Literature DB >> 21294771

An FTO variant is associated with Type 2 diabetes in South Asian populations after accounting for body mass index and waist circumference.

S D Rees1, M Islam, M Z I Hydrie, B Chaudhary, S Bellary, S Hashmi, J P O'Hare, S Kumar, D K Sanghera, N Chaturvedi, A H Barnett, A S Shera, M N Weedon, A Basit, T M Frayling, M A Kelly, T H Jafar.   

Abstract

AIMS: A common variant, rs9939609, in the FTO (fat mass and obesity) gene is associated with adiposity in Europeans, explaining its relationship with diabetes. However, data are inconsistent in South Asians. Our aim was to investigate the association of the FTO rs9939609 variant with obesity, obesity-related traits and Type 2 diabetes in South Asian individuals, and to use meta-analyses to attempt to clarify to what extent BMI influences the association of FTO variants with diabetes in South Asians.
METHODS: We analysed rs9939609 in two studies of Pakistani individuals: 1666 adults aged ≥40 years from the Karachi population-based Control of Blood Pressure and Risk Attenuation (COBRA) study and 2745 individuals of Punjabi ancestry who were part of a Type 2 diabetes case-control study (UK Asian Diabetes Study/Diabetes Genetics in Pakistan; UKADS/DGP). The main outcomes were BMI, waist circumference and diabetes. Regression analyses were performed to determine associations between FTO alleles and outcomes. Summary estimates were combined in a meta-analysis of 8091 South Asian individuals (3919 patients with Type 2 diabetes and 4172 control subjects), including those from two previous studies.
RESULTS: In the 4411 Pakistani individuals from this study, the age-, sex- and diabetes-adjusted association of FTO variant rs9939609 with BMI was 0.45 (95%CI 0.24-0.67) kg/m(2) per A-allele (P=3.0 × 10(-5) ) and with waist circumference was 0.88 (95% CI 0.36-1.41) cm per A-allele (P=0.001). The A-allele (30% frequency) was also significantly associated with Type 2 diabetes [per A-allele odds ratio (95%CI) 1.18 (1.07-1.30); P=0.0009]. A meta-analysis of four South Asian studies with 8091 subjects showed that the FTO A-allele predisposes to Type 2 diabetes [1.22 (95%CI 1.14-1.31); P=1.07 × 10(-8) ] even after adjusting for BMI [1.18 (95%CI 1.10-1.27); P=1.02 × 10(-5) ] or waist circumference [1.18 (95%CI 1.10-1.27); P=3.97 × 10(-5) ].
CONCLUSIONS: The strong association between FTO genotype and BMI and waist circumference in South Asians is similar to that observed in Europeans. In contrast, the strong association of FTO genotype with diabetes is only partly accounted for by BMI.
© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

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Year:  2011        PMID: 21294771      PMCID: PMC3095685          DOI: 10.1111/j.1464-5491.2011.03257.x

Source DB:  PubMed          Journal:  Diabet Med        ISSN: 0742-3071            Impact factor:   4.359


  24 in total

1.  Variants in the fat mass- and obesity-associated (FTO) gene are not associated with obesity in a Chinese Han population.

Authors:  Huaixing Li; Ying Wu; Ruth J F Loos; Frank B Hu; Yong Liu; Jing Wang; Zhijie Yu; Xu Lin
Journal:  Diabetes       Date:  2007-10-24       Impact factor: 9.461

2.  Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data.

Authors:  Alan D Lopez; Colin D Mathers; Majid Ezzati; Dean T Jamison; Christopher J L Murray
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3.  Prevalence of overweight and obesity and their association with hypertension and diabetes mellitus in an Indo-Asian population.

Authors:  Tazeen H Jafar; Nish Chaturvedi; Gregory Pappas
Journal:  CMAJ       Date:  2006-10-24       Impact factor: 8.262

4.  Ethnic subgroup differences in hypertension in Pakistan.

Authors:  Tazeen H Jafar; Andrew S Levey; Fahim H Jafary; Franklin White; Asma Gul; Mohammad H Rahbar; Abdul Q Khan; Andrew Hattersley; Christopher H Schmid; Nish Chaturvedi
Journal:  J Hypertens       Date:  2003-05       Impact factor: 4.844

5.  Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation.

