rs1801282

mixedMag 4.5

This is a protein-altering variant in the PPARG gene.

Key Literature Trait Associations

Type 2 Diabetes Risk

The Pro12Ala variant in PPARG is one of the most replicated type 2 diabetes associations. The common C allele (Pro12) confers modestly increased risk. PPARG is the target of thiazolidinedione diabetes drugs (pioglitazone, rosiglitazone).

Allele C
OR 0.86
p
N 131,863
Meta-analysis
multi-ancestry
Allele C
OR 1.14
p 1.0e-20
Large GWAS

Thiazolidinedione drug response

G allele (Ala12) carriers with type 2 diabetes respond significantly better to thiazolidinedione (TZD) medications—drugs that directly target PPARγ. A 2023 meta-analysis of 6 studies (777 patients) found G allele carriers achieved greater reductions in HbA1c (MD=−0.30%; p=0.02), fasting plasma glucose (MD=−10.91 mg/dL; p=0.02), and triglycerides (MD=−26.88 mg/dL; p=0.0003) versus CC genotype. This pharmacogenomic interaction reflects the altered PPARγ activation kinetics of the Ala12 isoform, which may be more responsive to exogenous ligand stimulation. Genotyping rs1801282 prior to TZD prescription may help personalize treatment.

Polycystic ovary syndrome

The C allele (Pro12) is associated with greater susceptibility to polycystic ovary syndrome (PCOS), while the G allele (Ala12) is protective. A 2015 meta-analysis of 23 studies comprising 3,458 PCOS cases and 3,611 controls found G vs. C allele OR=0.78 (95% CI 0.69–0.89, p<0.001). The protective effect of the G allele was observed in both Caucasian (OR=0.83) and Asian (OR=0.72) populations, with the Asian subgroup showing a stronger association. PPARγ's role in androgen biosynthesis and insulin sensitivity in ovarian tissue is thought to underlie this relationship.

Allele C
OR 0.78
p 1.0e-3
N 7,069
Meta-analysis
multi-ancestry

Gestational diabetes mellitus

The C allele (Pro12) is associated with elevated gestational diabetes mellitus (GDM) risk, particularly in Asian populations. A 2018 meta-analysis of 16 studies (3,129 cases, 7,168 controls) found the G allele protective against GDM in Asian—especially Chinese—women, but not in Caucasian populations. A broader 2016 GDM meta-analysis (8,204 cases, 15,221 controls across 28 articles) also confirmed significant rs1801282 association only in Asians. The ancestry-restricted effect may reflect differences in background PPARγ activity and dietary fat composition across populations.

Allele C
OR
p
N 10,297
Meta-analysis
multi-ancestry
Allele C
OR
p
N 23,425
Meta-analysis
multi-ancestry

Body mass index

Paradoxically, the minor G allele (Ala12) that is protective for T2DM is associated with modestly higher BMI. A 2022 meta-analysis of 120 studies in 70,317 subjects found G allele carriers had significantly higher BMI (SMD +0.08 kg/m²) and waist circumference (SMD +0.12 cm) versus CC homozygotes. A 2013 meta-analysis of 49,092 subjects confirmed an overall BMI increase of +0.065 kg/m² in Ala12 carriers, stronger in Caucasian males (+0.090 SD). The effect is modest and likely reflects altered adipose tissue remodeling; it does not translate into elevated cardiometabolic disease risk given the simultaneous T2DM protection.

Breast cancer

Limited evidence suggests the C allele (Pro12) may be associated with modestly higher breast cancer risk. A 2013 meta-analysis of four studies (2,279 cases, 2,360 controls) found the heterozygous CG genotype had OR=0.84 (95% CI 0.72–0.98) versus CC, and the CG+GG dominant model OR=0.85 (95% CI 0.73–0.98), suggesting modest protection from the G allele. However, the overall allele-level analysis (G vs. C OR=0.98) was non-significant, and the study pool was small. Evidence is insufficient to make clinical recommendations; this association should be considered preliminary.

Allele C
OR 0.84
p
N 4,639
Meta-analysis
multi-ancestry

GWAS Catalog Trait Associations (22)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Likely Benign★★★
6 submitters31 publications

not specified; INSULIN RESISTANCE, DIGENIC; PPARG-related familial partial lipodystrophy; Obesity; not provided

View on ClinVar →

Research that mentions this SNP (42)

A Diabetes-Associated Genetic Variant is Associated with Diastolic Dysfunction and Cardiovascular Disease
AssociationN=15,215John Molvin et al.(2020)· ESC Heart Failure

This association study examined 43 diabetes-related SNPs in relation to diastolic dysfunction and cardiovascular disease across two Swedish cohorts. HNF1B rs757210 (T-allele) was the main finding, associated with prevalent diastolic dysfunction in both the discovery cohort (MPP-RES; OR 1.21, P=0.024) and replication cohort (VARA; OR 1.38, P=0.042), and with increased risk of incident CVD (HR 1.05, P=0.042) but not CHF over 30+ years of follow-up.

