Common variants near ATM are associated with glycemic response to metformin in type 2 diabetes.

Abstract:

:Metformin is the most commonly used pharmacological therapy for type 2 diabetes. We report a genome-wide association study for glycemic response to metformin in 1,024 Scottish individuals with type 2 diabetes with replication in two cohorts including 1,783 Scottish individuals and 1,113 individuals from the UK Prospective Diabetes Study. In a combined meta-analysis, we identified a SNP, rs11212617, associated with treatment success (n = 3,920, P = 2.9 × 10(-9), odds ratio = 1.35, 95% CI 1.22-1.49) at a locus containing ATM, the ataxia telangiectasia mutated gene. In a rat hepatoma cell line, inhibition of ATM with KU-55933 attenuated the phosphorylation and activation of AMP-activated protein kinase in response to metformin. We conclude that ATM, a gene known to be involved in DNA repair and cell cycle control, plays a role in the effect of metformin upstream of AMP-activated protein kinase, and variation in this gene alters glycemic response to metformin.

journal_name

Nat Genet

journal_title

Nature genetics

authors

GoDARTS and UKPDS Diabetes Pharmacogenetics Study Group.,Wellcome Trust Case Control Consortium 2.,Zhou K,Bellenguez C,Spencer CC,Bennett AJ,Coleman RL,Tavendale R,Hawley SA,Donnelly LA,Schofield C,Groves CJ,Burch L,Carr F,St

doi

10.1038/ng.735

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

117-20

issue

2

eissn

1061-4036

issn

1546-1718

pii

ng.735

journal_volume

43

pub_type

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