PMID- 28488691 OWN - NLM STAT- MEDLINE DCOM- 20180801 LR - 20221207 IS - 1476-5640 (Electronic) IS - 0954-3007 (Linking) VI - 71 IP - 12 DP - 2017 Dec TI - Interaction effect of PGC-1alpha rs10517030 variants and energy intake in the risk of type 2 diabetes in middle-aged adults. PG - 1442-1448 LID - 10.1038/ejcn.2017.68 [doi] AB - BACKGROUND/OBJECTIVES: PGC-1alpha is an important regulatory factor for energy and glucose metabolism. Therefore, we investigated whether the PGC-1alpha genotype (rs10517030 and rs10212638) affects the incidence of type 2 diabetes mellitus (T2DM) and sought to explain the interactions between their variants and nutrient intake on the development of T2DM. SUBJECTS/METHODS: Subjects aged 40-65 years of both genders were from the Ansung/Ansan cohorts (8842 adults) in Korea. Associations of PGC-1alpha variants rs10517030 and rs10212638 with T2DM were analyzed in a dominant genetic model, and were tested for interactions of genotypes and nutrients with T2DM risk. It was adjusted for covariates related to glucose metabolism. RESULTS: Three variants, rs10517030, rs10517032 and rs10212638, were positively associated with T2DM prevalence. Single-nucleotide polymorphisms, rs10517030 and rs10517032, had strong association (r(2)=0.963). In the glucose tolerance tests, odds ratios (ORs) for serum glucose levels at 120 min were higher for subjects who were in the minor-allele group (minor allele homozygotes and heterozygotes) than for the major-allele group (major allele homozygotes) for rs10517030 variants. Serum insulin levels at 60 min had a lower ORs in the minor-allele group of rs10517030 variants. The interaction between energy intake and PGC-1alpha rs10517030 variants also affected T2DM risk. PGC-1alpha minor alleles were linked to T2DM prevalence and homeostasis model assessment estimate of insulin resistance (HOMA-IR) only in the low-energy groups, and HOMA-B was significantly negatively associated with the minor-allele group of PGC-1alpha rs10517030 variants, only in the low-energy-intake groups. CONCLUSIONS: These data suggest that Koreans with the minor alleles of PGC-1alpha rs10517030, rs10517032 and rs10212638 are at greater risk of T2DM, and that a low-energy diet is more protective against the development of T2DM in subjects with the major alleles of rs10517030 and rs10517032. FAU - Park, S AU - Park S AD - Department of Food and Nutrition, Obesity/Diabetes Research Center, Hoseo University, Asan, South Korea. FAU - Kim, B C AU - Kim BC AD - Department of Nanobiotronics, Hoseo University, Asan, South Korea. FAU - Kang, S AU - Kang S AD - Department of Food and Nutrition, Obesity/Diabetes Research Center, Hoseo University, Asan, South Korea. LA - eng PT - Journal Article DEP - 20170510 PL - England TA - Eur J Clin Nutr JT - European journal of clinical nutrition JID - 8804070 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin) RN - 0 (PPARGC1A protein, human) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) RN - 0 (Triglycerides) SB - IM MH - Adult MH - Aged MH - Alleles MH - Asian People/genetics MH - Blood Glucose/metabolism MH - Body Composition MH - Body Mass Index MH - Cohort Studies MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology/*genetics MH - *Diet MH - Electric Impedance MH - *Energy Intake MH - Female MH - Genotyping Techniques MH - Glucose Tolerance Test MH - Glycated Hemoglobin/metabolism MH - Humans MH - Insulin/blood MH - Male MH - Middle Aged MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/*genetics MH - Polymorphism, Single Nucleotide MH - Prevalence MH - Republic of Korea/epidemiology MH - Risk Factors MH - Surveys and Questionnaires MH - Triglycerides/blood EDAT- 2017/05/11 06:00 MHDA- 2018/08/02 06:00 CRDT- 2017/05/11 06:00 PHST- 2016/11/11 00:00 [received] PHST- 2017/01/29 00:00 [revised] PHST- 2017/03/19 00:00 [accepted] PHST- 2017/05/11 06:00 [pubmed] PHST- 2018/08/02 06:00 [medline] PHST- 2017/05/11 06:00 [entrez] AID - ejcn201768 [pii] AID - 10.1038/ejcn.2017.68 [doi] PST - ppublish SO - Eur J Clin Nutr. 2017 Dec;71(12):1442-1448. doi: 10.1038/ejcn.2017.68. Epub 2017 May 10.