Traits studied:Cardiovascular diseaseCongestive heart failureDiastolic dysfunctionType 2 diabetes
Genetic variation of FTO: rs1421085 T&gt;C, rs8057044 G&gt;A, rs9939609 T&gt;A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
Clinical relevance of peroxisome proliferator‐activated receptor‐γ gene polymorphisms with sepsis
AssociationN=606Yu Liu et al.(2018)· Journal of Clinical Laboratory Analysis

This case-control association study examined 13 PPAR-γ gene SNPs in 303 sepsis patients and 303 controls from North China Han population. Three SNPs showed significant associations: rs1801282 (Pro12Ala) with decreased sepsis risk (OR=0.55, p=0.024), rs2972164 with increased sepsis risk (OR=1.74, p=0.03), and rs4135275 with increased severe organ dysfunction (OR=2.66, p=0.038). The TAT haplotype (rs2972164-rs4684846-rs17036188) was associated with increased sepsis risk (OR=1.66, p=0.038).

Traits studied:Multiple organ dysfunction syndromeOrgan dysfunctionSepsisSeptic shock
Excess maternal transmission of variants in the THADA gene to offspring with type 2 diabetes
AssociationN=5,674Rashmi B. Prasad et al.(2016)· Diabetologia

Family-based study examining parent-of-origin effects (POE) on type 2 diabetes risk in 4,211 individuals from Botnia and 1,463 from the Hungarian Transdanubian Biobank. Three loci showed nominal POE, with the strongest signal at rs7578597 in THADA showing excess maternal transmission of the risk T allele to diabetic offspring (Botnia pPOE=0.01, HTB pPOE=0.045, combined pPOE=0.0006). Five CpG sites flanking rs7578597 showed differential methylation between diabetic and non-diabetic islets, supporting potential THADA imprinting. Meta-analysis confirmed association with type 2 diabetes (OR=1.24, 95% CI 1.12-1.36, p=1.96×10⁻⁵).

Traits studied:BMIBlood pressureGlucose toleranceHyperglycaemiaImpaired fasting glucose (IFG)Impaired glucose tolerance (IGT)Insulin secretionInsulin sensitivityLipidsType 2 diabetesWaist-to-hip circumference ratio
Implications of critical PPARγ2, ADIPOQ and FTO gene polymorphisms in type 2 diabetes and obesity-mediated susceptibility to type 2 diabetes in an Indian population
AssociationN=1,036Nagaraja M. Phani et al.(2016)· Molecular Genetics and Genomics

Case-control study of 518 type 2 diabetes cases and 518 controls in a Karnataka (Indian) population examined the association of three SNPs with T2D susceptibility and obesity. PPAR-γ2 rs1801282 and FTO rs9939609 were significantly associated with T2D in the overall sample (OR=1.42, P=0.02 and OR=1.19, P=0.01 respectively), with effects primarily observed in the obese diabetic subgroup. ADIPOQ rs16861194 showed no significant association (OR=1.08, P=0.39). A meta-analysis of 22 studies on PPAR-γ2 and FTO variants in Asian populations confirmed FTO's significant risk association with T2D.

Traits studied:Body mass indexObesityType 2 diabetes
Polymorphisms in the CTSH gene may influence the progression of diabetic retinopathy: a candidate-gene study in the Danish Cohort of Pediatric Diabetes 1987 (DCPD1987)
AssociationN=130Steffen U. Thorsen et al.(2015)· Graefe's Archive for Clinical and Experimental Ophthalmology

This candidate gene study of 130 Danish children with type 1 diabetes examined associations between 20 diabetes-related SNPs and diabetic retinopathy progression over 16 years. The CTSH/rs3825932 variant was associated with reduced risk of progression to proliferative diabetic retinopathy (OR=0.20, p=2.4×10⁻³, p_adjust=0.048), while ERBB3/rs2292239 was associated with increased risk of two-step DR progression (OR=2.76, p=7.5×10⁻³, p_adjust=0.15). The CTSH association remained significant after multiple testing correction.

Traits studied:Diabetic retinopathyProliferative diabetic retinopathyType 1 diabetes mellitus
Genetic variation at the CELF1 (CUGBP, elav‐like family member 1 gene) locus is genome‐wide associated with Alzheimer's disease and obesity
ReviewAnke Hinney et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This literature review examines the influence of genetic polymorphisms on obesity development and adaptive responses to physical activity, focusing on five candidate genes: COMT (rs4680, Val158Met), DRD2 (rs1800497 Taq1A and rs1799732), FABP2 (rs1799883, Ala54Thr), FTO (rs9939609, A/T), and UCP1 (rs1800592, A-3826G). The review synthesizes molecular mechanisms, phenotypic associations, and implications for human health and training adaptations, noting that physical activity reduces the FTO genetic effect on obesity risk by 30-80% and that various polymorphisms show differential impacts on body composition and metabolic responses to exercise.

Traits studied:Adipose tissue distributionAthletic performanceBody Mass Index (BMI)Body compositionExercise adaptationFat massMuscle massObesityPhysical activity responseWeight loss
Association of Pro12Ala (rs1801282) variant of PPAR gamma with Rheumatoid Arthritis in a Pakistani population
AssociationN=300Syed Fazal Jalil et al.(2014)· Rheumatology International

This case-control study of 300 Pakistani individuals (150 RA cases, 150 controls) found a significant association between the PPARG Pro12Ala variant (rs1801282) and rheumatoid arthritis. The homozygous GG (AlaAla) genotype was significantly more common in cases (18.0%) versus controls (3.3%; χ² = 18.54, p < 0.0001), with the G allele showing increased frequency in cases (OR = 1.991, 95% CI = 1.412-2.808, p < 0.0001).

