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Diabetes Publish Ahead of Print published online ahead of print February 25, 2008
DOI: 10.2337/db07-1534

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Original Research

Association of variants in the sterol regulatory element-binding factor 1 gene (SREBF1) with type 2 diabetes, glycemia, and insulin resistance - A study of 15,734 Danish subjects

Niels Grarup1, Kirstine L. Stender-Petersen1, Ehm A. Andersson1, Torben Jørgensen2, Borch-Johnsen Knut1,,2,,3, Annelli Sandbæk4, Torsten Lauritzen4, Ole Schmitz5,,6, Torben Hansen1, and Oluf Pedersen1,,3

1Steno Diabetes Center, Copenhagen, Denmark
2Research Centre for Prevention and Health, Glostrup University Hospital, Glostrup, Denmark
3Faculty of Health Sciences, University of Aarhus, Aarhus, Denmark
4Department of General Practice, University of Aarhus, Aarhus, Denmark
5Department of Endocrinology and Diabetes, Aarhus University Hospital, Aarhus, Denmark
6Department of Clinical Pharmacology, University of Aarhus, Aarhus, Denmark

Objective: We evaluated association of variants in the sterol regulatory element-binding factor 1 gene (SREBF1) with type 2 diabetes. Due to the previous inconclusive quantitative trait associations, we also did studies of intermediate quantitative phenotypes.

Research design and methods: We genotyped four variants in SREBF1 in the population-based Inter99 cohort (n=6,070), the Danish ADDITION study (n=8,662) and in additional type 2 diabetic patients (n=1,002). The case-control studies involved 2,980 type 2 diabetic patients and 4,522 glucose-tolerant subjects.

Results: The minor alleles of the rs2297508, rs11868035 and rs1889018 (linkage disequilibrium R2=0.6-0.8) associated with a modestly increased risk of type 2 diabetes (rs2297508: OR 1.17 [95% CI 1.05-1.30], P=0.003) which was confirmed in meta-analyses of all published studies (rs2297508 G-allele: OR 1.08 [1.03-1.14] per allele, P=0.001). The diabetes-associated alleles also associated strongly with a higher plasma-glucose at 30 and 120 minutes and serum-insulin at 120 minutes during an OGTT (all P<0.006) and the minor allele of rs1889018 with a surrogate measure of insulin sensitivity (P=0.03). Furthermore, the diabetes-associated alleles associated with a modestly increased HbA1c level in the population-based Inter99 of middle-aged subjects and in the ADDITION study of high-risk individuals (P=0.006 and P=0.008, respectively).

Conclusions: We associate sequence variation in SREBF1 with a modestly increased predisposition to type 2 diabetes. In the general population the diabetes-associated alleles are discreetly associated with hyperglycemia presumably due to decreased insulin sensitivity. Since SREBP-1c is a mediator of insulin action the findings are consistent with the presence of a yet undefined subtle loss-of-function SREBF1 variant.


Correspondence: ngrp{at}steno.dk

Key Words: Type 2 diabetes • SREBF1 • case-control study • insulin resistance • glycemia


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