From the: | ||
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Department of Genetics(1) Southwest Foundation for Biomedical Research P.O. Box 28147 San Antonio, TX 78228-0147 | Departments of Medicine/Epidemiology(2), Pathology(3), and Surgery(5) University of Texas Health Science Center 7703 Floyd Curl Drive San Antonio, TX 78284 | Department of Gastrointestinal Medical Oncology and Digestive Diseases(4) University of Texas MD Anderson Hospital 1515 Holcomb Blvd. Houston, TX 77030 |
Address correspondence to: | ||
Braxton D. Mitchell, Ph.D. Department of Genetics Southwest Foundation for Biomedical Research P.O. Box 28147, San Antonio, TX 78228-0147 phone: (210) 674-1410 ext. 471 FAX: (210) 670-3316 |
Key words: insulin, linkage analysis, segregation analysis, FABP2, Mexican Americans
Running title: Linkage of FABP2 with 2-hr insulin
Single genes with large effects may contribute to insulin resistance or influence susceptibility to noninsulin-dependent diabetes mellitus (NIDDM). In the Pima Indians, results from sib-pair analysis have suggested that a gene on chromosome 4q influences both fasting insulin levels and maximal insulin action. We conducted sib-pair and lod-score linkage analysis to seek evidence for linkage between genes influencing insulin levels and chromosome 4q loci. Analyses were conducted on nondiabetic individuals from 28 different families participating in the San Antonio Family Diabetes Study. All subjects received a 2-hr oral glucose tolerance test. Fasting insulin levels were measured on 382 nondiabetic individuals and 2-hr insulin levels on 366 individuals. Initial sib-pair linkage analysis revealed a possible association between 2-hr post-glucose challenge insulin levels and the intestinal fatty acid binding protein (FABP2) locus located in the region of chromosome 4q28-31 (p=0.006). Subsequent sib-pair linkage analysis of eleven additional chromosome 4q markers supported this hypothesis. We next conducted segregation analyses to estimate allele frequencies and other model parameters for the putative locus influencing 2-hr insulin levels. Results of lod-score linkage analysis indicated possible linkage between the major gene described by the segregation model and FABP2. Using combined segregation and linkage analysis, we obtained a lod-score of 2.80 at recombination frequency of 0.0 between FABP2 and the putative locus influencing 2-hr insulin levels. The maximum likelihood estimate of the allele associated with low insulin levels was 0.21. Individuals having one or two copies of this allele had a mean ln(2-hr insulin level) equal to 3.484 (back-transformed mean = 898.1 pmol/L), compared to 4.480 (back-transformed mean = 331.7 pmol/L) for individuals in whom this allele was absent. Approximately 32% of the total phenotyic variance in ln(2-hr insulin levels) could be attributed to this locus. These results are consistent with the hypothesis that FABP2, or a tightly linked gene, influences 2-hr insulin levels. This gene may be associated with insulin resistance.