Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes

Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes Johan Holmkvist 1 , Peter Almgren 1 , Valeriya Lyssenko 1 , Cecilia M. Lindgren 2 3 , Karl-Fredrik Eriksson 1 , Bo Isomaa 4 5 , Tiinamaija Tuomi 5 6 , Peter Nilsson 7 and Leif Groop 1 5 1 Department of C...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2008-06, Vol.57 (6), p.1738-1744
Hauptverfasser: HOLMKVIST, Johan, ALMGREN, Peter, LYSSENKO, Valeriya, LINDGREN, Cecilia M, ERIKSSON, Karl-Fredrik, ISOMAA, Bo, TUOMI, Tiinamaija, NILSSON, Peter, GROOP, Leif
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container_issue 6
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container_title Diabetes (New York, N.Y.)
container_volume 57
creator HOLMKVIST, Johan
ALMGREN, Peter
LYSSENKO, Valeriya
LINDGREN, Cecilia M
ERIKSSON, Karl-Fredrik
ISOMAA, Bo
TUOMI, Tiinamaija
NILSSON, Peter
GROOP, Leif
description Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes Johan Holmkvist 1 , Peter Almgren 1 , Valeriya Lyssenko 1 , Cecilia M. Lindgren 2 3 , Karl-Fredrik Eriksson 1 , Bo Isomaa 4 5 , Tiinamaija Tuomi 5 6 , Peter Nilsson 7 and Leif Groop 1 5 1 Department of Clinical Sciences—Diabetes and Endocrinology, CRC, Malmö University Hospital MAS, Lund University, Malmö, Sweden 2 Wellcome Trust Centre for Human Genetics and Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University, Oxford, U.K 3 Clinical Research Centre, Karolinska Institute, Stockholm, Sweden 4 Malmska Municipal Health Care Center and Hospital, Jakobstad, Finland 5 Folkhalsan Research Centre, Helsinki, Finland 6 Department of Medicine, Helsinki University Central Hospital, and Research Program of Molecular Medicine, University of Helsinki, Helsinki, Finland 7 Department of Medicine, Malmö University Hospital MAS, Lund University, Malmö, Sweden Corresponding author: Johan Holmkvist, Department of Clinical Sciences—Diabetes and Endocrinology, CRC Malmö University Hospital MAS, Lund University, S-205 02 Malmö, Sweden. E-mail: johan.holmkvist{at}med.lu.se Abstract OBJECTIVE— Mutations in the hepatocyte nuclear factor ( HNF ) -1 α, HNF-4 α, glucokinase ( GCK ), and HNF-1 β genes cause maturity-onset diabetes of the young (MODY), but it is not known whether common variants in these genes predict future type 2 diabetes. RESEARCH DESIGN AND METHODS— We tested 14 previously associated polymorphisms in HNF-1 α, HNF-4 α, GCK , and HNF-1 β for association with type 2 diabetes–related traits and future risk of type 2 diabetes in 2,293 individuals from the Botnia study (Finland) and in 15,538 individuals from the Malmö Preventive Project (Sweden) with a total follow-up >360,000 years. RESULTS— The polymorphism rs1169288 in HNF-1 α strongly predicted future type 2 diabetes (hazard ratio [HR] 1.2, P = 0.0002). Also, SNPs rs4810424 and rs3212198 in HNF-4 α nominally predicted future type 2 diabetes (HR 1.3 [95% CI 1.0–1.6], P = 0.03; and 1.1 [1.0–1.2], P = 0.04). The rs2144908 polymorphism in HNF-4 α was associated with elevated rate of hepatic glucose production during a hyperinsulinemic-euglycemic clamp ( P = 0.03) but not with deterioration of insulin secretion over time. The SNP rs1799884 in the GCK promoter was associated with elevated fasting plasma glucose (fPG) concentrations that remained unchanged during the follow-up period ( P = 0.4; SE 0.004 [−
doi_str_mv 10.2337/db06-1464
