Abstract
One of the genetic variants (rs9939609) of FTO gene is related with obesity and type 2 diabetes mellitus. The aim of the present study was to analyze the relationship of the rs9939609 FTO gene polymorphism to body weight, insulin resistance, cardiovascular risk factors and serum adipokine levels in patients with diabetes. 123 naïve patients with diabetes mellitus type 2 were analyzed in a cross sectional design. Body weight, blood pressure, fast blood glucose, c-reactive protein (CRP), insulin, HbA1c, insulin resistance (homeostasis model assessment, HOMA-R), total cholesterol, HDL-cholesterol, HDL-cholesterol, triglycerides blood and adipocytokines levels were measured. Forty one patients (14 males/27 females) (33.3 %) had the genotype TT (wild type group), 51 (11 males/40 females) (41.5 %) TA and 31 (9 males/22 females) (25.2 %) AA (mutant type group). No association between the FTO variant and anthropometric parameters or blood pressure was found. Wild type group had higher HOMA-R (1.3 units:CI95% 0.51–5.8), insulin (3.3 mUI/L:CI95% 0.31–13.4) and triglyceride (12.6 mg/dl: CI95% 3.90–46.1) levels than mutant allelic group (TA and AA). Adipocytokines levels were similar in both genotype groups. The FTO gene polymorphism, rs9939609, was found to be associated with HOMA-R, insulin and triglyceride levels in naïve diabetic patients with TT variant.
Similar content being viewed by others
References
de Luis DA, Gonzalez M, Aller R, Izaola O, Conde R. Effects of C358A missense polymorphism of the endocannabinoid degrading enzyme fatty acida mide hydrolase on weight loss after a hypocaloric diet. Metab Clin Exp. 2011;60:730–4.
Hinney A, Nguyen TT, Scherag A, Friedel S, Bronner G, Muller TD. Genome wide association (GWA) study for early onset extreme obesity supports the role of fat mass and obesity associated gene (FTO) variants. PLoS ONE. 2007;2:e1361.
Villalobos-Comparan M, Teresa Flores-Dorantes M, Teresa Villarreal-Molina M, Rodriguez-Cruz M, Garcia-Ulloa AC, Robles L. The FTO gene is associated with adulthood obesity in the Mexican population. Obesity (Silver Spring). 2008;16:2296–301.
Song Y, You NC, Hsu YH, Howard BV, Langer RD, Manson JE. FTO polymorphisms are associated with obesity but not diabetes risk in postmenopausal women. Obesity (Silver Spring). 2008;16:2472–80.
Frayiling TM, Timpson NJ, Weedon MN, Zeggini E, Freathy RM. A common variant in the FTO gene is associated with body mass index and predispose to childhood and adult obesity. Science. 2007;316:889–94.
Scuteri A, Sanna S, Chen WM, Uda M, Albai G, Strait J, et al. Genome wide association scan shows genetic variants in the FTO gene are associated with obesity related traits. Plos Genet. 2007;3:e115.
Dina C, Meyre D, Gallina S, Durand E, Korner A. Variation in FTO contributes to childhood obesity and severe adult obesity. Nat Genet. 2007;39:724–6.
Hotta K, Nakata Y, Matsuo T, Kamohara S, Kotani K, Komatsu R, et al. Variations in the FTO gene are associated with severe obesity in the Japanese. J Hum Genet. 2008;53:546–53.
Omori S, Tanaka Y, Takahashi A, Hirose H, Kashiwagi A, Kaku K, et al. Association of CDKAL1, IGF2BP2, CDKN2A/B, HHEX, SLC30A8, and KCNJ11 with susceptibility to type 2 diabetes in a Japanese population. Diabetes. 2008;57:791–5.
Horikoshi M, Hara K, Ito C, Shojima N, Nagai R, Ueki K, et al. Variations in the HHEX gene are associated with increased risk of type 2 diabetes in the Japanese population. Diabetologia. 2007;50:2461–6.
Pascoe L, Tura A, Patel SK, Ibrahim IM, Ferrannini E. Common variants of the novel type 2 diabetes genes, CDKAL1 and HHEX/IDE, are associated with decreased pancreatic cell function. Diabetes. 2007;56:3101–14.
Sjögren M, Lyssenko V, Jonsson A, Berglund G, Nilsson P, Groop L, et al. The search for putative unifying genetic factors for components of the metabolic syndrome. Diabetologia. 2008;51:2242–51.
Al Attar SA, Pollex RL, Ban MR, Young TK. Association between the FTO rs9939609 polymorphism and the metabolic syndrome in a non-caucasian multi-ethnic simple. Cardiovasc Diabetol. 2008;7:5.
Horikoshi M, Hara K, Ito C, Shojima N, Nagai R, Ueki K, et al. Variations in the HHEX gene are associated with increased risk of type 2 diabetes in the Japanese population. Diabetologia. 2007;50:2461–6.
Matsuda M, Shimomura I, Sata M. Role of adiponectin in preventing vascular stenosis. The missing link of adipo-vascular axis. J Biol Chem. 2002;277:37487–91.
