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Related Concept Videos

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Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

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Genome-wide Association Studies-GWAS

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Related Experiment Videos

Testing of diabetes-associated WFS1 polymorphisms in the Diabetes Prevention Program.

J C Florez1, K A Jablonski, J McAteer

  • 1Center for Human Genetic Research, Massachusetts General Hospital, Boston, MA, USA. jcflorez@partners.org

Diabetologia
|December 7, 2007
PubMed
Summary

Genetic variants in the WFS1 gene, linked to Wolfram syndrome, may influence type 2 diabetes risk. A lifestyle intervention in the Diabetes Prevention Program appeared to enhance the protective effects of these WFS1 alleles on beta cell function.

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Area of Science:

  • Genetics
  • Endocrinology
  • Metabolic Diseases

Background:

  • Wolfram syndrome is a rare genetic disorder caused by mutations in the WFS1 gene.
  • Single nucleotide polymorphisms (SNPs) in the WFS1 gene have been associated with an increased risk of type 2 diabetes.
  • The Diabetes Prevention Program (DPP) investigated interventions to prevent type 2 diabetes.

Purpose of the Study:

  • To investigate the association of WFS1 gene variants with type 2 diabetes incidence.
  • To examine the effect of these WFS1 variants on response to lifestyle intervention and metformin in the DPP.
  • To evaluate the impact of WFS1 SNPs on insulin resistance and beta cell function.

Main Methods:

  • Genotyping of three WFS1 SNPs (rs10010131, rs752854, rs734312) in 3,548 DPP participants.
  • Cox regression analysis to assess diabetes incidence based on genotype and intervention.
  • Evaluation of insulin resistance and beta cell function at one year.

Main Results:

  • No overall association between the genotyped WFS1 SNPs and diabetes incidence.
  • A trend for reduced diabetes incidence in white participants with protective WFS1 alleles in the lifestyle intervention arm.
  • A linked SNP (rs10012946) was associated with type 2 diabetes in a separate dataset.
  • A trend towards improved insulin secretion in carriers of protective WFS1 variants, often compensating for reduced insulin sensitivity.

Conclusions:

  • The protective effects of certain WFS1 alleles against type 2 diabetes may be amplified by lifestyle interventions.
  • These WFS1 variants appear to improve beta cell function, potentially offering a therapeutic target.