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Lindgren 2 3 , Karl-Fredrik Eriksson 1 , Bo Isomaa 4 5 , Tiinamaija Tuomi 5 6 , Peter Nilsson 7 and Leif Groop 1 5 1 Department of Clinical Sciences—Diabetes and Endocrinology, CRC, Malmö University Hospital MAS, Lund University, Malmö, Sweden 2 Wellcome Trust Centre for Human Genetics and Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University, Oxford, U.K 3 Clinical Research Centre, Karolinska Institute, Stockholm, Sweden 4 Malmska Municipal Health Care Center and Hospital, Jakobstad, Finland 5 Folkhalsan Research Centre, Helsinki, Finland 6 Department of Medicine, Helsinki University Central Hospital, and Research Program of Molecular Medicine, University of Helsinki, Helsinki, Finland 7 Department of Medicine, Malmö University Hospital MAS, Lund University, Malmö, Sweden Corresponding author: Johan Holmkvist, Department of Clinical Sciences—Diabetes and Endocrinology, CRC Malmö University Hospital MAS, Lund University, S-205 02 Malmö, Sweden. E-mail: johan.holmkvist{at}med.lu.se Abstract OBJECTIVE— Mutations in the hepatocyte nuclear factor ( HNF ) -1 α, HNF-4 α, glucokinase ( GCK ), and HNF-1 β genes cause maturity-onset diabetes of the young (MODY), but it is not known whether common variants in these genes predict future type 2 diabetes. RESEARCH DESIGN AND METHODS— We tested 14 previously associated polymorphisms in HNF-1 α, HNF-4 α, GCK , and HNF-1 β for association with type 2 diabetes–related traits and future risk of type 2 diabetes in 2,293 individuals from the Botnia study (Finland) and in 15,538 individuals from the Malmö Preventive Project (Sweden) with a total follow-up &gt;360,000 years. RESULTS— The polymorphism rs1169288 in HNF-1 α strongly predicted future type 2 diabetes (hazard ratio [HR] 1.2, P = 0.0002). Also, SNPs rs4810424 and rs3212198 in HNF-4 α nominally predicted future type 2 diabetes (HR 1.3 [95% CI 1.0–1.6], P = 0.03; and 1.1 [1.0–1.2], P = 0.04). The rs2144908 polymorphism in HNF-4 α was associated with elevated rate of hepatic glucose production during a hyperinsulinemic-euglycemic clamp ( P = 0.03) but not with deterioration of insulin secretion over time. The SNP rs1799884 in the GCK promoter was associated with elevated fasting plasma glucose (fPG) concentrations that remained unchanged during the follow-up period ( P = 0.4; SE 0.004 [−0.003–0.007]) but did not predict future type 2 diabetes (HR 0.9 [0.8–1.0], P = 0.1). Polymorphisms in HNF-1 β (transcription factor 2 [ TCF2 ]) did not significantly influence insulin or glucose values nor did they predict future type 2 diabetes. CONCLUSIONS— In conclusion, genetic variation in both HNF-1 α and HNF-4 α predict future type 2 diabetes, whereas variation in the GCK promoter results in a sustained but subtle elevation of fPG that is not sufficient to increase risk for future type 2 diabetes. EGP, endogenous glucose production FFM, fat-free mass fPG, fasting plasma glucose G6Pase, glucose-6-phosphatase GCK, glucokinase GEE, general estimation equation HNF, hepatocyte nuclear factor HOMA, homeostasis model assessment IFG, impaired fasting glucose IGT, impaired glucose tolerance MPP, Malmö Preventive Project MODY, maturity-onset diabetes of the young OGTT, oral glucose tolerance test PCK-1, phosphoenolpyruvate carboxykinase 1 PGC-1α, peroxisome proliferator–activated receptor-γ coactivator-1α PPAR, peroxisome proliferator–activated receptor TCF, transcription factor Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 10 March 2008. DOI: 10.2337/db06-1464. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db06-1464 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted February 27, 2008. Received October 18, 2006. DIABETES</description><identifier>ISSN: 0012-1797</identifier><identifier>ISSN: 1939-327X</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db06-1464</identifier><identifier>PMID: 18332101</identifier><identifier>CODEN: DIAEAZ</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adult ; Age Factors ; Biological and medical sciences ; Blood Glucose - analysis ; Chromosomes ; Clinical Medicine ; Diabetes ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - genetics ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinology and Diabetes ; Endocrinopathies ; Endokrinologi och diabetes ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Fasting ; Female ; Genes ; Genetic aspects ; Genetic susceptibility ; Genetic Variation ; Glucokinase - genetics ; Glucose ; Hepatocyte Nuclear Factor 