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Diabetes 56:675-684, 2007
DOI: 10.2337/db06-0303
© 2007 by the American Diabetes Association
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Investigation of the Estrogen Receptor-{alpha} Gene With Type 2 Diabetes and/or Nephropathy in African-American and European-American Populations

Carla J. Gallagher1,2, Keith L. Keene1, Josyf C. Mychaleckyj1,3,4, Carl D. Langefeld3, Joel N. Hirschhorn5,6, Brian E. Henderson7, Candace J. Gordon1, Barry I. Freedman4, Stephen S. Rich3, Donald W. Bowden1,2,4, and Michèle M. Sale1,4

1 Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina
2 Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, North Carolina
3 Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina
4 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
5 Departments of Genetics and Pediatrics, Harvard Medical School, Boston, Massachusetts
6 Program in Medical and Population Genetics, Broad Institute of Massachusetts Institute of Technology and Harvard University, Cambridge, Massachusetts
7 Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California

Address correspondence and reprint requests to Michèle M. Sale, PhD, Center for Human Genomics, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157. E-mail: msale{at}wfubmc.edu

Abbreviations: ESRD, end-stage renal disease; LD, linkage disequilibrium; MAF, minor allele frequency; NIGMS, National Institute of General Medical Sciences; PGC1, peroxisome proliferator–activated receptor-{gamma} coactivator 1; SNP, single nucleotide polymorphism

The estrogen receptor-{alpha} gene (ESR1) was selected as a positional candidate under a type 2 diabetes linkage peak at 6q24-27. A total of 42 ESR1 single nucleotide polymorphisms (SNPs) were genotyped in 380 African-American type 2 diabetic case subjects with end-stage renal disease (ESRD) and 276 African-American control subjects. A total of 22 ancestry informative markers were also genotyped, and the program Admixmap was used to adjust allelic and haplotypic association tests for individual estimates of admixture. The most significant association with type 2 diabetes–ESRD was with rs1033182 in intron 2 (P = 0.013, admixture-adjusted Pa = 0.021). Genotyping 17 SNPs across a region of ESR1 intron 1–intron 2 in an expanded population of 851 case and 635 control subjects supported association with rs1033182 (P = 0.004, Pa = 0.027) and with an independent six-SNP haplotype of high linkage disequilibrium spanning 6.4 kb (P < 0.0001, Pa < 0.0001). The same 17 ESR1 SNPs were genotyped in 300 European-American type 2 diabetes–ESRD case subjects and 310 European-American control subjects. Two intron 2 SNPs, rs2431260 (P = 0.015) and rs1709183 (P = 0.019), and a four-SNP haplotype containing these SNPs (P = 0.033) were associated with type 2 diabetes and/or ESRD. Results suggest that intron 1 and intron 2 of the ESR1 gene may contain functionally important regions related to type 2 diabetes or ESRD risk.


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C. J. Gallagher, C. D. Langefeld, C. J. Gordon, J. K. Campbell, J. C. Mychalecky, M. Bryer-Ash, S. S. Rich, D. W. Bowden, and M. M. Sale
Association of the Estrogen Receptor-{alpha} Gene With the Metabolic Syndrome and Its Component Traits in African-American Families: The Insulin Resistance Atherosclerosis Family Study
Diabetes, August 1, 2007; 56(8): 2135 - 2141.
[Abstract] [Full Text] [PDF]




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