4.7 Article

Investigation of gene-diet interactions in the incretin system and risk of type 2 diabetes: the EPIC-InterAct study

Journal

DIABETOLOGIA
Volume 59, Issue 12, Pages 2613-2621

Publisher

SPRINGER
DOI: 10.1007/s00125-016-4090-5

Keywords

Coffee; Dairy; Fibre; Gene-environment interaction; GIPR; Incretins; KCNQ1; Olive oil; TCF7L2; WFS1

Funding

  1. EU [LSHM_CT_2006_037197]
  2. YTvdS: Dutch research council (NWO-ZonMW) [40-00812-98-10040]
  3. NL Agency [IGE05012]
  4. Board of the UMC Utrecht
  5. EA: Health Research Fund (FIS) of the Spanish Ministry of Health
  6. Navarre Regional Government
  7. CIBER Epidemiologia y Salud Publica (CIBERESP)
  8. GB: Spanish Ministry of Health (ISCIII RETICC RD) [06/0020/0091]
  9. Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain
  10. PWF: Swedish Research Council
  11. Novo Nordisk
  12. Swedish Diabetes Association
  13. Swedish Heart-Lung Foundation
  14. RK: German Cancer Aid
  15. German Ministry of Research (BMBF)
  16. TJK: Cancer Research UK
  17. KTK: Medical Research Council UK
  18. Cancer Research UK
  19. CN: Health Research Fund (FIS) of the Spanish Ministry of Health
  20. Murcia Regional Government [6236]
  21. PMN: Swedish Research Council
  22. KO: Danish Cancer Society
  23. OR: The Vasterboten County Council
  24. YTvdS
  25. IS
  26. AMWS
  27. DLvdA: Dutch Ministry of Public Health, Welfare and Sports (VWS)
  28. Netherlands Cancer Registry (NKR)
  29. LK Research Funds
  30. Dutch Prevention Funds
  31. Dutch ZON (Zorg Onderzoek Nederland)
  32. World Cancer Research Fund (WCRF), Statistics Netherlands
  33. AT: Danish Cancer Society
  34. RT: AIRE-ONLUS Ragusa, AVIS-Ragusa, Sicilian Regional Government
  35. ER: Imperial College Biomedical Research Centre
  36. MRC [MC_UU_12015/1] Funding Source: UKRI
  37. Medical Research Council [MC_UU_12015/1, MC_UU_12015/5] Funding Source: researchfish

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The gut incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) have a major role in the pathophysiology of type 2 diabetes. Specific genetic and dietary factors have been found to influence the release and action of incretins. We examined the effect of interactions between seven incretin-related genetic variants in GIPR, KCNQ1, TCF7L2 and WFS1 and dietary components (whey-containing dairy, cereal fibre, coffee and olive oil) on the risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study. The current case-cohort study included 8086 incident type 2 diabetes cases and a representative subcohort of 11,035 participants (median follow-up: 12.5 years). Prentice-weighted Cox proportional hazard regression models were used to investigate the associations and interactions between the dietary factors and genes in relation to the risk of type 2 diabetes. An interaction (p = 0.048) between TCF7L2 variants and coffee intake was apparent, with an inverse association between coffee and type 2 diabetes present among carriers of the diabetes risk allele (T) in rs12255372 (GG: HR 0.99 [95% CI 0.97, 1.02] per cup of coffee; GT: HR 0.96 [95% CI 0.93, 0.98]); and TT: HR 0.93 [95% CI 0.88, 0.98]). In addition, an interaction (p = 0.005) between an incretin-specific genetic risk score and coffee was observed, again with a stronger inverse association with coffee in carriers with more risk alleles (0-3 risk alleles: HR 0.99 [95% CI 0.94, 1.04]; 7-10 risk alleles: HR 0.95 [95% CI 0.90, 0.99]). None of these associations were statistically significant after correction for multiple testing. Our large-scale case-cohort study provides some evidence for a possible interaction of TCF7L2 variants and an incretin-specific genetic risk score with coffee consumption in relation to the risk of type 2 diabetes. Further large-scale studies and/or meta-analyses are needed to confirm these interactions in other populations.

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