Traits studied:Rheumatoid Arthritis
Genetic polymorphisms in oxidative stress‐related genes are associated with outcomes following treatment for aggressive B‐cell non‐Hodgkin lymphoma
AssociationN=909Heather L. Gustafson et al.(2014)· American Journal of Hematology

Genetic polymorphisms in oxidative stress-related genes were associated with treatment outcomes in aggressive B-cell non-Hodgkin lymphoma. In discovery (n=337) and validation (n=572) cohorts, rare homozygotes for MPO rs2243828 (HR=1.87, P=0.013) and AKR1C3 rs10508293 (HR=2.09, P=0.0032) were associated with increased risk of progression, while NCF4 rs1883112 rare homozygotes showed protective effects against progression (HR=0.66, P=0.06 discovery; HR=0.66, P=0.05 validation). Meta-analysis confirmed NCF4 association with improved survival outcomes (HR=0.66, P<0.01).

Traits studied:Aggressive B-cell non-Hodgkin lymphomaDiffuse large B-cell lymphoma (DLBCL)Hematologic toxicityOverall survivalProgression-free survival
Systematic identification of interaction effects between genome- and environment-wide associations in type 2 diabetes mellitus
AssociationN=3,000Chirag J. Patel et al.(2013)· Human Genetics

This systematic study screened 18 T2D-associated SNPs and 5 environmental factors (trans-β-carotene, cis-β-carotene, γ-tocopherol, heptachlor epoxide, PCB170) for gene-environment interactions using NHANES data (1999-2000, 2001-2002). The strongest interaction was between rs13266634 (SLC30A8) and trans-β-carotene: in subjects with low trans-β-carotene levels, the per-risk-allele OR was 1.8 (95% CI 1.3-2.6), 40% higher than the marginal effect, and this interaction withstood Bonferroni correction (p = 0.006, FDR 1.5%). Four interactions total achieved FDR < 20%, suggesting that nutrient levels modify genetic risk for T2D.

Traits studied:Type 2 diabetes mellitus
Associations of polymorphisms in the genes of FGFR2, FGF1, and RBFOX2 with breast cancer risk by estrogen/progesterone receptor status
AssociationN=2,416Yu‐Ling Cen et al.(2013)· Molecular Carcinogenesis

A hospital-based case-control study in rural and urban India (1,204 cases; 1,212 controls) examined genetic and lifestyle risk factors for breast cancer. Four SNPs in FGFR2 (rs1219648, rs2420946, rs2981575, rs2981582) showed positive associations with breast cancer (ORs 1.32-1.47). Additional SNPs in obesity and metabolic genes (rs374748 in FBN2, rs2922763 in HNF4G, rs2116830 in KCNMA1, rs11121832 in MTHFR, rs16886165 in MAP3K1, rs11594610 in TCF7L2, rs2274459 in MLN) were associated with increased breast cancer risk. Waist-to-hip ratio ≥0.95 showed strong association (OR 3.78; 95% CI 2.92-4.89), and women living first 20 years in rural areas showed protective effect (OR 0.77).

Traits studied:Breast cancerBreast cancer riskER+/PR+ breast cancerER/PR negative breast cancerTriple negative breast cancer
Identification of CpG-SNPs associated with type 2 diabetes and differential DNA methylation in human pancreatic islets
AssociationN=84Dayeh TA et al.(2013)· Diabetologia

Of 40 SNPs previously associated with type 2 diabetes, 19 (48%) introduce or remove CpG sites. In 84 human pancreatic islet donors, all 16 analyzed CpG-SNPs showed statistically significant differential DNA methylation (p≤2.3×10⁻⁵). Several CpG-SNPs including rs391300 (SRR), rs5945326 (DUSP9), rs11708067 (ADCY5), rs5015480 (HHEX), rs13266634 (SLC30A8), rs1801214 (WFS1), rs564398 (CDKN2A), and rs2237895 (KCNQ1) were associated with differential gene expression, alternative splicing, or hormone secretion, suggesting DNA methylation-mediated mechanisms linking genetic variants to type 2 diabetes pathogenesis.

Traits studied:Glucagon secretionInsulin contentInsulin secretionType 2 diabetes
Patatin-like phospholipase domain-containing 3 I148M affects liver steatosis in patients with chronic hepatitis B
ReviewMauro Viganò et al.(2013)· Hepatology

This comprehensive review examines the genetic background of nonalcoholic fatty liver disease (NAFLD), focusing on variants identified by genome-wide association studies (GWAS) and candidate gene studies. The most significant GWAS-identified variants are PNPLA3 rs738409 (I148M), which strongly associates with increased liver steatosis, fibrosis severity, and HCC risk (12-fold increased risk for homozygous carriers), and TM6SF2 rs58542926 (E167K), which increases NASH progression but reduces cardiovascular risk. The review also discusses numerous candidate genes involved in lipid and glucose metabolism and liver injury mechanisms.

