Type 2 & other diabetes

The rs2341471-G/G genotype of activating transcription factor 6 (ATF6) is the risk factor of type 2 diabetes in subjects with obesity or overweight

Int J Obes (Lond)Published Case-control genetic association study

Main finding · T2D risk with rs2341471-G/G genotypeResult — go to the resultOdds ratio 1.61 95% CI 1.37–1.90

Authors' conclusion

The present study revealed, for the first time, a strong association between the rs2341471-G/G ATF6 genotype and an increased risk of type 2 diabetes in people with obesity or overweight, regardless of known dietary risk factors. Further research is needed to support the potential of silencing the ATF6 gene as a means for the treatment and prevention of type 2 diabetes.

Study context

Population
Unrelated individuals from Central Russia; 4 intronic ATF6 single nucleotide polymorphisms (SNPs) (rs931778, rs90559, rs2341471, rs7,517,862) genotyped with MassARRAY-4
Participants
3,229 individuals
Comparison
T2D patients vs healthy controls
  • T2Dn = 1,569
  • Healthy controlsn = 1,660reference
Outcome
Association of ATF6 SNPs with T2D susceptibility

Main finding

T2D risk with rs2341471-G/G genotype

Odds ratio

1.61

95% CI 1.37–1.90

PFDR < 0.0001

T2D patientsvs healthy controls
OR 1.61 (95% CI 1.37–1.90); PFDR < 0.0001

As reported in the abstract

Observational data: associations, not effects.

Further findings

BMI-stratified analysis: rs2341471-G/G and haplotypes CGGA and TAGA

Associated with T2D risk exclusively in subjects with obesity or overweight
PFDR < 0.05

Diet in obesity/overweight vs normal weight

Higher consumption of high-carbohydrate and high-calorie diets vs normal-weight individuals
P < 0.0001
Influence of rs7517862 on T2D risk observed independently of dietary habits

Functional SNP annotation

rs2341471-G predicted to create binding sites for activating transcription factors
18
rs2341471-G allele associated with increased ATF6 expression
SNP in region with enhancer activity epigenetically regulated in pancreatic islets

Original publication

The rs2341471-G/G genotype of activating transcription factor 6 (ATF6) is the risk factor of type 2 diabetes in subjects with obesity or overweight. Int J Obes (Lond). Published 12 August 2024. doi:10.1038/s41366-024-01604-5

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