PMID- 29621814 OWN - NLM STAT- MEDLINE DCOM- 20180914 LR - 20221207 IS - 1439-4286 (Electronic) IS - 0018-5043 (Linking) VI - 50 IP - 4 DP - 2018 Apr TI - A Meta-Analysis of the Associations Between the ATP-Binding Cassette Transporter ABCA1 R219K (rs2230806) Polymorphism and the Risk of Type 2 Diabetes in Asians. PG - 308-316 LID - 10.1055/a-0583-0201 [doi] AB - Asians have relatively low insulin secretion capacity and readily develop type 2 diabetes mellitus (T2DM) when insulin resistant. For that reason, insufficient insulin secretion is critical factor for Asians at the early stage of T2DM. ATP-binding cassette transporter1 (ABCA1) is a membrane protein responsible for cholesterol efflux and its function is also important for secreting insulin in pancreatic beta-cells. Given the importance of its role, different polymorphisms of ABCA1 gene might contribute differently to the development of T2DM. Here, we analyzed the association between a variant form of ABCA1 gene called ABCA1 rs2230806 and the prevalence of T2DM in a large sample size by pooling all of the case-control studies published. Relevant case-control studies were identified by searching PubMed, EMBASE, Cochrane Library, Korean scientific database, Chinese medical databases, and the Indian medical database. The association was evaluated using five genetic models such as the allelic (AG), recessive (RG), dominant (DG), homozygous (HMG), and heterozygous (HTG) genetic models. Heterogeneity of each genetic model was determined by the I(2) test. A total of eight studies (7 published studies and one data set from the Korean Genetic Epidemiology Study) were eligible, satisfying Hardy-Weinberg equilibrium and included 2755 T2DM patients (case) and 16 635 nondiabetic subjects (control). All subjects in the studies were Asians. Each genetic model exhibited heterogeneity. In all genetic models, ABCA1 rs2230806 had a significant association with prevalence of T2DM: AG (OR=0.78, 95% CI: 0.61-0.98), RG (OR=0.72, 95% CI: 0.51-1.03), DG (OR=0.73, 95% CI: 0.55-0.97), HMG (OR=0.62, 95% CI: 0.41-0.96), and HTG (OR=0.78, 95% CI: 0.61-0.99). There was no single study that changed the overall effects in allelic genetic model with random effects. No publication bias existed in any models except the RG model. In conclusion, middle-aged and elderly adults with the minor allele of ABCA1 rs2230806 will have a lower risk of T2DM. This is the first meta-analysis to evaluate the association in Asians. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Jung, Dongju AU - Jung D AD - Department of Biomedical Laboratory Science, Hoseo University, Asan, Chungnam, Korea. FAU - Cao, Shihua AU - Cao S AD - Department of Food and Nutrition, Obesity/Diabetes Research Center, Hoseo University, Asan, Chungnam, Korea. FAU - Liu, Meiling AU - Liu M AD - Department of Food and Nutrition, Obesity/Diabetes Research Center, Hoseo University, Asan, Chungnam, Korea. FAU - Park, Sunmin AU - Park S AD - Department of Food and Nutrition, Obesity/Diabetes Research Center, Hoseo University, Asan, Chungnam, Korea. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20180405 PL - Germany TA - Horm Metab Res JT - Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme JID - 0177722 RN - 0 (ABCA1 protein, human) RN - 0 (ATP Binding Cassette Transporter 1) SB - IM EIN - Horm Metab Res. 2018 Apr;50(4):e4. PMID: 29879747 MH - ATP Binding Cassette Transporter 1/*genetics MH - Asian People/*genetics MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/etiology/*genetics MH - *Genetic Predisposition to Disease MH - Humans MH - *Polymorphism, Single Nucleotide MH - Prognosis COIS- The authors declare that they have no conflict of interest. EDAT- 2018/04/06 06:00 MHDA- 2018/09/15 06:00 CRDT- 2018/04/06 06:00 PHST- 2018/04/06 06:00 [entrez] PHST- 2018/04/06 06:00 [pubmed] PHST- 2018/09/15 06:00 [medline] AID - 10.1055/a-0583-0201 [doi] PST - ppublish SO - Horm Metab Res. 2018 Apr;50(4):308-316. doi: 10.1055/a-0583-0201. Epub 2018 Apr 5.