Traits studied:Cardiovascular diseaseChronic kidney diseaseCirrhosisHepatic injuryHepatic steatosisHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fibrosisMetabolic syndromeNecroinflammationNonalcoholic fatty liver disease (NAFLD)Nonalcoholic steatohepatitis (NASH)ObesityType 2 diabetes
Variants in ABCB1 , TGFB1 , and XRCC1 genes and susceptibility to viral hepatitis A infection in Mexican Americans
AssociationN=6,779Lyna Zhang et al.(2012)· Hepatology

Candidate gene association study of 67 genetic variants in 27 inflammation and DNA repair genes with hepatitis A virus (HAV) infection susceptibility in 6,779 NHANES III participants (2,619 non-Hispanic whites, 2,095 non-Hispanic blacks, 2,065 Mexican Americans). Among Mexican Americans, ABCB1 rs1045642 T allele was associated with lower HAV seropositivity risk (OR=0.79, p<0.001), while TGFB1 rs1800469 and XRCC1 rs1799782 T alleles were associated with increased risk (OR=1.38 and 1.57, respectively). CAT rs769214 and CYP2E1 rs2031920 showed marginal associations with decreased and increased HAV risk, respectively.

Traits studied:Anti-HAV seropositivityHepatitis A virus (HAV) infection
Association of PPAR‐γ gene polymorphisms with obesity and obesity‐associated phenotypes in north indian population
AssociationN=642Prakash J. et al.(2012)· American Journal of Human Biology

This case-control study in north India investigated associations of PPARγ gene polymorphisms (Pro12Ala rs1801282 and C1431T rs3856806) with obesity in 642 subjects (309 obese, 333 nonobese). Pro12Ala variants showed significant association with increased obesity risk (OR 1.655, 95% CI 1.155-2.370, P=0.006) and higher insulin, HOMA-IR levels, plus lower adiponectin. C1431T showed no significant obesity association. The findings suggest PPARγ polymorphisms influence obesity through insulin resistance mechanisms in this Indian population.

Traits studied:Adiponectin levelsBody mass indexInsulin resistanceLipid levelsMorbid obesityObesity
Association of peroxisome proliferator-activated receptor gamma polymorphisms with inflammatory bowel disease in a Hungarian cohort
AssociationN=1,164Szilard Poliska et al.(2012)· Inflammatory Bowel Diseases

This case-control association study examined four PPARG polymorphisms in a Hungarian IBD cohort (575 CD, 103 UC patients, 486 controls). The Pro12Ala variant (rs1801282) showed significant protective effect in CD homozygotes (OR=0.33, P=0.03), and haplotype analysis revealed the GAGG haplotype was protective in both CD and UC (OR=0.14 in UC, P=3.78×10⁻⁵), while the GAGC haplotype increased UC risk (OR=6.70, P=3.85×10⁻¹⁰).

Traits studied:Crohn's diseaseInflammatory bowel diseaseUlcerative colitis
Association analysis of 31 common polymorphisms with type 2 diabetes and its related traits in Indian sib pairs
AssociationN=6,178Gupta V. et al.(2012)· Diabetologia

Association analysis of 31 GWAS-confirmed type 2 diabetes SNPs in 3,089 Indian sib pairs (2,528 for quantitative traits, 561 for diabetes) identified significant associations with intermediate traits: CDKAL1 rs7756992, TCF7L2 rs7903146 and rs12255372 with fasting glucose (β=0.009-0.01, p≤0.01); ADAM30 rs2641348, NOTCH2 rs10923931, TCF-2/HNF1B rs757210, and CDKN2A/B rs10811661 with fasting insulin and HOMA-IR (β=±0.05-0.09, p≤0.05); and THADA rs7578597 with type 2 diabetes (OR 1.5, p=0.03).

Traits studied:Fasting glucoseFasting insulinHOMA-beta cell functionHOMA-insulin resistanceType 2 diabetes
SNP in the genome-wide association study hotspot on chromosome 9p21 confers susceptibility to diabetic nephropathy in type 1 diabetes
AssociationN=5,943Fagerholm E. et al.(2012)· Diabetologia

This association study identified rs10811661 near CDKN2A/B on chromosome 9p21, a type 2 diabetes risk SNP, as significantly associated with diabetic nephropathy in 2,963 type 1 diabetes patients (OR 1.33, p=0.00045). The association was replicated in meta-analysis across four cohorts (n>5,000; OR 1.15, p=0.011) and was particularly strong for end-stage renal disease (OR 1.35, p=0.00038). The SNP was also associated with severe retinopathy but not cardiovascular disease.

Traits studied:Cardiovascular diseaseDiabetic nephropathyEnd-stage renal diseaseMacroalbuminuriaMicroalbuminuriaSevere retinopathyType 1 diabetes
Analysis of common type 2 diabetes mellitus genetic risk factors in new-onset diabetes after transplantation in kidney transplant patients medicated with tacrolimus
AssociationN=235Mateusz Kurzawski et al.(2012)· European Journal of Clinical Pharmacology

This case-control study analyzed 7 SNPs in 6 genes previously associated with type 2 diabetes (T2DM) in 235 kidney transplant patients medicated with tacrolimus to determine their effect on new-onset diabetes after transplantation (NODAT). While no individual SNP showed significant association with NODAT, patients carrying >7 of the 14 'diabetogenic' alleles had significantly higher NODAT risk (OR 2.17, 95% CI 1.18–3.99, p=0.015), particularly for late-onset NODAT (OR 1.37 per allele, 95% CI 1.05–1.78, p=0.017).

