A SNP in G6PC2 predicts insulin secretion in type 1 diabetes

Acta Diabetol. 2013 Jun;50(3):459-62. doi: 10.1007/s00592-012-0389-y. Epub 2012 Mar 22.

Abstract

We investigated whether single nucleotide polymorphisms in genes related to glucose metabolism correlate with insulin secretion in type 1 diabetes patients. A cohort of 49 type 1 diabetes patients underwent serial mixed meal tolerance tests to assess insulin secretion. Patients were genotyped for SNPs related to glucose metabolism: CDKAL1 rs7754840, G6PC2 rs560887, HHEX rs1111875, KCNJ11 rs5215. Recently diagnosed patients (<100 days) homozygous for the G allele of G6PC2 had higher area under the curve C-peptide on mixed meal tolerance tests compared to non-homozygous patients (344.8 ± 203.2 vs. 167.9 ± 131.5, p = 0.04). Other SNPs did not correlate with insulin secretion in the new onset period. In a longitudinal survival analysis, homozygosity for the minor allele (A) in G6PC2 predicted more rapid loss of insulin secretion over time. A SNP in the beta cell gene G6PC2 may correlate with preserved insulin secretion in type 1 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cyclin-Dependent Kinase 5 / genetics
  • Diabetes Mellitus, Type 1 / genetics*
  • Diabetes Mellitus, Type 1 / metabolism*
  • Female
  • Genome-Wide Association Study
  • Genotype
  • Glucose-6-Phosphatase / genetics*
  • Homeodomain Proteins / genetics
  • Homozygote
  • Humans
  • Insulin / metabolism*
  • Insulin Secretion
  • Male
  • Polymorphism, Single Nucleotide*
  • Potassium Channels, Inwardly Rectifying / genetics
  • Predictive Value of Tests
  • Transcription Factors / genetics
  • tRNA Methyltransferases

Substances

  • HHEX protein, human
  • Homeodomain Proteins
  • Insulin
  • Kir6.2 channel
  • Potassium Channels, Inwardly Rectifying
  • Transcription Factors
  • tRNA Methyltransferases
  • Cyclin-Dependent Kinase 5
  • CDKAL1 protein, human
  • Glucose-6-Phosphatase
  • G6PC2 protein, human