1-beta - genetics ; Hepatocyte Nuclear Factor 4 - genetics ; Humans ; Insulin ; Insulin - blood ; Klinisk medicin ; Liver ; Male ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Mutation ; Phosphatase ; Physiological aspects ; Polymorphism ; Polymorphism, Genetic ; Research design ; Risk Factors ; Transcription factors ; Type 2 diabetes ; White people</subject><ispartof>Diabetes (New York, N.Y.), 2008-06, Vol.57 (6), p.1738-1744</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 American Diabetes Association</rights><rights>COPYRIGHT 2008 American Diabetes Association</rights><rights>Copyright American Diabetes Association Jun 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c726t-53f8047d489a18091867d9ad15220b9979c1b2bdecc74c833c8a28f7953764083</citedby><cites>FETCH-LOGICAL-c726t-53f8047d489a18091867d9ad15220b9979c1b2bdecc74c833c8a28f7953764083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,550,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20397991$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18332101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/1201421$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>HOLMKVIST, Johan</creatorcontrib><creatorcontrib>ALMGREN, Peter</creatorcontrib><creatorcontrib>LYSSENKO, Valeriya</creatorcontrib><creatorcontrib>LINDGREN, Cecilia M</creatorcontrib><creatorcontrib>ERIKSSON, Karl-Fredrik</creatorcontrib><creatorcontrib>ISOMAA, Bo</creatorcontrib><creatorcontrib>TUOMI, Tiinamaija</creatorcontrib><creatorcontrib>NILSSON, Peter</creatorcontrib><creatorcontrib>GROOP, Leif</creatorcontrib><title>Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes</title><title>Diabetes (New York, N.Y.)</title><addtitle>Diabetes</addtitle><description>Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes Johan Holmkvist 1 , Peter Almgren 1 , Valeriya Lyssenko 1 , Cecilia M. Lindgren 2 3 , Karl-Fredrik Eriksson 1 , Bo Isomaa 4 5 , Tiinamaija Tuomi 5 6 , Peter Nilsson 7 and Leif Groop 1 5 1 Department of Clinical Sciences—Diabetes and Endocrinology, CRC, Malmö University Hospital MAS, Lund University, Malmö, Sweden 2 Wellcome Trust Centre for Human Genetics and Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University, Oxford, U.K 3 Clinical Research Centre, Karolinska Institute, Stockholm, Sweden 4 Malmska Municipal Health Care Center and Hospital, Jakobstad, Finland 5 Folkhalsan Research Centre, Helsinki, Finland 6 Department of Medicine, Helsinki University Central Hospital, and Research Program of Molecular Medicine, University of Helsinki, Helsinki, Finland 7 Department of Medicine, Malmö University Hospital MAS, Lund University, Malmö, Sweden Corresponding author: Johan Holmkvist, Department of Clinical Sciences—Diabetes and Endocrinology, CRC Malmö University Hospital MAS, Lund University, S-205 02 Malmö, Sweden. E-mail: johan.holmkvist{at}med.lu.se Abstract OBJECTIVE— Mutations in the hepatocyte nuclear factor ( HNF ) -1 α, HNF-4 α, glucokinase ( GCK ), and HNF-1 β genes cause maturity-onset diabetes of the young (MODY), but it is not known whether common variants in these genes predict future type 2 diabetes. RESEARCH DESIGN AND METHODS— We tested 14 previously associated polymorphisms in HNF-1 α, HNF-4 α, GCK , and HNF-1 β for association with type 2 diabetes–related traits and future risk of type 2 diabetes in 2,293 individuals from the Botnia study (Finland) and in 15,538 individuals from the Malmö Preventive Project (Sweden) with a total follow-up &gt;360,000 years. RESULTS— The polymorphism rs1169288 in HNF-1 α strongly predicted future type 2 diabetes (hazard ratio [HR] 1.2, P = 0.0002). Also, SNPs rs4810424 and rs3212198 in HNF-4 α nominally predicted future type 2 diabetes (HR 1.3 [95% CI 1.0–1.6], P = 0.03; and 1.1 [1.0–1.2], P = 0.04). The rs2144908 polymorphism in HNF-4 α was associated with elevated rate of hepatic glucose production during a hyperinsulinemic-euglycemic clamp ( P = 0.03) but not with deterioration