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SNP in the genome-wide association study hotspot on chromosome 9p21 confers susceptibility to diabetic nephropathy in type 1 diabetes

Fagerholm, E. ; Ahlqvist, Emma LU ; Forsblom, C. ; Sandholm, N. ; Syreeni, A. ; Parkkonen, M. ; McKnight, A. J. ; Tarnow, L. ; Maxwell, A. P. and Parving, H. -H. , et al. (2012) In Diabetologia 55(9). p.2386-2393
Abstract
Parental type 2 diabetes mellitus increases the risk of diabetic nephropathy in offspring with type 1 diabetes mellitus. Several single nucleotide polymorphisms (SNPs) that predispose to type 2 diabetes mellitus have recently been identified. It is, however, not known whether such SNPs also confer susceptibility to diabetic nephropathy in patients with type 1 diabetes mellitus. We genotyped nine SNPs associated with type 2 diabetes mellitus in genome-wide association studies in the Finnish population, and tested for their association with diabetic nephropathy as well as with severe retinopathy and cardiovascular disease in 2,963 patients with type 1 diabetes mellitus. Replication of significant SNPs was sought in 2,980 patients from three... (More)
Parental type 2 diabetes mellitus increases the risk of diabetic nephropathy in offspring with type 1 diabetes mellitus. Several single nucleotide polymorphisms (SNPs) that predispose to type 2 diabetes mellitus have recently been identified. It is, however, not known whether such SNPs also confer susceptibility to diabetic nephropathy in patients with type 1 diabetes mellitus. We genotyped nine SNPs associated with type 2 diabetes mellitus in genome-wide association studies in the Finnish population, and tested for their association with diabetic nephropathy as well as with severe retinopathy and cardiovascular disease in 2,963 patients with type 1 diabetes mellitus. Replication of significant SNPs was sought in 2,980 patients from three other cohorts. In the discovery cohort, rs10811661 near gene CDKN2A/B was associated with diabetic nephropathy. The association remained after robust Bonferroni correction for the total number of tests performed in this study (OR 1.33 [95% CI 1.14, 1.56], p = 0.00045, p (36tests) = 0.016). In the meta-analysis, the combined result for diabetic nephropathy was significant, with a fixed effects p value of 0.011 (OR 1.15 [95% CI 1.02, 1.29]). The association was particularly strong when patients with end-stage renal disease were compared with controls (OR 1.35 [95% CI 1.13, 1.60], p = 0.00038). The same SNP was also associated with severe retinopathy (OR 1.37 [95% CI 1.10, 1.69] p = 0.0040), but the association did not remain after Bonferroni correction (p (36tests) = 0.14). None of the other selected SNPs was associated with nephropathy, severe retinopathy or cardiovascular disease. A SNP predisposing to type 2 diabetes mellitus, rs10811661 near CDKN2A/B, is associated with diabetic nephropathy in patients with type 1 diabetes mellitus. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CDKN2A, Diabetic nephropathy, Genetics, rs10811661, Type 1 diabetes, mellitus, Type 2 diabetes mellitus
in
Diabetologia
volume
55
issue
9
pages
2386 - 2393
publisher
Springer
external identifiers
  • wos:000307301800014
  • scopus:84866130556
  • pmid:22643932
ISSN
1432-0428
DOI
10.1007/s00125-012-2587-0
language
English
LU publication?
yes
id
c0c2b51f-83c1-4945-bbdf-260d4629bf12 (old id 3055685)
date added to LUP
2016-04-01 11:17:08
date last changed
2024-01-07 12:04:52
@article{c0c2b51f-83c1-4945-bbdf-260d4629bf12,
  abstract     = {{Parental type 2 diabetes mellitus increases the risk of diabetic nephropathy in offspring with type 1 diabetes mellitus. Several single nucleotide polymorphisms (SNPs) that predispose to type 2 diabetes mellitus have recently been identified. It is, however, not known whether such SNPs also confer susceptibility to diabetic nephropathy in patients with type 1 diabetes mellitus. We genotyped nine SNPs associated with type 2 diabetes mellitus in genome-wide association studies in the Finnish population, and tested for their association with diabetic nephropathy as well as with severe retinopathy and cardiovascular disease in 2,963 patients with type 1 diabetes mellitus. Replication of significant SNPs was sought in 2,980 patients from three other cohorts. In the discovery cohort, rs10811661 near gene CDKN2A/B was associated with diabetic nephropathy. The association remained after robust Bonferroni correction for the total number of tests performed in this study (OR 1.33 [95% CI 1.14, 1.56], p = 0.00045, p (36tests) = 0.016). In the meta-analysis, the combined result for diabetic nephropathy was significant, with a fixed effects p value of 0.011 (OR 1.15 [95% CI 1.02, 1.29]). The association was particularly strong when patients with end-stage renal disease were compared with controls (OR 1.35 [95% CI 1.13, 1.60], p = 0.00038). The same SNP was also associated with severe retinopathy (OR 1.37 [95% CI 1.10, 1.69] p = 0.0040), but the association did not remain after Bonferroni correction (p (36tests) = 0.14). None of the other selected SNPs was associated with nephropathy, severe retinopathy or cardiovascular disease. A SNP predisposing to type 2 diabetes mellitus, rs10811661 near CDKN2A/B, is associated with diabetic nephropathy in patients with type 1 diabetes mellitus.}},
  author       = {{Fagerholm, E. and Ahlqvist, Emma and Forsblom, C. and Sandholm, N. and Syreeni, A. and Parkkonen, M. and McKnight, A. J. and Tarnow, L. and Maxwell, A. P. and Parving, H. -H. and Groop, Leif and Groop, P. -H.}},
  issn         = {{1432-0428}},
  keywords     = {{CDKN2A; Diabetic nephropathy; Genetics; rs10811661; Type 1 diabetes; mellitus; Type 2 diabetes mellitus}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{2386--2393}},
  publisher    = {{Springer}},
  series       = {{Diabetologia}},
  title        = {{SNP in the genome-wide association study hotspot on chromosome 9p21 confers susceptibility to diabetic nephropathy in type 1 diabetes}},
  url          = {{http://dx.doi.org/10.1007/s00125-012-2587-0}},
  doi          = {{10.1007/s00125-012-2587-0}},
  volume       = {{55}},
  year         = {{2012}},
}