Traits studied:New-onset diabetes after transplantation (NODAT)Type 2 diabetes mellitus (T2DM)
Moderate effects of apple juice consumption on obesity-related markers in obese men: impact of diet–gene interaction on body fat content
AssociationN=68Stephan W. Barth et al.(2012)· European Journal of Nutrition

A randomized controlled intervention study in 68 obese men tested the effects of polyphenol-rich cloudy apple juice (750 mL/day for 4 weeks) on obesity-related markers and diet-gene interactions. Cloudy apple juice significantly reduced percent body fat (Δ: -1.0 ± 1.3% vs control -0.2 ± 0.9%, p < 0.05) and increased lean body mass. The IL-6-174 G/C polymorphism (rs1800795) showed significant interaction with body fat reduction: only C/C carriers showed significant fat loss with apple juice consumption (p = 0.011 for interaction), while G/C and G/G carriers did not respond.

Traits studied:AdipokinesBMIBody fat percentageBody weightInflammation markersObesityPlasma lipidsWaist circumference
Association of indices of liver and adipocyte insulin resistance with 19 confirmed susceptibility loci for type 2 diabetes in 6,733 non-diabetic Finnish men
AssociationN=6,733Vangipurapu J. et al.(2011)· Diabetologia

Population-based study of 6,733 non-diabetic Finnish men examining associations between 19 confirmed type 2 diabetes risk loci and tissue-specific insulin resistance indices. Type 2 diabetes risk SNPs in KCNJ11 (rs5219) and HHEX (rs1111875) showed significant associations with lower liver insulin resistance (p<0.0013 and p=5.4×10⁻⁵, respectively), while the Pro12 allele of PPARG2 (rs1801282) was significantly associated with higher adipocyte insulin resistance (p=6.2×10⁻⁵).

Traits studied:2-hour plasma glucoseAdipocyte insulin resistanceFasting plasma glucoseHepatic insulin resistanceInsulin sensitivityLiver insulin resistance indexType 2 diabetes
Association of TCF7L2 SNPs with age at onset of type 2 diabetes and proinsulin/insulin ratio but not with glucagon‐like peptide 1
AssociationN=26Guenther Silbernagel et al.(2011)· Diabetes/Metabolism Research and Reviews

This association study analyzed four T2D-related SNPs (rs5219, rs1801282, rs7903146, rs12255372) in 26 Yakut patients with type 2 diabetes via pyrosequencing. No statistically significant differences were found between Yakut T2D cases and control groups for KCNJ11, PPARG, or TCF7L2 polymorphisms. The study identified strong linkage disequilibrium between TCF7L2 rs7903146 and rs12255372 (D'=1, LOD=4.92) in Yakuts and demonstrated that the risk T-allele frequency of TCF7L2 SNPs is notably lower in Asian populations (3.8% in Yakuts, 2-3% in Japanese and Chinese) compared to European and African populations.

Traits studied:Type 2 Diabetes
Dissociation betweenAPOC3variants, hepatic triglyceride content and insulin resistance
ReviewJulia Kozlitina et al.(2011)· Hepatology

Comprehensive review of genetic background in nonalcoholic fatty liver disease (NAFLD). The PNPLA3 I148M variant (rs738409 C>G) is identified as a major genetic player strongly associated with increased liver fat content, NASH development, fibrosis severity, and HCC risk. The TM6SF2 E167K variant (rs58542926) emerges as another key contributor to NAFLD pathogenesis and disease progression. Multiple additional GWAS-identified variants and candidate genes are reviewed for their roles in NAFLD susceptibility and progression.

Traits studied:Alcoholic liver diseaseCardiovascular diseaseChronic kidney diseaseHCCHepatic steatosisHepatic triglyceridesHepatitis B steatosisHepatitis C progressionHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fat contentLiver fibrosisNAFLDNASHNecroinflammationNonalcoholic fatty liver diseaseNonalcoholic steatohepatitisType 2 diabetes
The utility and predictive value of combinations of low penetrance genes for screening and risk prediction of colorectal cancer
AssociationN=2,593Steven J. Hawken et al.(2010)· Human Genetics

This study evaluated the utility of genomic profiling combining multiple low-penetrance variants for colorectal cancer (CRC) risk prediction and screening. Using simulations and ARCTIC study data (1,257 cases, 1,336 controls), the authors found that 140-160 common risk variants (OR ~1.2 each) would be needed to capture 80% of CRC cases in the top 50% of individuals by genetic risk score. In empirical analysis, a panel of replicated variants (rs1801282, rs2289046, rs2472300, rs3099844, rs4779584, rs10505477, rs10735810) achieved modest predictive value (AUC 0.54-0.66 with age/sex), with subjects carrying 30+ risk alleles showing 2.26-fold increased risk (95% CI 1.27-4.04) versus those with ≤20 alleles.

Traits studied:Colorectal cancer
Type 2 diabetes risk alleles near ADCY5, CDKAL1 and HHEX-IDE are associated with reduced birthweight
AssociationN=4,213Andersson EA et al.(2010)· Diabetologia

This association study of 4,213 Danish individuals examined 25 type 2 diabetes risk variants and their association with birthweight. The study found that type 2 diabetes risk alleles near ADCY5 (rs11708067, β = -33 g, p = 0.004), CDKAL1 (rs7756992, β = -22 g, p = 0.04), and HHEX-IDE (rs1111875, β = -16 g in meta-analysis, p = 8×10⁻⁵, n = 25,164) were associated with reduced birthweight, supporting the fetal insulin hypothesis. Meta-analyses confirmed these associations and showed no strong general effect on birthweight from the 25 common type 2 diabetes risk alleles combined.

