The SH2B1 obesity locus and abnormal glucose homeostasis: Lack of evidence for association from a meta-analysis in individuals of European ancestry

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Abstract

Background/Aims

The development of type 2 diabetes (T2D) is influenced both by environmental and by genetic determinants. Obesity is an important risk factor for T2D, mostly mediated by obesity-related insulin resistance. Obesity and insulin resistance are also modulated by the genetic milieu; thus, genes affecting risk of obesity and insulin resistance might also modulate risk of T2D.

Recently, 32 loci have been associated with body mass index (BMI) by genome-wide studies, including one locus on chromosome 16p11 containing the SH2B1 gene. Animal studies have suggested that SH2B1 is a physiological enhancer of the insulin receptor and humans with rare deletions or mutations at SH2B1 are obese with a disproportionately high insulin resistance. Thus, the role of SH2B1 in both obesity and insulin resistance makes it a strong candidate for T2D. However, published data on the role of SH2B1 variability on the risk for T2D are conflicting, ranging from no effect at all to a robust association.

Methods

The SH2B1 tag SNP rs4788102 (SNP, single nucleotide polymorphism) was genotyped in 6978 individuals from six studies for abnormal glucose homeostasis (AGH), including impaired fasting glucose, impaired glucose tolerance or T2D, from the GENetics of Type 2 Diabetes in Italy and the United States (GENIUS T2D) consortium. Data from these studies were then meta-analyzed, in a Bayesian fashion, with those from DIAGRAM+ (n = 47,117) and four other published studies (n = 39,448).

Results

Variability at the SH2B1 obesity locus was not associated with AGH either in the GENIUS consortium (overall odds ratio (OR) = 0.96; 0.89–1.04) or in the meta-analysis (OR = 1.01; 0.98–1.05).

Conclusion

Our data exclude a role for the SH2B1 obesity locus in the modulation of AGH.

Section snippets

Study design

We genotyped the SH2B1 tag SNP rs4788102 in 6978 participants from six independent samples of white adults (≥18 years of age) of European ancestry, from an expanded version of the GENIUS T2D consortium.

Among these, four samples (namely San Giovanni Rotondo (SGR, Italy), Catanzaro (Italy), Boston (USA) and Dallas (USA) were case-control studies for T2D from the original GENIUS T2D consortium [26]. In these samples, cases were unrelated patients with T2D defined according to the 2003 American

GENIUS T2D consortium

The SH2B1 tag SNP rs4488102 (G > A) was genotyped in the six samples belonging to the GENIUS T2D consortium including 3796 cases and 3182 controls for AGH. Clinical characteristics of both cases and controls are shown in Table 1.

Genotype distributions did not show deviations from HWE (P > 0.01) in both cases and controls from the whole study sample. No association between the A allele at rs4788102 (i.e., the risk allele for obesity) and AGH was observed in any individual sample (Table 1).

Discussion

We investigated whether genetic variability at the SH2B1 obesity locus is associated with abnormalities in glucose homeostasis in several samples from the GENIUS T2D and the DIAGRAM+ consortia and then carried out a Bayesian meta-analysis by adding also so-far-published studies. Overall, data from a total of 93,543 individuals of European ancestry showed no association between SH2B1 genetic variability and glucose homeostasis. The validity of this conclusion is strengthened by the large study

Conflict of interest

The authors declare no conflict of interest.

Acknowledgments

This work was partly supported by the Italian Ministry of Health (Ricerca Corrente 2011 and 2012 to S.P., F.P. and V.T.) and by the European Union (FP6 EUGENE2 n° LSHM-CT-2004-512013 to G.S.).

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    1

    A complete list of the DIAGRAM Consortium members can be found in the Supplementary Information.

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