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Clinical Chemistry 51: 1451-1456, 2005. First published June 10, 2005; 10.1373/clinchem.2004.044859
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(Clinical Chemistry. 2005;51:1451-1456.)
© 2005 American Association for Clinical Chemistry, Inc.


Lipids, Lipoproteins, and Cardiovascular Risk Factors

The Uncoupling Protein 2 Ala55Val Polymorphism Is Associated with Diabetes Mellitus: The CARDIA Study

Xinhua Yu1, David R. Jacobs, Jr1,2,a, Pamela J. Schreiner1, Myron D. Gross3, Michael W. Steffes3 and Myriam Fornage4

1 Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, MN.
2 Department of Nutrition, University of Oslo, Oslo, Norway.
3 Department of Laboratory Medicine, Medical School, University of Minnesota, Minneapolis, MN.
4 Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX.

aAddress correspondence to this author at: University of Minnesota, Division of Epidemiology, School of Public Health, 1300 South 2nd St., Suite 300, Minneapolis, MN 55454. Fax 612-624-0315; e-mail jacobs{at}epi.umn.edu.

Background: Uncoupling proteins (UCPs) reduce ATP generation with concomitant increased release of heat. The activities of UCPs have been related to obesity and energy metabolism.

Methods: We investigated the association of the commonly observed UCP2 Ala55Val (V) polymorphism with diabetes mellitus and impaired fasting glucose (IFG) among 3684 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study.

Results: The V frequency was ~45% in blacks and 42% in whites. Those with the Val/Val (VV) genotype had a higher incidence of diabetes than those having the Ala/Ala (AA) genotype (5.8% vs 3.3%; P = 0.02). Similarly, the incidences of diabetes in participants without abdominal obesity were 2.8% and 1.0% (P = 0.03) in the VV and AA groups, and 12.4% and 8.3% (P = 0.15) in participants with abdominal obesity. The incidence of IFG was higher in VV vs AA only in those without abdominal obesity (12.9% vs 9.2%). These trends persisted in minimally and fully adjusted models, and in strata of blacks and whites and men and women. The homeostasis model assessment for insulin resistance was highest in VV in the combined group of those with IFG or untreated diabetes, but not in those with normal fasting glucose.

Conclusion: The VV genotype of the UCP2 polymorphism was positively related to diabetes. It may involve increased insulin resistance in those with impaired glucose homeostasis.




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