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A genome-wide approach accounting for body mass index identifies genetic variants influencing fasting glycemic traits and insulin resistance
Authors:Manning Alisa K  Hivert Marie-France  Scott Robert A  Grimsby Jonna L  Bouatia-Naji Nabila  Chen Han  Rybin Denis  Liu Ching-Ti  Bielak Lawrence F  Prokopenko Inga  Amin Najaf  Barnes Daniel  Cadby Gemma  Hottenga Jouke-Jan  Ingelsson Erik  Jackson Anne U  Johnson Toby  Kanoni Stavroula  Ladenvall Claes  Lagou Vasiliki  Lahti Jari  Lecoeur Cecile  Liu Yongmei  Martinez-Larrad Maria Teresa  Montasser May E  Navarro Pau  Perry John R B  Rasmussen-Torvik Laura J  Salo Perttu  Sattar Naveed  Shungin Dmitry  Strawbridge Rona J  Tanaka Toshiko  van Duijn Cornelia M  An Ping  de Andrade Mariza  Andrews Jeanette S  Aspelund Thor
Affiliation:Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Abstract:Recent genome-wide association studies have described many loci implicated in type 2 diabetes (T2D) pathophysiology and β-cell dysfunction but have contributed little to the understanding of the genetic basis of insulin resistance. We hypothesized that genes implicated in insulin resistance pathways might be uncovered by accounting for differences in body mass index (BMI) and potential interactions between BMI and genetic variants. We applied a joint meta-analysis approach to test associations with fasting insulin and glucose on a genome-wide scale. We present six previously unknown loci associated with fasting insulin at P < 5 × 10(-8) in combined discovery and follow-up analyses of 52 studies comprising up to 96,496 non-diabetic individuals. Risk variants were associated with higher triglyceride and lower high-density lipoprotein (HDL) cholesterol levels, suggesting a role for these loci in insulin resistance pathways. The discovery of these loci will aid further characterization of the role of insulin resistance in T2D pathophysiology.
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