of insulin secretion over time. The SNP rs1799884 in the GCK promoter was associated with elevated fasting plasma glucose (fPG) concentrations that remained unchanged during the follow-up period ( P = 0.4; SE 0.004 [−0.003–0.007]) but did not predict future type 2 diabetes (HR 0.9 [0.8–1.0], P = 0.1). Polymorphisms in HNF-1 β (transcription factor 2 [ TCF2 ]) did not significantly influence insulin or glucose values nor did they predict future type 2 diabetes. CONCLUSIONS— In conclusion, genetic variation in both HNF-1 α and HNF-4 α predict future type 2 diabetes, whereas variation in the GCK promoter results in a sustained but subtle elevation of fPG that is not sufficient to increase risk for future type 2 diabetes. EGP, endogenous glucose production FFM, fat-free mass fPG, fasting plasma glucose G6Pase, glucose-6-phosphatase GCK, glucokinase GEE, general estimation equation HNF, hepatocyte nuclear factor HOMA, homeostasis model assessment IFG, impaired fasting glucose IGT, impaired glucose tolerance MPP, Malmö Preventive Project MODY, maturity-onset diabetes of the young OGTT, oral glucose tolerance test PCK-1, phosphoenolpyruvate carboxykinase 1 PGC-1α, peroxisome proliferator–activated receptor-γ coactivator-1α PPAR, peroxisome proliferator–activated receptor TCF, transcription factor Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 10 March 2008. DOI: 10.2337/db06-1464. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db06-1464 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted February 27, 2008. Received October 18, 2006. DIABETES</description><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - analysis</subject><subject>Chromosomes</subject><subject>Clinical Medicine</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinology and Diabetes</subject><subject>Endocrinopathies</subject><subject>Endokrinologi och diabetes</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Fasting</subject><subject>Female</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>Genetic susceptibility</subject><subject>Genetic Variation</subject><subject>Glucokinase - genetics</subject><subject>Glucose</subject><subject>Hepatocyte Nuclear Factor 1-beta - genetics</subject><subject>Hepatocyte Nuclear Factor 4 - genetics</subject><subject>Humans</subject><subject>Insulin</subject><subject>Insulin - blood</subject><subject>Klinisk medicin</subject><subject>Liver</subject><subject>Male</subject><subject>Medical and Health Sciences</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Phosphatase</subject><subject>Physiological aspects</subject><subject>Polymorphism</subject><subject>Polymorphism, Genetic</subject><subject>Research design</subject><subject>Risk Factors</subject><subject>Transcription factors</subject><subject>Type 2 diabetes</subject><subject>White people</subject><issn>0012-1797</issn><issn>1939-327X</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>D8T</sourceid><recordid>eNqF0l2L1DAUBuAiijuuXvgHpAgKIl3z0TbJ5TK6ozAyIKvoVUzT007WNhmblnX-vWeYYZaVAQmhJTw5Lee8SfKckgvGuXhXV6TMaF7mD5IZVVxlnInvD5MZIZRlVChxljyJ8YYQUuJ6nJxRyTmjhM6Sn_PQ98Gn38zgjB9j6nz62YzT4MZttvIRxvS9MxWMENPQpOMa0h9h8m26AI9Hxtfp1YQc0i8u_tqR6-0GUna89TR51JguwrPD8zz5evXhev4xW64Wn-aXy8wKVo5ZwRtJclHnUhkqiaKyFLUyNS0YI5VSQllasaoGa0Vu8fetNEw2QhVclDmR_DxZ7uvGW9hMld4MrjfDVgfjdDdtcFe4dQRdKQmWCtBGNULnQlItTUE0q5itgRWNITmWe70vtxnC7wniqHsXLXSd8RCmqAURsiiE-i9kOARCFUP48h94E6bBY080o2UuRZ7vULZHrelAO9-EcTC2xV4PpgseGofHlwxHioMnFP3FCY-rht7Zkxfe3LuAZoQ_Y2umGLVcLO_b7JS1oeugBY3jm69O1rZDiHGA5jgEit3FoOpdUPUuqGhfHLoxVT3Ud_KQTASvDsBEa7pmMN66eHSMcMyE2rm3e7d27frWDaDrQ_LuXgqh8bOCS_4XzAT4qg</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>HOLMKVIST, Johan</creator><creator>ALMGREN, Peter</creator><creator>LYSSENKO, Valeriya</creator><creator>LINDGREN, Cecilia