Authors:  K G Alberti; P Z Zimmet
Journal:  Diabet Med       Date:  1998-07       Impact factor: 4.359

6.  Low physical activity accentuates the effect of the FTO rs9939609 polymorphism on body fat accumulation.

Authors:  Camilla H Andreasen; Kirstine L Stender-Petersen; Mette S Mogensen; Signe S Torekov; Lise Wegner; Gitte Andersen; Arne L Nielsen; Anders Albrechtsen; Knut Borch-Johnsen; Signe S Rasmussen; Jesper O Clausen; Annelli Sandbaek; Torsten Lauritzen; Lars Hansen; Torben Jørgensen; Oluf Pedersen; Torben Hansen
Journal:  Diabetes       Date:  2007-10-17       Impact factor: 9.461

7.  Insulin resistance, high prevalence of diabetes, and cardiovascular risk in immigrant Asians. Genetic or environmental effect?

Authors:  J Dhawan; C L Bray; R Warburton; D S Ghambhir; J Morris
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8.  A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity.

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Authors:  T H Jafar; Z Qadri; N Chaturvedi
Journal:  Heart       Date:  2007-07-23       Impact factor: 5.994

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  43 in total

1.  Multiple genetic variants explain measurable variance in type 2 diabetes-related traits in Pakistanis.

Authors:  M Islam; T H Jafar; A R Wood; N M G De Silva; M Caulfield; N Chaturvedi; T M Frayling
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2.  Association of FTO rs9939609 SNP with Obesity and Obesity- Associated Phenotypes in a North Indian Population.

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Authors:  Piers R Blackett; Dharambir K Sanghera
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4.  Does genetic heterogeneity account for the divergent risk of type 2 diabetes in South Asian and white European populations?

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Journal:  Diabetologia       Date:  2014-08-22       Impact factor: 10.122

Review 5.  Obesity and genomics: role of technology in unraveling the complex genetic architecture of obesity.

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Journal:  Hum Genet       Date:  2015-02-17       Impact factor: 4.132

6.  Dietary Fat Modifies the Effects of FTO Genotype on Changes in Insulin Sensitivity.

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Journal:  J Nutr       Date:  2015-03-11       Impact factor: 4.798

7.  Contribution of ENPP1, TCF7L2, and FTO polymorphisms to type 2 diabetes in mixed ancestry ethnic population of South Africa.

Authors:  Yandiswa Y Yako; Jabulisile H Madubedube; Andre P Kengne; Rajiv T Erasmus; Tahir S Pillay; Tandi E Matsha
Journal:  Afr Health Sci       Date:  2015-12       Impact factor: 0.927

8.  Type 2 Diabetes Genetics: Beyond GWAS.

Authors:  Dharambir K Sanghera; Piers R Blackett
Journal:  J Diabetes Metab       Date:  2012-06-23

9.  Genetic association of IDE, POU2F1, PON1, IL1α and IL1β with type 2 diabetes in Pakistani population.

Authors:  Andleeb Batool; Nusrat Jahan; Yisuo Sun; Atif Hanif; Hong Xue
Journal:  Mol Biol Rep       Date:  2014-01-30       Impact factor: 2.316

10.  Implications of critical PPARγ2, ADIPOQ and FTO gene polymorphisms in type 2 diabetes and obesity-mediated susceptibility to type 2 diabetes in an Indian population.

Authors:  Nagaraja M Phani; Manik Vohra; Somyasree Rajesh; Prabha Adhikari; Shivashankara K Nagri; Sydney C D'Souza; Kapaettu Satyamoorthy; Padmalatha S Rai
Journal:  Mol Genet Genomics       Date:  2015-08-05       Impact factor: 3.291

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