The frequent UCP2-866G>A polymorphism protects against insulin resistance and is associated with obesity: a study of obesity and related metabolic traits among 17 636 Danes

被引:33
作者
Andersen, G. [1 ]
Dalgaard, L. T. [2 ]
Justesen, J. M. [3 ]
Anthonsen, S. [1 ,2 ]
Nielsen, T. [3 ]
Thorner, L. W. [1 ]
Witte, D. [4 ]
Jorgensen, T. [5 ,6 ]
Clausen, J. O. [4 ]
Lauritzen, T. [7 ]
Holmkvist, J. [1 ]
Hansen, T. [1 ,3 ,8 ]
Pedersen, O. [1 ,3 ,6 ,9 ]
机构
[1] Hagedorn Res Inst, Gentofte, Denmark
[2] Roskilde Univ, Dept Sci Syst & Models, DK-4000 Roskilde, Denmark
[3] Univ Copenhagen, Fac Hlth Sci, Sect Metab Genet, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark
[4] Steno Diabet Ctr, DK-2820 Gentofte, Denmark
[5] Glostrup Univ Hosp, Res Ctr Prevent & Hlth, Glostrup, Denmark
[6] Univ Copenhagen, Fac Hlth Sci, Copenhagen, Denmark
[7] Univ Aarhus, Dept Gen Practice, Aarhus, Denmark
[8] Univ So Denmark, Fac Hlth Sci, Odense, Denmark
[9] Univ Aarhus, Fac Hlth Sci, Aarhus, Denmark
基金
英国医学研究理事会;
关键词
diabetes; insulin sensitivity; genetics; uncoupling protein 2; -866G/A polymorphism; rs659366; UNCOUPLING PROTEIN-2 GENE; COMMON POLYMORPHISM; UCP2; GENE; PROMOTER POLYMORPHISM; OXIDATIVE STRESS; REDUCED RISK; VARIANTS; SECRETION; EXPRESSION; HEALTH;
D O I
10.1038/ijo.2012.22
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
CONTEXT: Uncoupling protein 2 (UCP2) is involved in regulating ATP synthesis, generation of reactive oxygen species and glucose-stimulated insulin secretion in beta-cells. Polymorphisms in UCP2 may be associated with obesity and type 2 diabetes mellitus. OBJECTIVE: To determine the influence of a functional UCP2 promoter polymorphism (-866G-A, rs659366) on obesity, type 2 diabetes and intermediary metabolic traits. Furthermore, to include these and previously published data in a meta-analysis of this variant with respect to its impact on obesity and type 2 diabetes. DESIGN: We genotyped UCP2 rs659366 in a total of 17 636 Danish individuals and established case-control studies of obese and non-obese subjects and of type 2 diabetic and glucose-tolerant subjects. Meta-analyses were made in own data set and in publicly available data sets. Quantitative traits relevant for obesity and type 2 diabetes were analysed within separate study populations. RESULTS: We found no consistent associations between the UCP2 -866G-allele and obesity or type 2 diabetes. Yet, a meta-analysis of data from 12 984 subjects showed an association with obesity (GA vs GG odds ratio (OR) (95% confidence interval (CI)): 0.894(0.826-0.968) P=0.00562, and AA vs GG OR(95% CI): 0.892(0.800-0.996), P=0.0415. Moreover, a meta-analysis for type 2 diabetes of 15 107 individuals showed no association. The -866G-allele was associated with elevated fasting serum insulin levels (P=0.002) and HOMA insulin resistance index (P=0.0007). Insulin sensitivity measured during intravenous glucose tolerance test in young Caucasian subjects (n=377) was decreased in carriers of the GG genotype (P=0.05). CONCLUSIONS: The UCP2 -866G-allele is associated with decreased insulin sensitivity in Danish subjects and is associated with obesity in a combined meta-analysis. International Journal of Obesity (2013) 37, 175-181; doi:10.1038/ijo.2012.22; published online 21 February 2012
引用
收藏
页码:175 / 181
页数:7
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