a TaqMan allelic discrimination assay. Results: The rs10811661 polymorphism did not show a significant association with age, BMI and insulin sensitivity. Participants carrying the TT genotype showed a significant reduction in insulin release, measured by an OGTT-derived index, compared with carriers of the C allele, in the three samples. When these results were pooled with those of three published studies, and meta-analysed with a random-effects model, the T allele was significantly associated with reduced insulin secretion (-35.09 [95% CI 14.68-55.52], p=0.0008 for CC+CT vs TT; and -29.45 [95% CI 9.51-49.38], p=0.0038, for the additive model). In addition, in our three samples, participants carrying the TT genotype exhibited an increased risk for impaired glucose tolerance (IGT) compared with carriers of the C allele (OR 1.55 [95% CI 1.20-1.95] for the meta-analysis of the three samples). Conclusions/ interpretation: Our data, together with the meta-analysis of previously published studies, show that the rs10811661 polymorphism is associated with impaired insulin release and IGT, suggesting that this variant may contribute to type 2 diabetes by affecting beta cell function.

Original languageEnglish
JournalDiabetologia
Volume54
Issue number4
Pages (from-to)795-802
Number of pages8
ISSN0012-186X
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Adult
  • Cyclin-Dependent Kinase Inhibitor p15
  • Cyclin-Dependent Kinase Inhibitor p16
  • Diabetes Mellitus, Type 2
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Insulin
  • Insulin Resistance
  • Male
  • Middle Aged
  • Polymorphism, Genetic
  • Sequence Analysis, DNA

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