J Korean Med Sci.  2008 Jun;23(3):459-464. 10.3346/jkms.2008.23.3.459.

The K121Q Polymorphism in ENPP1 (PC-1) Is Not Associated with Type 2 Diabetes or Obesity in Korean Male Workers

Affiliations
  • 1Department of Public Health, Graduate School of Korea University, Seoul, Korea.
  • 2Department of Occupational Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea. ksg6201@empal.com
  • 3Biosewoom Institute of Bioscience & Biotechnology, Seoul, Korea.

Abstract

Type 2 diabetes is characterized by insulin resistance, and ENPP1 plays an important role in insulin resistance. We investigated the association of the ENPP1 K121Q polymorphism with both diabetes and obesity (body mass index [BMI]) in Korean male workers. The study design was case-control. Subjects were 1,945 male workers (type 2 diabetes, 195; non-diabetes, 1,750) of nuclear power plants who received examinations from March to October in 2004. We collected venous blood samples under fasting (> or =8 hr) conditions, calculated BMI by height and weight, and assessed relevant biochemical factors. The results of this study demonstrated that the ENPP1 121Q genotype (KQ+QQ types) was not associated with type 2 diabetes (odds ratios [OR], 0.854; 95% confidence interval [CI], 0.571-1.278) or obesity (OR, 0.933; 95% CI, 0.731-1.190). In addition, the frequency of the Q allele was not related to type 2 diabetes (OR, 0.911; 95% CI, 0.630-1.319) or obesity (OR, 0.962; 95% CI, 0.767-1.205). We concluded that the ENPP1 121Q allele is not a critical determinant for either diabetes or obesity in Korean males. The discordance between the results of this study and those derived from studies of Dominican, South Asian, Caucasian, Finnish, and French populations might be due to differences in genetic backgrounds between these populations.

Keyword

Diabetes Mellitus, Type 2; Obesity; Ectonucleotide Pyrophosphatase Phosphodiesterase 1; Association

MeSH Terms

Adult
Diabetes Mellitus, Type 2/*ethnology/*genetics
Employment
Gene Frequency
Genetic Predisposition to Disease/ethnology
Genotype
Humans
Korea/epidemiology
Male
Middle Aged
Obesity/*ethnology/*genetics
Phosphoric Diester Hydrolases/*genetics
Polymorphism, Genetic
Prevalence
Pyrophosphatases/*genetics

