Analysis of separate and combined effects of common variation in KCNJ11 and PPARG on risk of type 2 diabetes

被引:47
作者
Hansen, SK
Nielsen, EMD
Ek, J
Andersen, G
Glümer, C
Carstensen, B
Mouritzen, P
Drivsholm, T
Borch-Johnsen, K
Jorgensen, T
Hansen, T
Pedersen, O
机构
[1] Steno Diabet Ctr, DK-2820 Gentofte, Denmark
[2] Hagedorn Res Inst, DK-2820 Gentofte, Denmark
[3] Glostrup Univ Hosp, Res Ctr Prevent & Hlth, Glostrup, Denmark
[4] Exiqon AS, Vedbaek, Denmark
[5] Univ Aarhus, Fac Hlth Sci, Aarhus, Denmark
关键词
D O I
10.1210/jc.2004-1942
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
The separate and combined effects of the PPARG Pro(12)Ala polymorphism and the KCNJ11 Glu(23)Lys polymorphisms on risk of type 2 diabetes were investigated in relatively large-scale, case-control studies. Separate effects of the variants were examined among 1187/1461 type 2 diabetic patients and 4791/4986 middle-aged, glucose-tolerant subjects. The combined analysis involved 1164 type 2 diabetic patients and 4733 middle-aged, glucose-tolerant subjects. In the separate analyses, the K allele of the KCNJ11 Glu(23)Lys associated with type 2 diabetes ( odds ratio, 1.19; P = 0.0002), whereas the PPARG Pro(12)Ala showed no significant association with type 2 diabetes. The combined analysis indicated that the two polymorphisms acted in an additive manner to increase the risk of type 2 diabetes, and we found no evidence for a synergistic interaction between them. Analysis of a model with equal additive effects of the two variants showed that the odds ratio for type 2 diabetes increased with 1.14/ risk allele ( P = 0.003). Together, the two polymorphisms conferred a population-attributable risk for type 2 diabetes of 28%. In conclusion, our results showed no evidence of a synergistic interaction between the KCNJ11 Glu(23)Lys and PPARG Pro(12)Ala polymorphisms, but indicated that they may act in an additive manner to increase the risk of type 2 diabetes.
引用
收藏
页码:3629 / 3637
页数:9
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