Title Association of genetic predisposition to obesity with type 2 diabetes risk in Han Chinese individuals
Authors Zhu, Jingwen
Zong, Geng
Lu, Ling
Gan, Wei
Ji, Linong
Hu, Renming
Ye, Xingwang
Sun, Liang
Loos, Ruth J. F.
Li, Huaixing
Lin, Xu
Affiliation Univ Chinese Acad Sci, Chinese Acad Sci, Shanghai Inst Biol Sci, Inst Nutrit Sci,Key Lab Nutr & Metab, Shanghai 200031, Peoples R China.
Peking Univ, Peoples Hosp, Dept Endocrinol & Metab, Beijing 100871, Peoples R China.
Fudan Univ, Shanghai Med Coll, Huashan Hosp, Inst Endocrinol & Diabetol, Shanghai, Peoples R China.
Mt Sinai Sch Med, Inst Child Hlth & Dev, Charles Bronfman Inst Personalized Med, Dept Prevent Med,Genet Obesity & Related Traits P, York, NY USA.
Univ Chinese Acad Sci, Chinese Acad Sci, Shanghai Inst Biol Sci, Inst Nutrit Sci,Key Lab Nutr & Metab, 320 Yue Yang Rd, Shanghai 200031, Peoples R China.
Keywords BMI
Chinese
Genetic risk score
HOMA-B
Type 2 diabetes
BODY-MASS INDEX
COMMON VARIANTS
LOCI
Issue Date 2014
Publisher diabetologia
Citation DIABETOLOGIA.2014,57,(9),1830-1833.
Abstract Aims/hypothesis Obesity is a major risk factor for type 2 diabetes, but little is known about the contribution of BMI-associated loci to type 2 diabetes risk in East Asian populations. Methods In this study, 30 known BMI-associated variants and a genetic risk score (GRS) calculated by summing the BMI-increasing alleles of these variants were tested for associations with type 2 diabetes and related glycaemic traits in 1,873 cases of type 2 diabetes and 1,839 controls in Han Chinese individuals. Logistic and linear regression analyses were performed to determine the association with type 2 diabetes risk or related glycaemic traits, respectively, under an additive model with or without adjustment for BMI. Results The GRS was significantly associated with increased BMI (beta [SE] 0.070 [0.016]; p = 1.33 x 10(-5)) in the overall population. Each additional BMI-increasing allele in the GRS increased type 2 diabetes risk by 1.029-fold (95% CI 1.008, 1.050; p = 0.0056) without adjustment for BMI, and the association was slightly attenuated after adjustment for BMI (OR 1.022; 95% CI 1.002, 1.043; p = 0.035). In non-diabetic controls, the GRS was also associated with HOMA of beta cell function (HOMA-B) with adjustment for BMI (beta [SE] -0.876 [0.345]; p = 0.011). Notably, the association of GRS with type 2 diabetes was abolished after adjusting for HOMA-B (OR 1.012; 95% CI 0.986, 1.039; p = 0.380). Conclusions/interpretation Our results suggested that genetic predisposition to obesity leads to increased risk of type 2 diabetes, independent of BMI and partly through impaired beta cell function.
URI http://hdl.handle.net/20.500.11897/209319
ISSN 0012-186X
DOI 10.1007/s00125-014-3308-7
Indexed SCI(E)
Appears in Collections: 人民医院

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