Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults

Objective: TCF7L2 is a repressor and transactivator of genes, and its variants are strongly associated with diabetes. This study aimed to evaluate the sex-specific relationship between the most common TCF7L2 gene variants (-98368G>T, rs12255372 and -47833C>T, rs7903146) with diabetes a...

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Main Authors: Ayşe Berna Yüzbaşıoğulları, Evrim Kömürcü-bayrak, Altan Onat, Gunay Can, Nina Mononen, Reijo Laaksonen, Mika Kähönen, Terho Lehtimäki, Nihan Erginel-ünaltuna
Format: Article
Language:English
Published: KARE Publishing 2020-10-01
Series:Anatolian Journal of Cardiology
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-57736
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author Ayşe Berna Yüzbaşıoğulları
Evrim Kömürcü-bayrak
Altan Onat
Gunay Can
Nina Mononen
Reijo Laaksonen
Mika Kähönen
Terho Lehtimäki
Nihan Erginel-ünaltuna
author_facet Ayşe Berna Yüzbaşıoğulları
Evrim Kömürcü-bayrak
Altan Onat
Gunay Can
Nina Mononen
Reijo Laaksonen
Mika Kähönen
Terho Lehtimäki
Nihan Erginel-ünaltuna
author_sort Ayşe Berna Yüzbaşıoğulları
collection DOAJ
description Objective: TCF7L2 is a repressor and transactivator of genes, and its variants are strongly associated with diabetes. This study aimed to evaluate the sex-specific relationship between the most common TCF7L2 gene variants (-98368G>T, rs12255372 and -47833C>T, rs7903146) with diabetes and coronary heart disease in Turkish Adult Risk Factor (TARF) Study. Methods: Single nucleotide variants (SNVs) have been genotyped using the TaqMan allelic discrimination assays in 2,024 (51.3% in women, age: 55+-11.8) Turkish adults participating in the TARF study. Statistical analyses were used to investigate the association of genotypes with clinical and biochemical measurements. Results: Among the TARF study participants, 11.7%, 24.3%, 14.1%, and 38.3% had diabetes, hypertension, coronary heart disease (CHD), and obesity, respectively. The frequencies of T allele for -47833C>T and -98368G>T in Turkish adults were determined to be 0.35 and 0.33, respectively. -47833C>T was significantly associated with higher fasting glucose concentrations in all participants, especially in men. Both SNVs were significantly associated with diabetes and CHD in all participants (p<0.05). When study population was stratified according to sex, -98368G>T was associated with diabetes in women (p=0.041) and -47833C>T was associated with diabetes and CHD in men (p=0.018 and p=0.032, respectively). Also, both SNVs and the diplotypes of common haplotype (H1) remained strongly associated with type 2 diabetes after risk factors were adjusted (p<0.05). Conclusion: T allele homozygosity of two SNVs as well as the diplotype H1-/H1- reflects risk of diabetes primarily in men. Enhanced CHD risk is determined by the presence of diplotype H1-/H1- among nondiabetic participants.
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spelling doaj.art-a9374cf2e40746a9b741809b24e05ae72023-02-15T16:09:57ZengKARE PublishingAnatolian Journal of Cardiology2149-22632020-10-0124532633310.14744/AnatolJCardiol.2020.57736AJC-57736Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adultsAyşe Berna Yüzbaşıoğulları0Evrim Kömürcü-bayrak1Altan Onat2Gunay Can3Nina Mononen4Reijo Laaksonen5Mika Kähönen6Terho Lehtimäki7Nihan Erginel-ünaltuna8Department of Genetics, Aziz Sancar Institute for Experimental Medicine, İstanbul University; İstanbul-TurkeyDepartment of Genetics, Aziz Sancar Institute for Experimental Medicine, İstanbul University; İstanbul-TurkeyEmeritus Professor, Department of Cardiology, Cerrahpaşa Faculty of Medicine, İstanbul University; İstanbul-TurkeyDepartment of Public Health, Cerrahpaşa Faculty of Medicine, İstanbul University; İstanbul-TurkeyDepartment of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere; Tampere-FinlandDepartment of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere; Tampere-FinlandDepartment of Clinical Physiology, Tampere University Hospital, and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere; Tampere-FinlandDepartment of Clinical Chemistry, Fimlab Laboratories, and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere; Tampere-FinlandDepartment of Genetics, Aziz Sancar Institute for Experimental Medicine, İstanbul University; İstanbul-TurkeyObjective: TCF7L2 is a repressor and transactivator of genes, and its variants are strongly associated with diabetes. This study aimed to evaluate the sex-specific relationship between the most common TCF7L2 gene variants (-98368G>T, rs12255372 and -47833C>T, rs7903146) with diabetes and coronary heart disease in Turkish Adult Risk Factor (TARF) Study. Methods: Single nucleotide variants (SNVs) have been genotyped using the TaqMan allelic discrimination assays in 2,024 (51.3% in women, age: 55+-11.8) Turkish adults participating in the TARF study. Statistical analyses were used to investigate the association of genotypes with clinical and biochemical measurements. Results: Among the TARF study participants, 11.7%, 24.3%, 14.1%, and 38.3% had diabetes, hypertension, coronary heart disease (CHD), and obesity, respectively. The frequencies of T allele for -47833C>T and -98368G>T in Turkish adults were determined to be 0.35 and 0.33, respectively. -47833C>T was significantly associated with higher fasting glucose concentrations in all participants, especially in men. Both SNVs were significantly associated with diabetes and CHD in all participants (p<0.05). When study population was stratified according to sex, -98368G>T was associated with diabetes in women (p=0.041) and -47833C>T was associated with diabetes and CHD in men (p=0.018 and p=0.032, respectively). Also, both SNVs and the diplotypes of common haplotype (H1) remained strongly associated with type 2 diabetes after risk factors were adjusted (p<0.05). Conclusion: T allele homozygosity of two SNVs as well as the diplotype H1-/H1- reflects risk of diabetes primarily in men. Enhanced CHD risk is determined by the presence of diplotype H1-/H1- among nondiabetic participants.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-57736tcf7l2variantstype 2 diabetescoronary heart diseasetarf study
spellingShingle Ayşe Berna Yüzbaşıoğulları
Evrim Kömürcü-bayrak
Altan Onat
Gunay Can
Nina Mononen
Reijo Laaksonen
Mika Kähönen
Terho Lehtimäki
Nihan Erginel-ünaltuna
Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
Anatolian Journal of Cardiology
tcf7l2
variants
type 2 diabetes
coronary heart disease
tarf study
title Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
title_full Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
title_fullStr Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
title_full_unstemmed Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
title_short Sex-specific associations of TCF7L2 variants with fasting glucose, type 2 diabetes and coronary heart disease among Turkish adults
title_sort sex specific associations of tcf7l2 variants with fasting glucose type 2 diabetes and coronary heart disease among turkish adults
topic tcf7l2
variants
type 2 diabetes
coronary heart disease
tarf study
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-57736
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