TY - JOUR
T1 - Glucose tolerance, insulin sensitivity and insulin release in European non-diabetic carriers of a polymorphism upstream of CDKN2A and CDKN2B
AU - Hribal, M L
AU - Presta, I
AU - Procopio, T
AU - Marini, M A
AU - Stancáková, A
AU - Kuusisto, J
AU - Andreozzi, F
AU - Hammarstedt, A
AU - Jansson, P-A
AU - Grarup, N
AU - Hansen, T
AU - Walker, M
AU - Stefan, N
AU - Fritsche, A
AU - Häring, H U
AU - Pedersen, O
AU - Smith, U
AU - Laakso, M
AU - Sesti, G
AU - EUGENE2 Consortium
PY - 2011/4
Y1 - 2011/4
N2 - 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.
AB - 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.
KW - Adult
KW - Cyclin-Dependent Kinase Inhibitor p15
KW - Cyclin-Dependent Kinase Inhibitor p16
KW - Diabetes Mellitus, Type 2
KW - Female
KW - Genetic Predisposition to Disease
KW - Humans
KW - Insulin
KW - Insulin Resistance
KW - Male
KW - Middle Aged
KW - Polymorphism, Genetic
KW - Sequence Analysis, DNA
U2 - 10.1007/s00125-010-2038-8
DO - 10.1007/s00125-010-2038-8
M3 - Journal article
C2 - 21234743
SN - 0012-186X
VL - 54
SP - 795
EP - 802
JO - Diabetologia
JF - Diabetologia
IS - 4
ER -