Traits studied:Birth lengthBirthweightPonderal indexType 2 diabetes
Improvements in glucose homeostasis in response to regular exercise are influenced by the PPARG Pro12Ala variant: results from the HERITAGE Family Study
AssociationN=481Ruchat SM et al.(2010)· Diabetologia

The HERITAGE Family Study examined eight type 2 diabetes susceptibility variants in 481 sedentary individuals undergoing 20-week endurance training. PPARG rs1801282 (Pro12Ala) was the only significant finding: Ala carriers showed greater improvements in glucose tolerance (p=0.0008), glucose effectiveness (p=0.004), and disposition index (p=0.003) in response to exercise training, though no associations were found with other recently identified GWAS variants.

Traits studied:Acute insulin response to glucoseDisposition indexGlucose effectivenessGlucose homeostasis response to exerciseGlucose toleranceInsulin sensitivityType 2 diabetes susceptibility
No association between polymorphisms of proliferator-activated receptor-gamma gene and peak bone mineral density variation in Chinese nuclear families
AssociationN=1,111Yue H. et al.(2010)· Osteoporosis International

This study tested association between 10 tagging SNPs in PPARG (peroxisome proliferator-activated receptor-gamma) and peak bone mineral density (BMD) in 401 Chinese nuclear families using quantitative transmission disequilibrium test (QTDT), plus 710 postmenopausal women. The study found no significant association between PPARG polymorphisms and BMD at the lumbar spine or femoral neck in the family-based analysis, though rs1801282 showed association with BMD at lumbar spine in postmenopausal women (P=0.013).

Traits studied:Body mass indexBone mineral density at femoral neckBone mineral density at lumbar spinePeak bone mineral density
Variability in Ethanol Biodisposition in Whites Is Modulated by Polymorphisms in the Adh1b and Adh1c Genes
ReviewCarmen Martínez et al.(2010)· Hepatology

A comprehensive review of nutrigenetics and nutrigenomics examining how genetic variants influence individual responses to nutrients and dietary interventions. The paper discusses associations between numerous SNPs (rs9939609 in FTO, rs2287019 in GIPR, rs7903146 in TCF7L2, rs5219 in KCNJ11, and many others) and metabolic traits including obesity, type 2 diabetes, and other chronic diseases, along with epigenetic mechanisms by which phytochemicals (curcumin, resveratrol, lycopene) modulate gene expression. The review synthesizes current evidence for precision nutrition approaches tailored to individual genetic profiles.

Traits studied:Bone density/osteoporosisCaffeine sensitivityCardiovascular diseaseCeliac diseaseCerebrovascular diseaseCoronary heart diseaseDetoxification capacityEating behaviorGlucose homeostasisHistamine intoleranceInflammatory diseasesInsulin resistanceLactose intoleranceLeptin resistanceMetabolic syndromeNickel intoleranceObesityOsteoarthritisOverweightType 2 diabetes
No association of multiple type 2 diabetes loci with type 1 diabetes
AssociationN=15,824Raj SM et al.(2009)· Diabetologia

This case-control and family-based association study tested whether 18 type 2 diabetes susceptibility loci are associated with type 1 diabetes in 7,606 type 1 diabetic cases and 8,218 controls. Only PPARG (rs1801282/Pro12Ala, OR=0.91, p=0.004) and HHEX-IDE (rs1111875, OR=0.94, p=0.003) showed evidence of association with type 1 diabetes. The authors conclude that type 1 and type 2 diabetes do not share a common genetic background, supporting the view that type 1 diabetes is primarily an autoimmune disease.

Traits studied:Type 1 diabetesType 2 diabetes
Replication study for the association of new meta-analysis-derived risk loci with susceptibility to type 2 diabetes in 6,244 Japanese individuals
AssociationN=6,244Omori S. et al.(2009)· Diabetologia

Replication study of 7 meta-analysis-derived type 2 diabetes susceptibility SNPs in 6,244 Japanese individuals across 3 independent populations. Only rs864745 in JAZF1 showed nominal association (OR 1.148, 95% CI 1.034-1.275, p=0.0098) but not after Bonferroni correction; other loci did not reach statistical significance, suggesting these European-identified variants have minor or absent effects in Japanese populations.

Traits studied:Type 2 diabetes
Is the thrifty genotype hypothesis supported by evidence based on confirmed type 2 diabetes- and obesity-susceptibility variants?
AssociationSoutham L et al.(2009)· Diabetologia

This study tests the thrifty genotype hypothesis by examining 17 confirmed type 2 diabetes susceptibility loci and 13 obesity-susceptibility loci for signatures of positive selection. Using ancestral/derived allele analysis, integrated haplotype scores (iHS), and population differentiation (FST), the authors found limited evidence supporting the thrifty genotype hypothesis. Only rs7901695 at TCF7L2 showed notably elevated FST values (0.579 between JPT+CHB and YRI populations), and FTO showed the strongest selection signal among obesity loci (iHS=1.991).

