title: Association of genetic variations near P2 promoter of the hepatocyte nuclear factor-4alpha gene and insulin secretion index in Thais.
abstract: This study was aimed to assess the association of the two single nucleotide polymorphisms (SNPs) near P2 promoter (rs1884614 and rs2144908) of hepatocyte nuclear factor-4alpha (HNF4A) with insulin secretion index and type 2 diabetes in Thais. Participants were categorized into three groups; unrelated type 2 diabetes (N = 219), prediabetes subjects (N = 228), and normal glucose tolerant controls (N = 203). Homeostasis model assessment was calculated for individual insulin secretion and insulin sensitivity index. Genotyping of both SNPs was done by allele-specific PCR technique. Difference of SNP allele frequencies between groups were computed using the chi (2)-statistic. Multivariate regression analysis was performed to determine the effect of SNPs on insulin secretion index. The clinical features of all groups were similar. We demonstrated genotype TT at rs1884614, BMI, and waist circumference were significantly associated with insulin secretion index (P = 0.023) but not with diabetes phenotype.
authors.affiliation: Endocrine and Metabolism Unit, Department of Medicine, Ramathibodi Hospital, Mahidol University, Rama 6 Road, Rajthevi, Bangkok 10400, Thailand. rawjj@mahidol.ac.th
authors.forename: W
authors.initials: W
authors.lastname: Jongjaroenprasert
authors.forename: S
authors.initials: S
authors.lastname: Chanprasertyothin
authors.forename: A
authors.initials: A
authors.lastname: Kongsuksai
authors.forename: P
authors.initials: P
authors.lastname: Bunnag
authors.forename: G
authors.initials: G
authors.lastname: Puavilai
authors.forename: B
authors.initials: B
authors.lastname: Ongphiphadhanakul
mesh_terms: D044466:Asian People / Q000235:genetics; D015992:Body Mass Index; D001837:Body Weights and Measures; D003924:Diabetes Mellitus, Type 2 / Q000235:genetics*; D014644:Genetic Variation; D005838:Genotype; D051557:Hepatocyte Nuclear Factor 4 / Q000235:genetics*; D006801:Humans; D007328:Insulin / Q000378:metabolism*; D000078790:Insulin Secretion; D015999:Multivariate Analysis; D016133:Polymerase Chain Reaction; D020641:Polymorphism, Single Nucleotide; D011401:Promoter Regions, Genetic; D012016:Reference Values; D013785:Thailand