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Obesity
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Obesity
Article . 2011 . Peer-reviewed
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Data sources: Crossref
Obesity
Article . 2012
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Variants at the Endocannabinoid Receptor CB1 Gene (CNR1) and Insulin Sensitivity, Type 2 Diabetes, and Coronary Heart Disease

Authors: Jose M, de Miguel-Yanes; Alisa K, Manning; Peter, Shrader; Jarred B, McAteer; Anuj, Goel; Anders, Hamsten; Caroline S, Fox; +3 Authors

Variants at the Endocannabinoid Receptor CB1 Gene (CNR1) and Insulin Sensitivity, Type 2 Diabetes, and Coronary Heart Disease

Abstract

Inhibition of the endocannabinoid receptor CB1 improves insulin sensitivity, lowers glycemia, and slows atherosclerosis. We analyzed whether common variants in the gene encoding CB1, CNR1, are associated with insulin resistance, risk of type 2 diabetes (T2D) or coronary heart disease (CHD). We studied 2,411 participants of the Framingham Offspring Study (mean age 60 years, 52% women) for quantitative traits and CHD, and the Framingham SHARe database for T2D risk. We genotyped 19 single‐nucleotide polymorphisms (SNPs) that tagged 85% (at r2 = 0.8) of common (>5%) CNR1 SNPs. Fasting blood glucose and insulin at the 7th (1999–2001) exam were collected. We used age‐, sex‐, BMI‐adjusted models to test additive associations of genotype with homeostasis model assessment of insulin resistance (HOMAIR) (linear mixed‐effect models), T2D, or CHD. To account for multiple tests of SNPs, we generated empirical P values. The C allele at SNP rs806365 (frequency, 57.4%), ∼4.1 kb 3′ from CNR1, was associated with increased HOMAIR (n = 2,261, β = 0.05 per C, empirical P = 0.01), risk of T2D (674 cases, odds ratio = 1.19 per C, nominal P = 0.01) and CHD (237 cases, hazard ratio = 1.23 per C, nominal P = 0.04). The association of rs806365 with HOMAIR was replicated in a meta‐analysis of two independent cohorts (National Health and Nutrition Examination Survey III genetic cohort (NHANES‐III) plus Partners Case‐Control Diabetes Study; 2,540 white individuals, β = 0.037, nominal P = 0.007), but not in the large Meta‐Analyses of Glucose and Insulin‐related traits Consortium (MAGIC) Consortium (n = 29,248, nominal P = 0.74). The association of rs806365 was not replicated either with T2D in Diabetes Genetics Replication and Meta‐analysis (DIAGRAM) (n = 10,128, nominal P = 0.31), or with CHD in PROCARDIS (n = 13,614, nominal P = 0.37). Although supported by initial results, we found no reproducible statistical association of common variation at CNR1 with insulin resistance, T2D, or CHD.

Keywords

Blood Glucose, Male, Genotype, Quantitative Trait Loci, Coronary Artery Disease, Middle Aged, Nutrition Surveys, Polymorphism, Single Nucleotide, Cohort Studies, Diabetes Mellitus, Type 2, Receptor, Cannabinoid, CB1, Case-Control Studies, Odds Ratio, Humans, Insulin, Female, Insulin Resistance, Alleles, Aged, Proportional Hazards Models

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Average
Average
bronze