Association of a microsatellite in FASL to type II diabetes and of the FAS-670G> A genotype to insulin resistance

RL Nolsøe, YH Hamid, F Pociot, S Paulsen… - Genes & …, 2006 - nature.com
RL Nolsøe, YH Hamid, F Pociot, S Paulsen, KM Andersen, K Borch-Johnsen, T Drivsholm…
Genes & Immunity, 2006nature.com
Type II diabetes is caused by a failure of the pancreatic β-cells to compensate for insulin
resistance leading to hyperglycaemia. There is evidence for an essential role of an
increased β-cell apoptosis in type II diabetes. High glucose concentrations induce IL-1β
production in human β-cells, Fas expression and concomitant apoptosis owing to a
constitutive expression of FasL. FASL and FAS map to loci linked to type II diabetes and
estimates of insulin resistance, respectively. We have tested two functional promoter …
Abstract
Type II diabetes is caused by a failure of the pancreatic β-cells to compensate for insulin resistance leading to hyperglycaemia. There is evidence for an essential role of an increased β-cell apoptosis in type II diabetes. High glucose concentrations induce IL-1β production in human β-cells, Fas expression and concomitant apoptosis owing to a constitutive expression of FasL. FASL and FAS map to loci linked to type II diabetes and estimates of insulin resistance, respectively. We have tested two functional promoter polymorphisms, FAS-670 G> A and FASL-844C> T as well as a microsatellite in the 3′ UTR of FASL for association to type II diabetes in 549 type II diabetic patients and 525 normal-glucose-tolerant (NGT) control subjects. Furthermore, we have tested these polymorphisms for association to estimates of β-cell function and insulin resistance in NGT subjects. We found significant association to type II diabetes for the allele distribution of the FASL microsatellite (P-value 0.02, Bonferroni corrected). The FAS-670G> A was associated with homeostasis model assessment insulin resistance index and body mass index (P-values 0.02 and 0.02). We conclude that polymorphisms of FASL and FAS associate with type II diabetes and estimates of insulin resistance in Danish white subjects.
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