Type 2 & other diabetes

Interactions of genes with alcohol consumption affect insulin sensitivity and beta cell function

DiabetologiaPublished Genome-wide gene–alcohol interaction study

Authors' conclusion

Our findings reveal the effects of the interaction of alcohol and rs56221195 on hepatic insulin sensitivity in NGT individuals. It is imperative to weigh potential benefits and detriments thoughtfully when considering alcohol consumption across diverse genetic backgrounds.

Study context

Population
Individuals with normal glucose tolerance (OGTT-confirmed), Nanjing and Jurong, China; T2D risk evaluated in UK Biobank1,862 normal glucose tolerance (NGT) discovery
Comparison
Alcohol consumption categories by rs56221195 genotype
Outcome
Genetic variants modulating the impact of alcohol consumption on insulin sensitivity and beta cell function
Methodological detailsdiscovery and validation cohorts, exploratory genome-wide association study, UK Biobank Cox proportional hazard regression
  • Discovery and validation cohorts
  • Exploratory genome-wide association study
  • UK Biobank Cox proportional hazard regression

Performance

As reported in the abstract

rs56221195 × alcohol interaction on liver insulin resistance index (LIRI)
Interaction of rs56221195 with alcohol intake on liver insulin resistance index (LIRI), discovery corroborated in validation set (combined p)
p=1.32 × 10-11

Further findings

rs56221195 × alcohol interaction on total insulin secretion index INSR120

Significant interaction on INSR120, but not on disposition index
P = 2.06 × 10-9

rs56221195 × alcohol interaction and T2D risk (UK Biobank)

HR for T2D linked to rs56221195 × alcohol interaction
HR 0.897, p=0.008

Drinking level and insulin sensitivity, resistance and secretion in NGT

Drinking levels significantly correlated with insulin sensitivity, with inverse relationship with insulin resistance and beta cell insulin secretion (adjusted); no significant associations in disposition indexes

Original publication

Interactions of genes with alcohol consumption affect insulin sensitivity and beta cell function. Diabetologia. Published 19 October 2024. doi:10.1007/s00125-024-06291-5

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