WASHINGTON - Scientists have found clusters of new gene variants that raise
the risk of Type 2 diabetes - and how the researchers did it is as important as
what they found.
Scientists have found clusters of new gene variants that
raise the risk of Type 2 diabetes. In one of the largest studies yet of
human genetic variability, the scientists tested the DNA of more than
32,000 people in five countries to pin down spots that harbor genetic risk
factors for this complicated killer. [AP]
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In one of the largest studies yet
of human genetic variability, the scientists tested the DNA of more than 32,000
people in five countries to pin down spots that harbor genetic risk factors for
this complicated killer.
This type of research - called a "genome-wide association" study - promises
to usher in a new era of genetics. Most breakthroughs so far have come from
finding a mutation in a single gene that causes illness. But some of the world's
most common killers, such as heart disease and diabetes, are caused by complex
interactions among numerous genes and modern lifestyles - and teasing out the
genetic culprits until now has been almost impossible.
"We have been for all of the last decade or more looking under the lamppost
to try to find those genes ... and lots of times the lamplight was not actually
where we wanted it," said Dr. Francis Collins, genetics chief at the National
Institutes of Health, a co-author of the research unveiled Thursday.
This new approach "allows us to light up the whole street, and look what we
find."
What? Four previously unknown gene variants that can increase people's risk
of Type 2 diabetes, and confirmation that six other genes play a role, too.
The work, by three international research teams that shared their findings,
was published online Thursday by the journal Science.
Also Thursday in the journal Nature Genetics, another team led by Iceland
researchers reported separately finding one of those same new genes - and that,
interestingly, it seems to increase the diabetes risk most in people who aren't
obese.
Next, the researchers will have to figure out just what those genes do, in
hopes they'll point toward new ways to treat or prevent a disease that affects
more than 170 million people worldwide, and rising.
With Type 2 diabetes, the body gradually loses its ability to use insulin, a
hormone key for turning blood sugar into insulin. It is a major cause of heart
disease, as high blood sugar damages blood vessels, and leads to kidney failure,
blindness and amputations.
Obesity and lack of exercise are chief risk factors. But heredity is
involved, too: People with an affected parent or sibling are at 3.5 times
greater risk of developing diabetes than people from diabetes-free families.
The new work scanned DNA to find patterns of small gene variations known
as SNPs (pronounced "snips") more common in diabetics. SNPs can serve as
signposts for tracing disease-promoting genes. To be certain the implicated SNPs
were involved, the researchers then checked for them in still more
volunteers, ultimately testing DNA from 32,500 people in Britain, Finland, Poland,
Sweden and the US.
The highest-risk variants can increase by 20 percent someone's odds of
developing Type 2 diabetes, the teams reported.
Among the genes implicated:
One that helps pump zinc into insulin-producing pancreatic cells, raising
questions about the metal's role in insulin secretion.
A pair previously linked only to certain cancers, another brand new area for
diabetes researchers to probe.
A region of chromosome 11 where genes of any sort had never been
described.