Traits studied:Body mass index (BMI)ObesityType 2 diabetes
The combined impact of metabolic gene polymorphisms on elite endurance athlete status and related phenotypes
AssociationN=2,555Ildus I. Ahmetov et al.(2009)· Human Genetics

This case-control study of 1,423 Russian athletes and 1,132 controls examined 15 metabolic gene polymorphisms associated with elite endurance athlete status. Ten 'endurance alleles' were identified: rs4253778 (PPARA), rs2016520 (PPARD), rs8192678 (PPARGC1A), rs7732671 (PPARGC1B), rs1937 (TFAM), rs660339 (UCP2), rs1800849 (UCP3), rs2010963 (VEGFA), NFATC4 rs2229309, and PPP3R1 promoter 5I. The proportion of subjects with ≥9 endurance alleles was significantly higher in elite endurance athletes versus controls (85.7% vs 37.8%, P=7.6×10⁻⁶). The number of endurance alleles positively correlated with slow-twitch muscle fiber proportion (r=0.50, P=4.0×10⁻⁴) and maximal oxygen consumption (r=0.46, P=7.0×10⁻⁴).

Traits studied:Elite endurance athlete statusMaximal oxygen consumption (VO2max)Slow-twitch muscle fiber proportion
Association of IL10 and Other immune response‐ and obesity‐related genes with prostate cancer in CLUE II
AssociationN=516Ming‐Hsi Wang et al.(2009)· The Prostate

Nested case-control study of 258 prostate cancer cases and 258 matched controls in the CLUE II prospective cohort examining genetic variants in inflammation and obesity-related genes. The IL10 -1082G>A variant (rs1800896, A allele) was positively associated with prostate cancer risk (AG vs GG: OR=1.69, 95% CI 1.10-2.60; AA vs GG: OR=1.81, 95% CI 1.11-2.96), while a TLR4 variant (rs4986790) showed inverse association, and no consistent associations were found for obesity-related gene variants.

Traits studied:Prostate cancer
Type 2 diabetes-associated genetic variants discovered in the recent genome-wide association studies are related to gestational diabetes mellitus in the Korean population
AssociationN=1,501Cho YM et al.(2009)· Diabetologia

This case-control study in 869 Korean women with gestational diabetes mellitus (GDM) and 632 non-diabetic controls examined whether type 2 diabetes-associated genetic variants discovered in recent GWAS are also associated with GDM. Multiple variants showed significant associations with GDM, including rs7756992 and rs7754840 in CDKAL1 (OR 1.55, p=4.17×10⁻⁹), rs10811661 in CDKN2A-CDKN2B (OR 1.49, p=1.05×10⁻⁷), variants in HHEX, rs4402960 in IGF2BP2 (OR 1.18, p=0.03), rs13266634 in SLC30A8 (OR 1.24, p=0.005), and rs7903146 in TCF7L2 (OR 1.58, p=0.038).

Traits studied:Gestational diabetes mellitusType 2 diabetes
Genetic Variation in Candidate Osteoporosis Genes, Bone Mineral Density, and Fracture Risk: The Study of Osteoporotic Fractures
AssociationN=6,752Gregory J. Tranah et al.(2008)· Calcified Tissue International

A candidate gene association study of 6,752 women from the Study of Osteoporotic Fractures examined 31 polymorphisms in 18 candidate osteoporosis genes for associations with fracture risk and bone mineral density. ALOX15_G48924T (rs7220870) T/T genotype was associated with 33% higher hip fracture risk (HR=1.33, 95% CI 1.00-1.77); PRL_T228C (rs7739889) C alleles reduced nonvertebral fracture risk by ~20%; BMP2_A125611G (rs235764) G/G showed 51% higher vertebral fracture risk (OR=1.51, 95% CI 1.03-2.23); and MMP2_C595T (rs243865) T allele carriers had reduced vertebral fracture risk. No significant associations were found with total hip BMD.

Traits studied:Bone mineral densityHip fractureNonvertebral/nonhip fractureOsteoporosisVertebral fracture
Type 2 diabetes susceptibility loci in the Ashkenazi Jewish population
AssociationN=1,312Michal Bronstein et al.(2008)· Human Genetics

This study characterized an Ashkenazi Jewish (AJ) population-specific genetic signature using genome-wide SNP data from 1,312 AJ individuals. Using ADMIXTURE and principal components analysis, the authors identified allelic patterns that differentiate AJ from European and Middle Eastern populations. Gene Ontology enrichment analysis of the AJ-specific genetic signature revealed enrichment in genes involved in transepithelial chloride transport (including CFTR with rs213950 showing V158M variant) and equilibrioception (PCDH15, CLRN1), implicating these pathways in the elevated prevalence of cystic fibrosis and Usher syndrome in Ashkenazi Jews. The study also identified disease-relevant alleles including MTHFR C677T (rs1801133), SH2B3 rs3184504 associated with type 1 diabetes/celiac disease, and MC1R rs1805005, and provided a validated set of 103 ancestry informative markers (AIMs) for population stratification correction.

