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Effects of interacting networks of cardiovascular risk genes on the risk of type 2 diabetes mellitus (the CODAM study)
| Title | Effects of interacting networks of cardiovascular risk genes on the risk of type 2 diabetes mellitus (the CODAM study) |
| Publication Type | Journal Article |
| Year of Publication | 2008 |
| Authors | van Greevenbroek MMJ, Zhang J, van der Kallen CJH, Schiffers PMH, Feskens EJM, de Bruin TWA |
| Journal | BMC Medical Genetics |
| Volume | 9 |
| Pagination | Article 36 |
| Abstract | Background: Genetic dissection of complex diseases requires innovative approaches for
identification of disease-predisposing genes. A well-known example of a human complex disease
with a strong genetic component is Type 2 Diabetes Mellitus (T2DM).
Methods: We genotyped normal-glucose-tolerant subjects (NGT; n = 54), subjects with an
impaired glucose metabolism (IGM; n = 111) and T2DM (n = 142) subjects, in an assay (designed
by Roche Molecular Systems) for detection of 68 polymorphisms in 36 cardiovascular risk genes.
Using the single-locus logistic regression and the so-called haplotype entropy, we explored the
possibility that (1) common pathways underlie development of T2DM and cardiovascular disease -
which would imply enrichment of cardiovascular risk polymorphisms in "pre-diabetic" (IGM) and
diabetic (T2DM) populations- and (2) that gene-gene interactions are relevant for the effects of risk
polymorphisms.
Results: In single-locus analyses, we showed suggestive association with disturbed glucose
metabolism (i.e. subjects who were either IGM or had T2DM), or with T2DM only. Moreover, in
the haplotype entropy analysis, we identified a total of 14 pairs of polymorphisms (with a false
discovery rate of 0.125) that may confer risk of disturbed glucose metabolism, or T2DM only, as
members of interacting networks of genes. We substantiated gene-gene interactions by showing
that these interacting networks can indeed identify potential "disease-predisposing allelecombinations".
Conclusion: Gene-gene interactions of cardiovascular risk polymorphisms can be detected in
prediabetes and T2DM, supporting the hypothesis that common pathways may underlie
development of T2DM and cardiovascular disease. Thus, a specific set of risk polymorphisms, when
simultaneously present, increases the risk of disease and hence is indeed relevant in the transfer of risk.
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| DOI | 10.1186/1471-2350-9-36 |
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Edited 24 Sep 2009 - 10:06 by sbc502
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