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Diabetes 53:3313-3318, 2004
© 2004 by the American Diabetes Association, Inc.

Association Testing in 9,000 People Fails to Confirm the Association of the Insulin Receptor Substrate-1 G972R Polymorphism With Type 2 Diabetes

Jose C. Florez1,2,3,4, Marketa Sjögren5, Noël Burtt3, Marju Orho-Melander5, Steve Schayer3, Maria Sun1,3, Peter Almgren5, Ulf Lindblad6, Tiinamaija Tuomi7, Daniel Gaudet8, Thomas J. Hudson9, Mark J. Daly3, Kristin G. Ardlie10, Joel N. Hirschhorn3,11,12, David Altshuler1,2,3,4,11, and Leif Groop5

1 Department of Molecular Biology, Massachusetts General Hospital, Boston, Massachusetts
2 Diabetes Unit, Massachusetts General Hospital, Boston, Massachusetts
3 Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, Massachusetts
4 Department of Medicine, Harvard Medical School, Boston, Massachusetts
5 Department of Endocrinology, University Hospital MAS, Lund University, Malmö, Sweden
6 Department of Community Medicine, University Hospital MAS, Lund University, Malmö, Sweden
7 Department of Medicine, Helsinki University Central Hospital; Folkhalsan Genetic Institute, Folkhalsan Research Center; and Research Program for Molecular Medicine, University of Helsinki, Helsinki, Finland
8 University of Montreal Community Genomic Center, Chicoutimi Hospital, Quebec, Canada
9 McGill University and Genome Quebec Innovation Centre, Montreal, Canada
10 Genomics Collaborative, Cambridge, Massachusetts
11 Department of Genetics, Harvard Medical School, Boston, Massachusetts
12 Divisions of Genetics and Endocrinology, Children’s Hospital, Boston, Massachusetts

The insulin receptor substrate (IRS)-1 is an important component of the insulin signal transduction cascade. Several reports suggest that a Gly->Arg change in codon 972 is associated with type 2 diabetes and related traits, and a recent meta-analysis reported a modest but nominally significant association with type 2 diabetes (odds ratio [OR] 1.25 in favor of carriers of the Arg allele [95% CI 1.05–1.48). To test the reproducibility of the model in a recent meta-analysis, we examined genotype-phenotype correlation in three large Caucasian samples (not previously reported for this variant) totaling 9,000 individuals (estimated to have >95% power to obtain a P < 0.05 for the OR of 1.25 estimated in the meta-analysis). In our combined sample, comprising 4,279 case and 3,532 control subjects, as well as 1,189 siblings discordant for type 2 diabetes, G972R was not associated with type 2 diabetes (OR 0.96 [0.84–1.10], P = 0.60). Genotype at G972R had no significant effect on various measures of insulin secretion or insulin resistance in a set of Scandinavian samples in whom we had detailed phenotypic data. In contrast, the well-documented associations of peroxisome proliferator-activated receptor {gamma} P12A and Kir6.2 E23K with type 2 diabetes are both robustly observed in these 9,000 subjects, including an additional (previously unpublished) confirmation of Kir6.2 E23K and type 2 diabetes in the Polish and North American samples (combined OR 1.15 [1.05–1.26], P = 0.001). Despite genotyping 9,000 people and >95% power to reproduce the estimated OR from the recent meta-analysis, we were unable to replicate the association of the IRS-1 G972R polymorphism with type 2 diabetes.


Address correspondence and reprint requests to David Altshuler, Department of Molecular Biology, Massachusetts General Hospital, Boston, MA 02114. E-mail: altshuler{at}molbio.mgh.harvard.edu

Leif Groop, Department of Endocrinology, University Hospital MAS, Lund University, Malmö, Sweden. E-mail: leif.groop{at}endo.mas.lu.se


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