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Silbernagel, G; Renner, W; Grammer, TB; Hugl, SR; Bertram, J; Kleber, ME; Hoffmann, MM; Winkelmann, BR; Marz, W; Boehm, BO.
Association of TCF7L2 SNPs with age at onset of type 2 diabetes and proinsulin/insulin ratio but not with glucagon-like peptide 1
DIABETES-METAB RES. 2011; 27(5): 499-505.
Doi: 10.1002/dmrr.1194
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- Führende Autor*innen der Med Uni Graz
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Silbernagel Günther
- Co-Autor*innen der Med Uni Graz
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März Winfried
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Renner Wilfried
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- Abstract:
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Variants in TCF7L2 have been associated with the age at onset of type 2 diabetes in Mexican Americans. However, there is a lack of data on this relationship in Caucasians. Furthermore, risk alleles in TCF7L2 have been suggested to account for decreased conversion of proinsulin to insulin and decreased expression of GLP-1. We investigated the effect of the allelic variants rs1225537 and rs7903146 in TCF7L2 on the age at onset of type 2 diabetes, the plasma concentrations of proinsulin and GLP-1, and the ratio of proinsulin to insulin in a German cohort.
We studied 3185 participants of the LUdwigshafen RIsk and Cardiovascular health (LURIC) study. Among these, 1021 subjects had type 2 diabetes. Data on age at onset of diabetes were available in 925 subjects. OGTTs were performed in a subgroup not previously known to have diabetes.
Carriers of the risk alleles in rs1225537 and rs7901346 had increased risk of type 2 diabetes and elevated HbA(1c) (all p < 0.001). The risk alleles were also associated with early onset of type 2 diabetes, decreased insulin secretion and markedly increased proinsulin and proinsulin to insulin ratio (all p < 0.03). GLP-1 was not significantly related to the TCF7L2 genotype.
Our data demonstrate that TCF7L2 variants are associated with an early age of onset of type 2 diabetes in Caucasians and affects the conversion of proinsulin to insulin. However, TCF7L2 is not consistently associated with fasting GLP-1.
Copyright © 2011 John Wiley & Sons, Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
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Age of Onset -
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Aged -
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Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - genetics
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European Continental Ancestry Group - genetics
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Female -
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Glucagon-Like Peptide 1 - blood
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Glucose Tolerance Test -
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Hemoglobin A, Glycosylated - analysis
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Humans -
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Insulin - blood Insulin - secretion
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Male -
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Middle Aged -
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Polymorphism, Single Nucleotide -
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Proinsulin - blood
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Risk -
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Transcription Factor 7-Like 2 Protein - genetics
- Find related publications in this database (Keywords)
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TCF7L2
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rs1225537
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rs7901346
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SNP
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type 2 diabetes
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age at onset
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insulin
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proinsulin
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GLP-1