The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.

Genetic association studies are viewed as problematic and plagued by irreproducibility. Many associations have been reported for type 2 diabetes, but none have been confirmed in multiple samples and with comprehensive controls. We evaluated 16 published genetic associations to type 2 diabetes and re...

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Main Authors: Altshuler, D, Hirschhorn, J, Klannemark, M, Lindgren, C, Vohl, M, Nemesh, J, Lane, C, Schaffner, S, Bolk, S, Brewer, C, Tuomi, T, Gaudet, D, Hudson, T, Daly, M, Groop, L, Lander, E
Format: Journal article
Language:English
Published: 2000
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author Altshuler, D
Hirschhorn, J
Klannemark, M
Lindgren, C
Vohl, M
Nemesh, J
Lane, C
Schaffner, S
Bolk, S
Brewer, C
Tuomi, T
Gaudet, D
Hudson, T
Daly, M
Groop, L
Lander, E
author_facet Altshuler, D
Hirschhorn, J
Klannemark, M
Lindgren, C
Vohl, M
Nemesh, J
Lane, C
Schaffner, S
Bolk, S
Brewer, C
Tuomi, T
Gaudet, D
Hudson, T
Daly, M
Groop, L
Lander, E
author_sort Altshuler, D
collection OXFORD
description Genetic association studies are viewed as problematic and plagued by irreproducibility. Many associations have been reported for type 2 diabetes, but none have been confirmed in multiple samples and with comprehensive controls. We evaluated 16 published genetic associations to type 2 diabetes and related sub-phenotypes using a family-based design to control for population stratification, and replication samples to increase power. We were able to confirm only one association, that of the common Pro12Ala polymorphism in peroxisome proliferator-activated receptor-gamma(PPARgamma) with type 2 diabetes. By analysing over 3,000 individuals, we found a modest (1.25-fold) but significant (P=0.002) increase in diabetes risk associated with the more common proline allele (85% frequency). Moreover, our results resolve a controversy about common variation in PPARgamma. An initial study found a threefold effect, but four of five subsequent publications failed to confirm the association. All six studies are consistent with the odds ratio we describe. The data implicate inherited variation in PPARgamma in the pathogenesis of type 2 diabetes. Because the risk allele occurs at such high frequency, its modest effect translates into a large population attributable risk-influencing as much as 25% of type 2 diabetes in the general population.
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spelling oxford-uuid:b425e044-35a3-46c2-80ae-48d92f24e65f2022-03-27T04:24:05ZThe common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b425e044-35a3-46c2-80ae-48d92f24e65fEnglishSymplectic Elements at Oxford2000Altshuler, DHirschhorn, JKlannemark, MLindgren, CVohl, MNemesh, JLane, CSchaffner, SBolk, SBrewer, CTuomi, TGaudet, DHudson, TDaly, MGroop, LLander, EGenetic association studies are viewed as problematic and plagued by irreproducibility. Many associations have been reported for type 2 diabetes, but none have been confirmed in multiple samples and with comprehensive controls. We evaluated 16 published genetic associations to type 2 diabetes and related sub-phenotypes using a family-based design to control for population stratification, and replication samples to increase power. We were able to confirm only one association, that of the common Pro12Ala polymorphism in peroxisome proliferator-activated receptor-gamma(PPARgamma) with type 2 diabetes. By analysing over 3,000 individuals, we found a modest (1.25-fold) but significant (P=0.002) increase in diabetes risk associated with the more common proline allele (85% frequency). Moreover, our results resolve a controversy about common variation in PPARgamma. An initial study found a threefold effect, but four of five subsequent publications failed to confirm the association. All six studies are consistent with the odds ratio we describe. The data implicate inherited variation in PPARgamma in the pathogenesis of type 2 diabetes. Because the risk allele occurs at such high frequency, its modest effect translates into a large population attributable risk-influencing as much as 25% of type 2 diabetes in the general population.
spellingShingle Altshuler, D
Hirschhorn, J
Klannemark, M
Lindgren, C
Vohl, M
Nemesh, J
Lane, C
Schaffner, S
Bolk, S
Brewer, C
Tuomi, T
Gaudet, D
Hudson, T
Daly, M
Groop, L
Lander, E
The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title_full The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title_fullStr The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title_full_unstemmed The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title_short The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes.
title_sort common ppargamma pro12ala polymorphism is associated with decreased risk of type 2 diabetes
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