title: Variants in ASK1 are associated with skeletal muscle ASK1 expression, in vivo insulin resistance, and type 2 diabetes in Pima Indians.
abstract: OBJECTIVE
  Prior genome-wide association and exon array expression studies both provided suggestive evidence that apoptosis signal regulating kinase 1 (ASK1) may influence in vivo insulin action in Pima Indians. Genetic variants in or near ASK1 were analyzed to assess the role of this gene in insulin action and type 2 diabetes.
  
  
  METHODS
  Genotypic data from 31 variants were used to determine the linkage disequilibrium pattern across ASK1 in Pima Indians. Eight tag SNPs were initially genotyped in 3,501 full-heritage Pima Indians. Replication for association with diabetes was assessed in a second population-based sample of 3,723 Native Americans and the published DIAGRAM study. Quantitative traits were analyzed in 536 nondiabetic Native Americans, and ASK1 expression was examined in skeletal muscle of 153 nondiabetic Native Americans.
  
  
  RESULTS
  Three tag SNPs were associated with type 2 diabetes (rs35898099, P = 0.003, odds ratio [95% CI] 1.27 [1.08-1.47]; rs1570056, P = 0.007, 1.19 [1.05-1.36]; rs7775356, P = 0.04, 1.14 [1.01-1.28]) in the full-heritage Pima Indians. The association with rs35898099 was replicated in a second sample of Native Americans (P = 0.04, 1.22 [1.01-1.47]), while that for rs1570056 was replicated in the DIAGRAM study of Caucasians (Z statistic based P = 0.026; fixed-effect model, 1.06 [1.00-1.12]). The diabetes risk allele for rs1570056 was associated with reduced insulin action as assessed by either HOMA-IR in 2,549 nondiabetic full-heritage Pima Indians (P = 0.027) or a hyperinsulinemic-euglycemic clamp among 536 nondiabetic Native Americans (P = 0.02). Real-time PCR identified a positive correlation between ASK1 expression in skeletal muscle biopsies and in vivo insulin action (P = 0.02, r = 0.23), and the risk allele for rs1570056 was associated with lower ASK1 expression (P = 0.003, r = -0.22).
  
  
  CONCLUSIONS
  ASK1 variants may increase susceptibility to type 2 diabetes by decreasing insulin sensitivity via reduced ASK1 expression.
authors.affiliation: Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Department of Health and Human Services, Phoenix, Arizona, USA.
authors.forename: Li
authors.initials: L
authors.lastname: Bian
authors.forename: Robert L
authors.initials: RL
authors.lastname: Hanson
authors.forename: Victoria
authors.initials: V
authors.lastname: Ossowski
authors.forename: Kim
authors.initials: K
authors.lastname: Wiedrich
authors.forename: Clinton C
authors.initials: CC
authors.lastname: Mason
authors.forename: Michael
authors.initials: M
authors.lastname: Traurig
authors.forename: Yunhua L
authors.initials: YL
authors.lastname: Muller
authors.forename: Sayuko
authors.initials: S
authors.lastname: Kobes
authors.forename: William C
authors.initials: WC
authors.lastname: Knowler
authors.forename: Leslie J
authors.initials: LJ
authors.lastname: Baier
authors.forename: Clifton
authors.initials: C
authors.lastname: Bogardus
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000235:genetics*; D020022:Genetic Predisposition to Disease / Q000235:genetics; D005838:Genotype; D006801:Humans; D007198:Indians, North American / Q000235:genetics; D007333:Insulin Resistance / Q000235:genetics*; D048848:MAP Kinase Kinase Kinase 5 / Q000235:genetics* / Q000378:metabolism*; D018482:Muscle, Skeletal / Q000378:metabolism*; D020641:Polymorphism, Single Nucleotide / Q000235:genetics
chemical_list: D048848:MAP Kinase Kinase Kinase 5; C482858:MAP3K5 protein, human