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A variant in CDKAL1 influences insulin response and risk of type 2 diabetes

  • V. Steinthorsdottir
  • , G. Thorleifsson
  • , I. Reynisdottir
  • , R. Benediktsson
  • , T. Jonsdottir
  • , G.B. Walters
  • , U. Styrkarsdottir
  • , S. Gretarsdottir
  • , V. Emilsson
  • , S. Ghosh
  • , A. Baker
  • , S. Snorradottir
  • , H. Bjarnason
  • , M.C. Ng
  • , T. Hansen
  • , Y. Bagger
  • , R.L. Wilensky
  • , M.P. Reilly
  • , A. Adeyemo
  • , Y. Chen
  • J. Zhou, V. Gudnason, G. Chen, H. Huang, K. Lashley, A. Doumatey, W.Y. So, R.C. Ma, G. Andersen, K. Borch Johnsen, T. Jorgensen, J.V. van Vliet-Ostaptchouk, M.H. Hofker, C. Wijmenga, C. Christiansen, D.J. Rader, C. Rotimi, M. Gurney, J.C. Chan, O. Pedersen, G. Sigurdsson, J.R. Gulcher, U. Thorsteinsdottir, A. Kong, K. Stefansson*
*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

We conducted a genome-wide association study for type 2 diabetes (T2D) in Icelandic cases and controls, and we found that a previously described variant in the transcription factor 7-like 2 gene (TCF7L2) gene conferred the most significant risk. In addition to confirming two recently identified risk variants, we identified a variant in the CDKAL1 gene that was associated with T2D in individuals of European ancestry (allele-specific odds ratio (OR) = 1.20 (95% confidence interval, 1.13-1.27), P = 7.7 x 10(-9)) and individuals from Hong Kong of Han Chinese ancestry (OR = 1.25 (1.11-1.40), P = 0.00018). The genotype OR of this variant suggested that the effect was substantially stronger in homozygous carriers than in heterozygous carriers. The ORs for homozygotes were 1.50 (1.31-1.72) and 1.55 (1.23-1.95) in the European and Hong Kong groups, respectively. The insulin response for homozygotes was approximately 20% lower than for heterozygotes or noncarriers, suggesting that this variant confers risk of T2D through reduced insulin secretion.
Original languageEnglish
Pages (from-to)770-775
JournalNature Genetics
Volume39
Issue number6
DOIs
Publication statusPublished - 1 Jan 2007

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