Traits studied:Alzheimer's diseaseAncestry informative markersAshkenazi Jewish population structureAutoimmune diseasesCeliac diseaseCrohn's diseaseCystic fibrosisMelanomaMetabolic disordersMultiple sclerosisRheumatoid arthritisType 1 diabetesType 2 diabetesUsher syndrome
The search for putative unifying genetic factors for components of the metabolic syndrome
AssociationN=16,143Sjögren M. et al.(2008)· Diabetologia

This prospective study of 16,143 individuals from the Malmö Preventive Project (mean follow-up 23 years) investigated whether genetic variants in 26 genes previously associated with type 2 diabetes or metabolic syndrome components could predict future development of metabolic syndrome. Polymorphisms in TCF7L2 (rs7903146, OR 1.10, p=0.00097), FTO (rs9939609, OR 1.08, p=0.0065), WFS1 (rs10010131, OR 1.07, p=0.0078), and IGF2BP2 (rs4402960, OR 1.07, p=0.021) predicted metabolic syndrome development, with TCF7L2, WFS1, and IGF2BP2 acting through hyperglycemia and FTO through obesity. A composite genotype score of 17 polymorphisms predicted metabolic syndrome risk (OR 1.04, p<0.00001), with carriers of ≥19 risk alleles having 51% increased risk compared to carriers of ≤12 alleles.

Traits studied:DyslipidemiaHyperglycemiaHypertensionMetabolic syndromeObesityType 2 diabetes
Pharmacogenetics: data, concepts and tools to improve drug discovery and drug treatment
ReviewJürgen Brockmöller et al.(2008)· European Journal of Clinical Pharmacology

This comprehensive review article traces the evolution of pharmacogenetics from single-gene analysis to whole-genome approaches. It discusses validated pharmacogenetic biomarkers with clinical impact including CYP2D6, CYP2C9, CYP2C19, TPMT, DPD, VKORC1, UGT1A1, and ADRB1/ADRB2, providing examples of how genetic variants affect drug metabolism and response. The paper emphasizes the importance of integrating pharmacogenetic information into clinical practice and drug development.

Traits studied:5-fluorouracil toxicityanticoagulant responseantidepressant responseasthmaatrial fibrillationbeta-blocker responsebreast cancerclopidogrel responsecolorectal cancerdrug metabolismdrug responsehypertensionirinotecan toxicitylung cancerproton pump inhibitor metabolismrheumatoid arthritisthiopurine toxicitythrombosis risktype 2 diabeteswarfarin sensitivity
Association of glucose transporter 1 polymorphisms with type 2 diabetes in the Tunisian population
AssociationN=616Makni K. et al.(2008)· Diabetes/Metabolism Research and Reviews

Case-control study of 273 T2DM patients and 343 controls in the Tunisian population examined three GLUT1 SNPs (rs710218, rs841847, rs841853). The XbaI SNP (rs841853) GT genotype conferred increased T2DM risk (OR=2.4), and the TAT haplotype combining all three SNPs showed the strongest association with T2DM susceptibility (OR=3.4).

Traits studied:Type 2 diabetes mellitus
A variant in the transcription factor 7-like 2 (TCF7L2) gene is associated with an increased risk of gestational diabetes mellitus
AssociationN=1,881Shaat N. et al.(2007)· Diabetologia

This case-control study of 1,881 Scandinavian women (649 with gestational diabetes mellitus, 1,232 controls) found that the TCF7L2 rs7903146 variant confers increased risk of gestational diabetes mellitus, with heterozygotes showing OR=1.56 (95% CI 1.26-1.93, p=3.7×10⁻⁵) and homozygotes OR=2.05 (95% CI 1.41-2.99, p=0.0001). Four other polymorphisms previously associated with type 2 diabetes (ADIPOQ rs1501299, PPARG rs1801282, PPARGC1A rs8192678, FOXC2 -512C>T, ADRB3 rs4994) were not significantly associated with gestational diabetes mellitus in this population.

Traits studied:Gestational diabetes mellitus
Variations in the HHEX gene are associated with increased risk of type 2 diabetes in the Japanese population
AssociationN=1,728Horikoshi M. et al.(2007)· Diabetologia

This case-control association study in 864 Japanese type 2 diabetes patients and 864 controls confirmed that three SNPs in HHEX (rs5015480 OR=1.46, rs7923837 OR=1.40, rs1111875 OR=1.30) were significantly associated with type 2 diabetes across ethnic groups. SNPs in FTO, CDKAL1, CDKN2B, and SLC30A8 showed nominal associations, while several SNPs were associated with impaired pancreatic beta cell function measured by HOMA-beta index.

Traits studied:Type 2 diabetes
The –786C/T single‐nucleotide polymorphism in the promoter of the gene for endothelial nitric oxide synthase: Insensitivity to physiologic stimuli as a risk factor for rheumatoid arthritis
AssociationN=219Inga Melchers et al.(2006)· Arthritis &amp; Rheumatism

This journal issue contains multiple genetic association studies on rheumatoid arthritis (RA). A key REMARCA study (146 aCCP+ RA patients vs 314 controls) identified polymorphisms in CTLA4 (rs231775 +49A/G), IL10 (rs1800872 -592A/C), and IL6R (rs8192284 +358A/C) associated with high inflammatory disease activity, with CTLA4 and IL10 minor alleles showing increased risk (OR=1.4, p=0.02 and OR=1.9, p<0.0001 respectively) and IL6R minor allele being protective (OR=0.7, p=0.03). A separate study analyzed NOS3, PPARG, PPARGC1A, PPARGC1B and PAI1 polymorphisms in 73 RA patients for cardiovascular risk.

Traits studied:Cardiovascular riskHigh inflammatory disease activityRheumatoid arthritis

Gene information from NCBI Gene. Variant classifications from ClinVar.

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