Reference

1. Klein R. Hyperglycemia and microvascular and macrovascular disease in diabetes. Diabetes Care. 1995. 18:258–268.
2. Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med. 1997. 14:Suppl 5. S1–S85.
Article
3. Wan C, Zhang T, Wang B, Han Y, Zhang C, Zhang Y, Gong H, Jin F, Wang L. Obesity risk associated with the K121Q polymorphism of the glycoprotein PC-1 gene. Diabetes Obes Metab. 2006. 8:703–708.
Article
4. Busch CP, Hegele RA. Genetic derminants of type 2 diabetes mellitus. Clin Genet. 2001. 60:243–254.
5. Keshavarz P, Inoue H, Sakamoto Y, Kunika K, Tanahashi T, Nakamura N, Yoshikawa T, Yasui N, Shiota H, Itakura M. No evidence for association of the ENPP1 (PC-1) K121Q variant with risk of type 2 diabetes in a Japanese population. J Hum Genet. 2006. 51:559–566.
Article
6. Kahn BB, Flier JS. Obesity and insulin resistance. J Clin Invest. 2000. 106:473–481.
Article
7. Pizzuti A, Frittitta L, Argiolas A, Baratta R, Goldfine ID, Bozzali M, Ercolino T, Scarlato G, Iacoviello L, Vigneri R, Tassi V, Trischitta V. A polymorphism (K121Q) of the human glycoprotein PC-1 gene coding region is strongly associated with insulin resistance. Diabetes. 1999. 48:1881–1884.
Article
8. Goldstine ID, Maddux BA, Youngren JF, Trischitta V, Frittitta L. Role of PC-1 in the etiology of insulin resistance. Ann N Y Acad Sci. 1999. 892:204–222.
9. Maddux BA, Goldfine ID. Membrane glycoprotein PC-1 inhibition of insulin receptor function occurs via direct interaction with the receptor alpha-subunit. Diabetes. 2000. 49:13–19.
Article
10. Hamaguchi K, Terao H, Kusuda Y, Yamashita T, Hazoury Bahles JA, Cruz LL M, Brugal V LI, Jongchong WB, Yoshimatsu H, Sakata T. The PC-1 Q121 allele is exceptionally prevalent in the Dominican Republic and is associated with Type 2 Diabetes. J Clin Endocrinol Metab. 2004. 89:1359–1364.
Article
11. Gu HF, Almgren P, Lindholm E, Frittitta L, Pizzuti A, Trischitta V, Groop LC. Association between the human glycoprotein PC-1 gene and elevated glucose and insulin levels in a paired-sibling analysis. Diabetes. 2000. 49:1601–1603.
Article
12. Kubaszek A, Pihlajamäki J, Karhapää P, Vauhkonen I, Laakso M. The K121Q polymorphism of the PC-1 gene is associated with insulin resistance but not with dyslipidemia. Diabetes Care. 2003. 26:464–467.
Article
13. Rasmussen SK, Urhammer SA, Pizzuti A, Echwald SM, Ekstrøm CT, Hansen L, Hansen T, Borch-Johnsen K, Frittitta L, Trischitta V, Pedersen O. The K121Q variant of the human PC-1 gene is not associated with insulin resistance or type 2 diabetes among Danish Caucasians. Diabetes. 2000. 49:1608–1611.
Article
14. González-Sánchez JL, Martínez-Larrad MT, Fernández-Pérez C, Kubaszek A, Laakso M, Serrano-Ríos M. K121Q PC-1 gene polymorphism is not associated with insulin resistance in a Spanish population. Obes Res. 2003. 11:603–605.
Article
15. Bacci S, Ludovico O, Prudente S, Zhang YY, Di Paola R, Mangiacotti D, Rauseo A, Nolan D, Duffy J, Fini G, Salvemini L, Amico C, Vigna C, Pellegrini F, Menzaghi C, Doria A, Trischitta V. The K121Q polymorphism of the ENPP1/PC-1 gene is associated with insulin resistance/atherogenic phenotypes, including earlier onset of type 2 diabetes and myocardial infarction. Diabetes. 2005. 54:3021–3025.
Article
16. Abate N, Chandalia M, Satija P, Adams-Huet B, Grundy SM, Sandeep S, Radha V, Deepa R, Mohan V. ENPP1/PC-1 K121Q polymorphism and genetic susceptibility to type 2 diabetes. Diabetes. 2005. 54:1207–1213.
Article
17. Hegele RA, Harris SB, Zinman B, Hanley AJ, Cao H. Absence of association of type 2 diabetes with CAPN 10 and PC-1 polymorphisms in Oji-Cree. Diabetes Care. 2001. 24:1498–1499.
18. Laukkanen O, Pihlajamäki J, Lindström J, Eriksson J, Valle TT, Hämäläinen H, Ilanne-Parikka P, Keinänen-Kiukaanniemi S, Tuomilehto J, Uusitupa M, Laakso M; Finnish Diabetes Prevention Study Group. Common polymorphism in the genes regulating the early insulin signaling pathway: effects on weight change and the conversion from impaired glucose tolerance to type 2 diabetes. The Finnish diabetes prevention study. Diabetologia. 2004. 47:871–877.
19. Grarup N, Urhammer SA, EK J, Albrechtsen A, Glümer C, Borch-Johnsen K, Jørgensen T, Hansen T, Pedersen O. Studies of the relationship between the ENPP1 K121Q polymorphism and type 2 diabetes, insulin resistance and obesity in 7,333 Danish white subjects. Diabetologia. 2006. 49:2097–2104.
Article
20. Kopelman PG. Obesity as a medical problem. Nature. 2000. 404:635–643.
Article
21. Clausen JO, Hansen T, Bjørbaek C, Echwald SM, Urhammer SA, Rasmussen S, Anderson CB, Hansen L, Almind K, Winther K, Haraldsdottir J, Borch-Johnsen K. Insulin resistance: interaction between obesity and a common variant of insulin receptor substrate-1. Lancet. 1995. 346:397–402.
22. Sigal RJ, Doria A, Warram JH, Krolewski AS. Codon 972 polymorphism in the insulin receptor substrate-1 gene, obesity, and risk of noninsulin-dependent diabetes mellitus. J Clin Endocrinol Metab. 1996. 81:1657–1659.
Article
23. Matsuoka N, Patki A, Tiwari HK, Allison DB, Johnson SB, Gregersen PK, Leibel RL, Chung WK. Association of K121Q polymorphism in ENPP1 (PC-1) with BMI in Caucasian and African-American adults. Int J Obes (Lond). 2006. 30:233–237.
Article
24. Meyre D, Bouatia-Naji N, Tounian A, Samson C, Lecoeur C, Vatin V, Ghoussaini M, Wachter C, Hercberg S, Charpentier G, Patsch W, Pattou F, Charles MA, Tounian P, Clément K, Jouret B, Weill J, Maddux BA, Goldfine ID, Walley A, Boutin P, Dina C, Froguel P. Variants of ENPP1 are associated with childhood and adult obesity and increase the risk of glucose intolerance and type 2 diabetes. Nat Genet. 2005. 37:863–867.
Article
25. Park JH. Candidate Gene Approach for the Genetics of Type 2 Diabetes Mellitus. J Korean Diabetes Assoc. 1998. 22:439–441.
26. Abate N, Carulli L, Cabo-Chan A Jr, Chandalia M, Snell PG, Grundy SM. Genetic polymorphism PC-1 K121Q and ethnic susceptibility to insulin resistance. J Clin Endocrinol Metab. 2003. 88:5927–5934.
Article
27. Pedersen O. Genetics of insulin resistance. Exp Clin Endocrinol Diabetes. 1999. 107:113–118.
Article
28. Häring H, Obermaier-Kusser B. Insulin receptor kinase defects in insulin-resistant tissues and their role in the pathogenesis of NIDDM. Diabetes Metab Rev. 1995. 5:431–441.
Article
29. Maddux BA, Sbraccia P, Kumakura S, Sasson S, Youngren J, Fisher A, Spencer S, Grupe A, Henzel W, Stewart TA, Reaven GM, Goldfine ID. Membrane glycoprotein PC-1 and insulin resistance in noninsulin-dependent diabetes mellitus. Nature. 1995. 373:448–451.
Article
30. Morrison JA, Gruppo R, Glueck CJ, Stroop D, Fontaine RN, Wang P, Smith KL. Population-specific alleles: the polymorphism (K121Q) of the human glycoprotein PC-1 gene is strongly associated with race but not with insulin resistance in black and white children. Metabolism. 2004. 53:465–468.
Article
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