Serum bilirubin concentration is modified by UGT1A1 haplotypes and influences risk of type-2 diabetes in the Norfolk Island genetic isolate

Located in the Pacific Ocean between Australia and New Zealand, the unique population isolate of Norfolk Island has been shown to exhibit increased prevalence of metabolic disorders (type-2 diabetes, cardiovascular disease) compared to mainland Australia. We investigated this well-established geneti...

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Veröffentlicht in:BMC genetics 2015-12, Vol.16 (1), p.136-136, Article 136
Hauptverfasser: Benton, M C, Lea, R A, Macartney-Coxson, D, Bellis, C, Carless, M A, Curran, J E, Hanna, M, Eccles, D, Chambers, G K, Blangero, J, Griffiths, L R
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container_title BMC genetics
container_volume 16
creator Benton, M C
Lea, R A
Macartney-Coxson, D
Bellis, C
Carless, M A
Curran, J E
Hanna, M
Eccles, D
Chambers, G K
Blangero, J
Griffiths, L R
description Located in the Pacific Ocean between Australia and New Zealand, the unique population isolate of Norfolk Island has been shown to exhibit increased prevalence of metabolic disorders (type-2 diabetes, cardiovascular disease) compared to mainland Australia. We investigated this well-established genetic isolate, utilising its unique genomic structure to increase the ability to detect related genetic markers. A pedigree-based genome-wide association study of 16 routinely collected blood-based clinical traits in 382 Norfolk Island individuals was performed. A striking association peak was located at chromosome 2q37.1 for both total bilirubin and direct bilirubin, with 29 SNPs reaching statistical significance (P 
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We investigated this well-established genetic isolate, utilising its unique genomic structure to increase the ability to detect related genetic markers. A pedigree-based genome-wide association study of 16 routinely collected blood-based clinical traits in 382 Norfolk Island individuals was performed. A striking association peak was located at chromosome 2q37.1 for both total bilirubin and direct bilirubin, with 29 SNPs reaching statistical significance (P &lt; 1.84 × 10(-7)). Strong linkage disequilibrium was observed across a 200 kb region spanning the UDP-glucuronosyltransferase family, including UGT1A1, an enzyme known to metabolise bilirubin. Given the epidemiological literature suggesting negative association between CVD-risk and serum bilirubin we further explored potential associations using stepwise multivariate regression, revealing significant association between direct bilirubin concentration and type-2 diabetes risk. In the Norfolk Island cohort increased direct bilirubin was associated with a 28% reduction in type-2 diabetes risk (OR: 0.72, 95% CI: 0.57-0.91, P = 0.005). When adjusted for genotypic effects the overall model was validated, with the adjusted model predicting a 30% reduction in type-2 diabetes risk with increasing direct bilirubin concentrations (OR: 0.70, 95% CI: 0.53-0.89, P = 0.0001). 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In the Norfolk Island cohort increased direct bilirubin was associated with a 28% reduction in type-2 diabetes risk (OR: 0.72, 95% CI: 0.57-0.91, P = 0.005). When adjusted for genotypic effects the overall model was validated, with the adjusted model predicting a 30% reduction in type-2 diabetes risk with increasing direct bilirubin concentrations (OR: 0.70, 95% CI: 0.53-0.89, P = 0.0001). In summary, a pedigree-based GWAS of blood-based clinical traits in the Norfolk Island population has identified variants within the UDPGT family directly associated with serum bilirubin levels, which is in turn implicated with reduced risk of developing type-2 diabetes within this population.</description><subject>Alleles</subject><subject>Base Sequence</subject><subject>Bilirubin - blood</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - complications</subject><subject>Cardiovascular Diseases - genetics</subject><subject>Chromosomes</subject><subject>Chromosomes, Human, Pair 2 - genetics</subject><subject>Comparative analysis</subject><subject>Development and progression</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - enzymology</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Enzymes</subject><subject>Epidemiology</subject><subject>Genes, Recessive</subject><subject>Genetic aspects</subject><subject>Genetic markers</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic research</subject><subject>Genome-Wide Association Study</subject><subject>Genomes</subject><subject>Genomics</subject><subject>Glucuronosyltransferase - genetics</subject><subject>Haplotypes - genetics</subject><subject>Humans</subject><subject>Inheritance Patterns - genetics</subject><subject>Linkage Disequilibrium</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Melanesia</subject><subject>Metabolic Syndrome - complications</subject><subject>Metabolic Syndrome - genetics</subject><subject>Metabolism</subject><subject>Molecular Sequence Annotation</subject><subject>Molecular Sequence Data</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><subject>Risk Factors</subject><subject>Type 2 diabetes</subject><issn>1471-2156</issn><issn>1471-2156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNksFu1DAURSMEoqXwAWyQJTawSLEdx042SKMKykgVlWjL1nLs5xm3STzYDmL6C_w0jqaUDmKBsnDkd-613_MtipcEHxPS8HeR0IZXJSZ1iWlLyttHxSFhgpSU1Pzxg_-D4lmM1xgT0VD2tDignNOGEnpY_LyAMA2oc70LU-dGpP2oYUxBJedH5CIavHHWgUHdFl2dXpIFQWu16X3abiAiNRrkRttPkGURBRdvkLdoLpYUGac6SHk_G6c1oM8-WN_foGXsZ-EKRkhO51N8rxI8L55Y1Ud4cbceFVcfP1yefCrPzk-XJ4uzUtecplK3BlNtqNFGUIypUJjX1lamamvddsA7apqqZY2ogXa6oRVptTG17aywuVAdFe93vpupG8Ds2u3lJrhBha30ysn9yujWcuW_S8a5YIxlgzd3BsF_myAmObiooc9NgZ-iJKJqGtJUtM7o67_Qaz-FMbeXKdHWFW4F_0OtVA8yz9Pnc_VsKheMt5hzxuZ7H_-Dyp-BweV3A-vy_p7g7Z4gMwl-pJWaYpTLiy__z55_3WfJjtXBxxjA3s-OYDknU-6SKXMy5ZxMeZs1rx4O_V7xO4rVL0SX3jc</recordid><startdate>20151202</startdate><enddate>20151202</enddate><creator>Benton, M