Common Single Nucleotide Polymorphisms in TCF7L2 Are Reproducibly Associated With Type 2 Diabetes and Reduce the Insulin Response to Glucose in Nondiabetic Individuals
doi: 10.2337/db06-0381
pmid: 17003358
Common Single Nucleotide Polymorphisms in TCF7L2 Are Reproducibly Associated With Type 2 Diabetes and Reduce the Insulin Response to Glucose in Nondiabetic Individuals
Recently, common noncoding variants in the TCF7L2 gene were strongly associated with increased risk of type 2 diabetes in samples from Iceland, Denmark, and the U.S. We genotyped 13 single nucleotide polymorphisms (SNPs) across TCF7L2 in 8,310 individuals in family-based and case-control designs from Scandinavia, Poland, and the U.S. We convincingly confirmed the previous association of TCF7L2 SNPs with the risk of type 2 diabetes (rs7903146T odds ratio 1.40 [95% CI 1.30–1.50], P = 6.74 × 10−20). In nondiabetic individuals, the risk genotypes were associated with a substantial reduction in the insulinogenic index derived from an oral glucose tolerance test (risk allele homozygotes have half the insulin response to glucose of noncarriers, P = 0.003) but not with increased insulin resistance. These results suggest that TCF7L2 variants may act through insulin secretion to increase the risk of type 2 diabetes.
- Broad Institute United States
- Malmö University Sweden
- Massachusetts Institute of Technology United States
- Harvard University United States
- Massachusetts General Hospital United States
Risk, Polymorphism, Single Nucleotide, Glucose, Diabetes Mellitus, Type 2, Case-Control Studies, Humans, Insulin, Insulin Resistance, TCF Transcription Factors, Transcription Factor 7-Like 2 Protein
Risk, Polymorphism, Single Nucleotide, Glucose, Diabetes Mellitus, Type 2, Case-Control Studies, Humans, Insulin, Insulin Resistance, TCF Transcription Factors, Transcription Factor 7-Like 2 Protein
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