Abstract
Objective
In type 2 diabetes, the significant pathological change in pancreatic islets is amyloid deposits. Its major component is islet amyloid polypeptide (IAPP). The objective of this study was to evaluate the possibility that the effect of the IAPP genotype on β-cell dysfunction in type 2 diabetes is modified by variations in plasma glucose levels.
Methods
Participants from the Toon Genome Study underwent a 75 g OGTT for the diagnosis of glucose tolerance and the evaluation of insulin secretion. We examined the effect of a SNP, rs77397980, on β-cell function by analyzing an interaction (statistics) between the IAPP genotype and AUC glucose.
Results
The ratio of the C-allele carriers was essentially the same among subjects with normal glucose tolerance, impaired glucose tolerance and diabetes. In subjects with diabetes, along with an increase in AUC glucose, fasting insulin remained constant in the T/T homozygotes and appeared to decrease in the C-allele carriers. A homeostasis model assessment (HOMA)-IR appeared to be increased in the former and decreased in the latter. In subjects with diabetes stratified into cases with higher AUC glucose than the median, fasting insulin and HOMA-IR were lower in the C-allele carriers than in the T/T homozygotes. An interaction between the IAPP genotype and AUC glucose was indicated in the effect on HOMA-IR.
Conclusions
The possibility that the association between IAPP genotype and basal insulin level is modified by variation in plasma glucose, resulting in a decreased basal insulin in type 2 diabetes, cannot be excluded.
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Acknowledgements
The authors wish to thank the staffs in the Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan for the support of the Toon Genome Study, the ex-staffs in the Diabetes Research Group, the Second Department of Internal Medicine, Chiba University School of Medicine, Chiba, Japan for the suggestions regarding the conduct of this study, and Dr. Jun Ohashi, Department of Biological Sciences, Graduate School of Science, The University of Tokyo, for the suggestions for statistical analyses.
Funding
This study was supported by JSPS KAKENHI, Health Labor Sciences Research Grant, Grants from Ehime University, and the Japan Diabetes Foundation.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (Ehime university hospital and graduate school of medicine, ethics committee, date of approval: 1 April. 2009, approval no. 29-K3, 31-4, and 31-18) and with the Helsinki Declaration of 1964 and later versions.
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Kawamura, R., Tabara, Y., Takata, Y. et al. Association of a SNP in the IAPP gene and hyperglycemia on β-cell dysfunction in type 2 diabetes: the Toon Genome Study. Diabetol Int 13, 201–208 (2022). https://doi.org/10.1007/s13340-021-00523-4
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DOI: https://doi.org/10.1007/s13340-021-00523-4