C</creator><creator>Lea, R A</creator><creator>Macartney-Coxson, D</creator><creator>Bellis, C</creator><creator>Carless, M A</creator><creator>Curran, J E</creator><creator>Hanna, M</creator><creator>Eccles, D</creator><creator>Chambers, G K</creator><creator>Blangero, J</creator><creator>Griffiths, L R</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151202</creationdate><title>Serum bilirubin concentration is modified by UGT1A1 haplotypes and influences risk of type-2 diabetes in the Norfolk Island genetic isolate</title><author>Benton, M C ; Lea, R A ; Macartney-Coxson, D ; Bellis, C ; Carless, M A ; Curran, J E ; Hanna, M ; Eccles, D ; Chambers, G K ; Blangero, J ; Griffiths, L R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-c9d02cd2dcd720027a065ff3d395c9be6b2d8394875e2bc82319cdd5fbf7f8393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Alleles</topic><topic>Base Sequence</topic><topic>Bilirubin - blood</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - complications</topic><topic>Cardiovascular Diseases - genetics</topic><topic>Chromosomes</topic><topic>Chromosomes, Human, Pair 2 - genetics</topic><topic>Comparative analysis</topic><topic>Development and progression</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - enzymology</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Enzymes</topic><topic>Epidemiology</topic><topic>Genes, Recessive</topic><topic>Genetic aspects</topic><topic>Genetic markers</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetic research</topic><topic>Genome-Wide Association Study</topic><topic>Genomes</topic><topic>Genomics</topic><topic>Glucuronosyltransferase - genetics</topic><topic>Haplotypes - genetics</topic><topic>Humans</topic><topic>Inheritance Patterns - genetics</topic><topic>Linkage Disequilibrium</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Melanesia</topic><topic>Metabolic Syndrome - complications</topic><topic>Metabolic Syndrome - genetics</topic><topic>Metabolism</topic><topic>Molecular Sequence Annotation</topic><topic>Molecular Sequence Data</topic><topic>Polymorphism, Single Nucleotide - genetics</topic><topic>Risk Factors</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benton, M C</creatorcontrib><creatorcontrib>Lea, R A</creatorcontrib><creatorcontrib>Macartney-Coxson, D</creatorcontrib><creatorcontrib>Bellis, C</creatorcontrib><creatorcontrib>Carless, M A</creatorcontrib><creatorcontrib>Curran, J E</creatorcontrib><creatorcontrib>Hanna, M</creatorcontrib><creatorcontrib>Eccles, D</creatorcontrib><creatorcontrib>Chambers, G K</creatorcontrib><creatorcontrib>Blangero, J</creatorcontrib><creatorcontrib>Griffiths, L R</creatorcontrib><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: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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We investigated this well-established genetic isolate, utilising its unique genomic structure to increase the ability to detect related genetic markers. A pedigree-based genome-wide association study of 16 routinely collected blood-based clinical traits in 382 Norfolk Island individuals was performed. A striking association peak was located at chromosome 2q37.1 for both total bilirubin and direct bilirubin, with 29 SNPs reaching statistical significance (P &lt; 1.84 × 10(-7)). Strong linkage disequilibrium was observed across a 200 kb region spanning the UDP-glucuronosyltransferase family, including UGT1A1, an enzyme known to metabolise bilirubin. Given the epidemiological literature suggesting negative association between CVD-risk and serum bilirubin we further explored potential associations using stepwise multivariate regression, revealing significant association between direct bilirubin concentration and type-2 diabetes risk. In the Norfolk Island cohort increased direct bilirubin was associated with a 28% reduction in type-2 diabetes risk (OR: 0.72, 95% CI: 0.57-0.91, P = 0.005). When adjusted for genotypic effects the overall model was validated, with the adjusted model predicting a 30% reduction in type-2 diabetes risk with increasing direct bilirubin concentrations (OR: 0.70, 95% CI: 0.53-0.89, P = 0.0001). In summary, a pedigree-based GWAS of blood-based clinical traits in the Norfolk Island population has identified variants within the UDPGT family directly associated with serum bilirubin levels, which is in turn implicated with reduced risk of developing type-2 diabetes within this population.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26628212</pmid><doi>10.1186/s12863-015-0291-z</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Alleles
Base Sequence
Bilirubin - blood
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - complications
Cardiovascular Diseases - genetics
Chromosomes
Chromosomes, Human, Pair 2 - genetics
Comparative analysis
Development and progression
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - enzymology
Diabetes Mellitus, Type 2 - genetics
Enzymes
Epidemiology
Genes, Recessive
Genetic aspects
Genetic markers
Genetic Predisposition to Disease
Genetic research
Genome-Wide Association Study
Genomes
Genomics
Glucuronosyltransferase - genetics
Haplotypes - genetics
Humans
Inheritance Patterns - genetics
Linkage Disequilibrium
Medical research
Medicine, Experimental
Melanesia
Metabolic Syndrome - complications
Metabolic Syndrome - genetics
Metabolism
Molecular Sequence Annotation
Molecular Sequence Data
Polymorphism, Single Nucleotide - genetics
Risk Factors
Type 2 diabetes
title Serum bilirubin concentration is modified by UGT1A1 haplotypes and influences risk of type-2 diabetes in the Norfolk Island genetic isolate
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