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Association of genetic variation in FTO with risk of obesity and type 2 diabetes with data from 96,551 East and South Asians
Journal article   Open access   Peer reviewed

Association of genetic variation in FTO with risk of obesity and type 2 diabetes with data from 96,551 East and South Asians

H Li, L F Been, M Imamura, T O Kilpeläinen, C Liu, E Nakashima, J Zhu, N Lee, Y Liu, T Fujisawa, …
Diabetologia, Vol.55(4), pp.981-995
04/2012
DOI: 10.1007/s00125-011-2370-7
PMCID: PMC3296006
PMID: 22109280
url
https://doi.org/10.1007/s00125-011-2370-7View
Published (Version of record) Open Access

Abstract

FTO harbours the strongest known obesity-susceptibility locus in Europeans. While there is growing evidence for a role for FTO in obesity risk in Asians, its association with type 2 diabetes, independently of BMI, remains inconsistent. To test whether there is an association of the FTO locus with obesity and type 2 diabetes, we conducted a meta-analysis of 32 populations including 96,551 East and South Asians. All studies published on the association between FTO-rs9939609 (or proxy [r (2) > 0.98]) and BMI, obesity or type 2 diabetes in East or South Asians were invited. Each study group analysed their data according to a standardised analysis plan. Association with type 2 diabetes was also adjusted for BMI. Random-effects meta-analyses were performed to pool all effect sizes. The FTO-rs9939609 minor allele increased risk of obesity by 1.25-fold/allele (p = 9.0 × 10(-19)), overweight by 1.13-fold/allele (p = 1.0 × 10(-11)) and type 2 diabetes by 1.15-fold/allele (p = 5.5 × 10(-8)). The association with type 2 diabetes was attenuated after adjustment for BMI (OR 1.10-fold/allele, p = 6.6 × 10(-5)). The FTO-rs9939609 minor allele increased BMI by 0.26 kg/m(2) per allele (p = 2.8 × 10(-17)), WHR by 0.003/allele (p = 1.2 × 10(-6)), and body fat percentage by 0.31%/allele (p = 0.0005). Associations were similar using dominant models. While the minor allele is less common in East Asians (12-20%) than South Asians (30-33%), the effect of FTO variation on obesity-related traits and type 2 diabetes was similar in the two populations. FTO is associated with increased risk of obesity and type 2 diabetes, with effect sizes similar in East and South Asians and similar to those observed in Europeans. Furthermore, FTO is also associated with type 2 diabetes independently of BMI.
Genetic Predisposition to Disease Genetic Association Studies Diabetes Mellitus, Type 2 - genetics Humans Asian Continental Ancestry Group - genetics Alpha-Ketoglutarate-Dependent Dioxygenase FTO Genotype Male Obesity - genetics Proteins - genetics Adult Female Polymorphism, Single Nucleotide

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