M</creator><creator>ERIKSSON, Karl-Fredrik</creator><creator>ISOMAA, Bo</creator><creator>TUOMI, Tiinamaija</creator><creator>NILSSON, Peter</creator><creator>GROOP, Leif</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AGCHP</scope><scope>AOWAS</scope><scope>D8T</scope><scope>D95</scope><scope>ZZAVC</scope></search><sort><creationdate>20080601</creationdate><title>Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes</title><author>HOLMKVIST, Johan ; ALMGREN, Peter ; LYSSENKO, Valeriya ; LINDGREN, Cecilia M ; ERIKSSON, Karl-Fredrik ; ISOMAA, Bo ; TUOMI, Tiinamaija ; NILSSON, Peter ; GROOP, Leif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c726t-53f8047d489a18091867d9ad15220b9979c1b2bdecc74c833c8a28f7953764083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - analysis</topic><topic>Chromosomes</topic><topic>Clinical Medicine</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Diabetes. 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Target tissue resistance</topic><topic>Fasting</topic><topic>Female</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic susceptibility</topic><topic>Genetic Variation</topic><topic>Glucokinase - genetics</topic><topic>Glucose</topic><topic>Hepatocyte Nuclear Factor 1-beta - genetics</topic><topic>Hepatocyte Nuclear Factor 4 - genetics</topic><topic>Humans</topic><topic>Insulin</topic><topic>Insulin - blood</topic><topic>Klinisk medicin</topic><topic>Liver</topic><topic>Male</topic><topic>Medical and Health Sciences</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Mutation</topic><topic>Phosphatase</topic><topic>Physiological aspects</topic><topic>Polymorphism</topic><topic>Polymorphism, Genetic</topic><topic>Research design</topic><topic>Risk Factors</topic><topic>Transcription factors</topic><topic>Type 2 diabetes</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOLMKVIST, Johan</creatorcontrib><creatorcontrib>ALMGREN, Peter</creatorcontrib><creatorcontrib>LYSSENKO, Valeriya</creatorcontrib><creatorcontrib>LINDGREN, Cecilia M</creatorcontrib><creatorcontrib>ERIKSSON, Karl-Fredrik</creatorcontrib><creatorcontrib>ISOMAA, Bo</creatorcontrib><creatorcontrib>TUOMI, Tiinamaija</creatorcontrib><creatorcontrib>NILSSON, Peter</creatorcontrib><creatorcontrib>GROOP, Leif</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOLMKVIST, Johan</au><au>ALMGREN, Peter</au><au>LYSSENKO, Valeriya</au><au>LINDGREN, Cecilia M</au><au>ERIKSSON, Karl-Fredrik</au><au>ISOMAA, Bo</au><au>TUOMI, Tiinamaija</au><au>NILSSON, Peter</au><au>GROOP, Leif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><addtitle>Diabetes</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>57</volume><issue>6</issue><spage>1738</spage><epage>1744</epage><pages>1738-1744</pages><issn>0012-1797</issn><issn>1939-327X</issn><eissn>1939-327X</eissn><coden>DIAEAZ</coden><abstract>Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes Johan Holmkvist 1 , Peter Almgren 1 , Valeriya Lyssenko 1 , Cecilia M. Lindgren 2 3 , Karl-Fredrik Eriksson 1 , Bo Isomaa 4 5 , Tiinamaija Tuomi 5 6 , Peter Nilsson 7 and Leif Groop 1 5 1 Department of Clinical Sciences—Diabetes and Endocrinology, CRC, Malmö University Hospital MAS, Lund University, Malmö, Sweden 2 Wellcome Trust Centre for Human Genetics and Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University, Oxford, U.K 3 Clinical Research Centre, Karolinska Institute, Stockholm, Sweden 4 Malmska Municipal Health Care Center and Hospital, Jakobstad, Finland 5 Folkhalsan Research Centre, Helsinki, Finland 6 Department of Medicine, Helsinki University Central Hospital, and Research Program of Molecular Medicine, University of Helsinki, Helsinki, Finland 7 Department of Medicine, Malmö University Hospital MAS, Lund University, Malmö, Sweden Corresponding author: Johan Holmkvist, Department of Clinical Sciences—Diabetes and Endocrinology, CRC Malmö University Hospital MAS, Lund University, S-205 02 Malmö, Sweden. E-mail: johan.holmkvist{at}med.lu.se Abstract OBJECTIVE— Mutations in the hepatocyte nuclear factor ( HNF ) -1 α, HNF-4 α, glucokinase ( GCK ), and HNF-1 β genes cause maturity-onset diabetes of the young (MODY), but it is not known whether common variants in these genes predict future type 2 diabetes. RESEARCH DESIGN AND METHODS— We tested 14 previously associated polymorphisms in HNF-1 α, HNF-4 α, GCK , and HNF-1 β for association with type 2 diabetes–related traits and future risk of type 2 diabetes in 2,293 individuals from the Botnia study (Finland) and in 15,538 individuals from the Malmö Preventive Project (Sweden) with a total follow-up &gt;360,000 years. RESULTS— The polymorphism rs1169288 in HNF-1 α strongly predicted future type 2 diabetes (hazard ratio [HR] 1.2, P = 0.0002). Also, SNPs rs4810424 and rs3212198 in HNF-4 α nominally predicted future type 2 diabetes (HR 1.3 [95% CI 1.0–1.6], P = 0.03; and 1.1 [1.0–1.2], P = 0.04). The rs2144908 polymorphism in HNF-4 α was associated with elevated rate of hepatic glucose production during a hyperinsulinemic-euglycemic clamp ( P = 0.03) but not with deterioration of insulin secretion over time. The SNP rs1799884 in the GCK promoter was associated with elevated fasting plasma glucose (fPG) concentrations that remained unchanged during the follow-up period ( P = 0.4; SE 0.004 [−0.003–0.007]) but did not predict future type 2 diabetes (HR 0.9 [0.8–1.0], P = 0.1). Polymorphisms in HNF-1 β (transcription factor 2 [ TCF2 ]) did not significantly influence insulin or glucose values nor did they predict future type 2 diabetes. CONCLUSIONS— In conclusion, genetic variation in both HNF-1 α and HNF-4 α predict future type 2 diabetes, whereas variation in the GCK promoter results in a sustained but subtle elevation of fPG that is not sufficient to increase risk for future type 2 diabetes. EGP, endogenous glucose production FFM, fat-free mass fPG, fasting plasma glucose G6Pase, glucose-6-phosphatase GCK, glucokinase GEE, general estimation equation HNF, hepatocyte nuclear factor HOMA, homeostasis model assessment IFG, impaired fasting glucose IGT, impaired glucose tolerance MPP, Malmö Preventive Project MODY, maturity-onset diabetes of the young OGTT, oral glucose tolerance test PCK-1, phosphoenolpyruvate carboxykinase 1 PGC-1α, peroxisome proliferator–activated receptor-γ coactivator-1α PPAR, peroxisome proliferator–activated receptor TCF, transcription factor Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 10 March 2008. DOI: 10.2337/db06-1464. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db06-1464 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted February 27, 2008. Received October 18, 2006. DIABETES</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>18332101</pmid><doi>10.2337/db06-1464</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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ispartof Diabetes (New York, N.Y.), 2008-06, Vol.57 (6), p.1738-1744
issn 0012-1797
1939-327X
1939-327X
language eng
recordid cdi_pubmed_primary_18332101
source MEDLINE; PubMed Central; SWEPUB Freely available online; EZB Electronic Journals Library
subjects Adult
Age Factors
Biological and medical sciences
Blood Glucose - analysis
Chromosomes
Clinical Medicine
Diabetes
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - genetics
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinology and Diabetes
Endocrinopathies
Endokrinologi och diabetes
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Fasting
Female
Genes
Genetic aspects
Genetic susceptibility
Genetic Variation
Glucokinase - genetics
Glucose
Hepatocyte Nuclear Factor 1-beta - genetics
Hepatocyte Nuclear Factor 4 - genetics
Humans
Insulin
Insulin - blood
Klinisk medicin
Liver
Male
Medical and Health Sciences
Medical sciences
Medicin och hälsovetenskap
Middle Aged
Mutation
Phosphatase
Physiological aspects
Polymorphism
Polymorphism, Genetic
Research design
Risk Factors
Transcription factors
Type 2 diabetes
White people
title Common Variants in Maturity-Onset Diabetes of the Young Genes and Future Risk of Type 2 Diabetes
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