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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.


ABSTRACT:

Aims/hypothesis

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.

Methods

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.

Results

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.

Conclusions/interpretation

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.

SUBMITTER: Li H 

PROVIDER: S-EPMC3296006 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature

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Publications

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

Li H H   Kilpeläinen T O TO   Liu C C   Zhu J J   Liu Y Y   Hu C C   Yang Z Z   Zhang W W   Bao W W   Cha S S   Wu Y Y   Yang T T   Sekine A A   Choi B Y BY   Yajnik C S CS   Zhou D D   Takeuchi F F   Yamamoto K K   Chan J C JC   Mani K R KR   Been L F LF   Imamura M M   Nakashima E E   Lee N N   Fujisawa T T   Karasawa S S   Wen W W   Joglekar C V CV   Lu W W   Chang Y Y   Xiang Y Y   Gao Y Y   Liu S S   Song Y Y   Kwak S H SH   Shin H D HD   Park K S KS   Fall C H D CH   Kim J Y JY   Sham P C PC   Lam K S L KS   Zheng W W   Shu X X   Deng H H   Ikegami H H   Krishnaveni G V GV   Sanghera D K DK   Chuang L L   Liu L L   Hu R R   Kim Y Y   Daimon M M   Hotta K K   Jia W W   Kooner J S JS   Chambers J C JC   Chandak G R GR   Ma R C RC   Maeda S S   Dorajoo R R   Yokota M M   Takayanagi R R   Kato N N   Lin X X   Loos R J F RJ  

Diabetologia 20111123 4


<h4>Aims/hypothesis</h4>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.<h4>Methods</h4>All studies published on the association betwee  ...[more]

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