PMID- 29093303 OWN - NLM STAT- MEDLINE DCOM- 20180524 LR - 20181202 IS - 1349-9092 (Electronic) IS - 0917-5040 (Print) IS - 0917-5040 (Linking) VI - 28 IP - 1 DP - 2018 Jan 5 TI - Quantitative Relationship Between Cumulative Risk Alleles Based on Genome-Wide Association Studies and Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis. PG - 3-18 LID - 10.2188/jea.JE20160151 [doi] AB - Many epidemiological studies have assessed the genetic risk of having undiagnosed or of developing type 2 diabetes mellitus (T2DM) using several single nucleotide polymorphisms (SNPs) based on findings of genome-wide association studies (GWAS). However, the quantitative association of cumulative risk alleles (RAs) of such SNPs with T2DM risk has been unclear. The aim of this meta-analysis is to review the strength of the association between cumulative RAs and T2DM risk. Systematic literature searches were conducted for cross-sectional or longitudinal studies that examined odds ratios (ORs) for T2DM in relation to genetic profiles. Logarithm of the estimated OR (log OR) of T2DM for 1 increment in RAs carried (1-DeltaRA) in each study was pooled using a random-effects model. There were 46 eligible studies that included 74,880 cases among 249,365 participants. In 32 studies with a cross-sectional design, the pooled OR for T2DM morbidity for 1-DeltaRA was 1.16 (95% confidence interval [CI], 1.13-1.19). In 15 studies that had a longitudinal design, the OR for incident T2DM was 1.10 (95% CI, 1.08-1.13). There was large heterogeneity in the magnitude of log OR (P < 0.001 for both cross-sectional studies and longitudinal studies). The top 10 commonly used genes significantly explained the variance in the log OR (P = 0.04 for cross-sectional studies; P = 0.006 for longitudinal studies). The current meta-analysis indicated that carrying 1-DeltaRA in T2DM-associated SNPs was associated with a modest risk of prevalent or incident T2DM, although the heterogeneity in the used genes among studies requires us to interpret the results with caution. FAU - Kodama, Satoru AU - Kodama S AD - Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Niigata University Graduate School of Medical and Dental Sciences. FAU - Fujihara, Kazuya AU - Fujihara K AD - Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine. FAU - Ishiguro, Hajime AU - Ishiguro H AD - Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine. FAU - Horikawa, Chika AU - Horikawa C AD - Department of Health and Nutrition, Faculty of Human Life Studies, University of Niigata Prefecture. FAU - Ohara, Nobumasa AU - Ohara N AD - Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine. FAU - Yachi, Yoko AU - Yachi Y AD - Department of Administrative Dietetics, Faculty of Health and Nutrition, Yamanashi Gakuin University. FAU - Tanaka, Shiro AU - Tanaka S AD - Department of Clinical Trial, Design & Management, Translational Research Center, Kyoto University Hospital. FAU - Shimano, Hitoshi AU - Shimano H AD - Department of Internal Medicine, University of Tsukuba Institute of Clinical Medicine. FAU - Kato, Kiminori AU - Kato K AD - Department of Laboratory Medicine and Clinical Epidemiology for Prevention of Noncommunicable Niigata University Graduate School of Medical and Dental Sciences. FAU - Hanyu, Osamu AU - Hanyu O AD - Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine. FAU - Sone, Hirohito AU - Sone H AD - Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20171025 PL - Japan TA - J Epidemiol JT - Journal of epidemiology JID - 9607688 SB - IM MH - Alleles MH - Diabetes Mellitus, Type 2/*genetics MH - *Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Humans PMC - PMC5742374 OTO - NOTNLM OT - genome-wide association studies OT - meta-analysis OT - risk allele OT - type 2 diabetes mellitus EDAT- 2017/11/03 06:00 MHDA- 2018/05/25 06:00 PMCR- 2018/01/05 CRDT- 2017/11/03 06:00 PHST- 2017/11/03 06:00 [pubmed] PHST- 2018/05/25 06:00 [medline] PHST- 2017/11/03 06:00 [entrez] PHST- 2018/01/05 00:00 [pmc-release] AID - JE20160151 [pii] AID - 10.2188/jea.JE20160151 [doi] PST - ppublish SO - J Epidemiol. 2018 Jan 5;28(1):3-18. doi: 10.2188/jea.JE20160151. Epub 2017 Oct 25.