Zimmermann E, Skogstrand K, Hougaard DM, Astrup A, Hansen T, Pedersen O, et al. Influences of the common FTO rs9939609 variant on inflammatory markers throughout a broad range of body mass index. PLoS One. 2011;6:e15958.
Fang H, Li Y, Du S, Hu X, Zhang Q, Liu A, et al. Variant rs9939609 in the FTO gene is associated with body mass index among Chinese children. BMC Med Genet. 2010;22:136.
Qi L, Kang K, Zhang C, van Dam RM, Kraft P, Hunter D, et al. Fat mass-and obesity-associated (FTO) gene variant is associated with obesity: longitudinal analyses in two cohort studies and functional test. Diabetes. 2008;57:3145–51.
Duart MJ, Arroyo CO, Moreno JL. Validation of an insulin model for the reactions in RIA. Clin Chem Lab Med. 2002;40:1161–7.
Mathews DR, Hosker JP, Rudenski AS, Naylor BA, Df T. Homeostasis model assessment: insulin resistance and beta cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412–4.
Suominen P. Evaluation of an enzyme immunometric assay to measure serum adiponectin concentrations. Clin Chem. 2004;50:219–21.
Lubrano V, Cocci F, Battaglia D, Papa A. Usefulness of high –sensitivity IL6 measurment for clinical characterization of patients with coronary artery disease. J Clin Lab Anal. 2005;19:110–4.
Khan SS, Smith MS, Reda D, Suffredini AF, Mc Coy JP. Multiplex bead array assays for detection of soluble cytokines: comparisons of sensitivity and quantitative values among kits from multiple manufactures. Cytometry B Clin Cytom. 2004;61:35–9.
Meier U, Gressner M. Endocrine regulation of energy metabolism: review of pathobiochemical and clinical chemical aspects of leptin, Ghrelin, adiponectin, and resistin. Clin Chem. 2004;50:1511–25.
Pfutzner A, Langefeld M, Kunt T, Lobig M. Evaluation of human resistin assays with serum from patients with type 2 diabetes and different degrees of insulin resistance. Clin Lab. 2003;49:571–6.
Lukaski H, Johnson PE. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr. 1985;41:810–7.
Mataix J, Mañas M. Tablas de composición de alimentos españoles. Ed: University of Granada; 2003.
Do R, Bailey S, Desbiens K, Belisle A, Montpetit A, Bouchard C, et al. Genetic variants of FTO influence adiposity, insulin sensitivity, leptin levels, and resting metabolic rate in the Quebec Family study. Diabetes. 2008;57:1147–50.
Dina C, Meyre D, Gallina S. Variation in FTO contributes to childhood obesity and severe adult obesity. Nat Genet. 2007;39:724–6.
Attaoua R, Ait SM, Radian S, Fica S, Hanzu F. FTO gene associates to metabolic syndrome un women with PCOS. Biochem Biophys Res Commun. 2008;373:230–4.
Tan S, Scherag A, Janssen O, Hahn S. Large effects on BMI and insulin resistance of fat mass and obesity associated gene (FTO) variants in patients with PCOS. BMC Med Genet. 2010;11:12–7.
Berentzen T, Kring SI, Holst C, Zimmermann E, Jess T, Hansen T, et al. Lack of association of fatness-related FTO gene variants with energy expenditure or physical activity. J Clin Endocrinol Metab. 2008;93:2904–8.
Doney A, Danndald J, Kimber C, Donnelly L. The FTO gene is associated with an atherogenic lipid profile and myocardial infarctation in patients with type 2 diabetes; A Go-DARTS study. Cir Cardiovasc Genet. 2009;2:255–9.
Freathy RM, Timpson NJ, Lawlor DA, Pouta A. Common variation in the FTO gene alters diabetes-related metabolic traits to the extent expected given its effect on BMI. Diabetes. 2008;57:1419–26.
Zabena C, Gonzalez Sanchez JL, Martinez Larrad MT, Torres Garcia A, Alvarez Fernandez J. The FTO obesity gene, genotyping and gene expression analysis in morbidly obese patients. Obes Surg. 2009;19:87–95.
Conflict of interest
There is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Funding
This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
Author information
Authors and Affiliations
Corresponding author
Additional information
Author contribution statement
D. A de Luis realized design and statistical of the study.
M González Sagrado realized biochemical studies.
R. Aller realized nutritional evaluation.
O. Izaola realized nutritional evaluation.
B de la Fuente realized nutritional evaluation.
D Primo realized biochemical studies.
R Conde realized biochemical studies.
Marta Ruiz Mambrilla realized design and statistical of the study.
Rights and permissions
About this article
Cite this article
de Luis, D.A., Aller, R., Conde, R. et al. Role of the rs9939609 gene variant of FTO on cardiovascular risk factors and adipokines levels in naive patients with diabetes mellitus type 2. Int J Diabetes Dev Ctries 33, 202–206 (2013). https://doi.org/10.1007/s13410-013-0151-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13410-013-0151-1