rs8192678

mixedMag 3.8

This is a variant in the PPARGC1A gene that changes a glycine to an serine.

Key Literature Trait Associations

Type 2 diabetes mellitus

The A allele (Ser428) of PPARGC1A rs8192678 is associated with increased risk of type 2 diabetes mellitus across multiple large meta-analyses. The most comprehensive analysis (Xia et al. 2019, n=16,182 across 20 studies) showed OR 1.24 in the allelic model (95% CI 1.13–1.35), with homozygous AA carriers reaching OR 1.40, with strongest effects in Caucasian and Indian populations. A second independent meta-analysis (Du et al. 2019, n=13,203) corroborated these findings (OR 1.25, p=0.001). However, a larger 2023 systematic review (n=18,660) found only weak overall associations, with significant effects primarily in ethnic and sex-based subgroups, suggesting population-specific modulation of this locus.

Allele A
OR 1.24
p 1.0e-7
N 16,182
Meta-analysisSmall GWAS
multi-ancestry
Allele A
OR 1.25
p 1.0e-3
N 13,203
Preliminary work
multi-ancestry

Endurance Exercise Capacity

rs8192678 encodes the Gly482Ser substitution in PGC-1α, the master transcriptional coactivator of mitochondrial biogenesis. The Ser482 (A) allele reduces PGC-1α transcriptional activity, leading to lower mitochondrial content in skeletal muscle, reduced oxidative phosphorylation capacity, and impaired adaptation to endurance training. The Gly482 (G) allele is enriched in elite endurance athletes across multiple studies in European and Asian populations.

Allele A
OR
p 2.0e-3
Candidate gene study
Allele A
OR
p
Candidate gene study
multi-ancestry

Adipocyte lipogenesis and mitochondrial function

CRISPR-engineered isogenic human white adipocyte cell lines demonstrate that the A (C in adipocyte cell context per Claussnitzer lab notation) allele of rs8192678 functionally impairs adipocyte biology through disrupted PGC-1α dynamics. Cells homozygous for the risk allele showed reduced triacylglycerol content, lower expression of adipogenesis and lipid metabolism genes, decreased basal and maximal mitochondrial oxygen consumption, and lower ATP-linked respiration. These findings provide a direct mechanistic link between rs8192678 genotype and the metabolic disease associations observed in epidemiological studies, establishing PGC-1α protein content and turnover as the mediating pathway.

Nonalcoholic fatty liver disease

The A allele of PPARGC1A rs8192678 is associated with both susceptibility to nonalcoholic fatty liver disease (NAFLD) and greater histological severity in Chinese Han populations. A case-control study (Zhang et al. 2021) found A allele carriers had significantly higher NAFLD risk (OR 2.32, 95% CI 1.12–4.81) and substantially elevated NASH risk (OR 6.34, 95% CI 1.14–35.4), with the association driven by reduced hepatic PPARGC1A mRNA expression in A allele carriers. Due to the small sample size (n=152) and single-population design, these findings require replication in larger cohorts before clinical use.

Muscle fiber composition

The A/A genotype of PPARGC1A rs8192678 is associated with a higher proportion of slow-twitch (type I, MHC-I) muscle fibers and a lower proportion of fast-twitch (type IIx, MHC-IIx) fibers in women, though no significant associations were found in men. A Japanese cohort study (Yvert et al. 2020, n=214) demonstrated that female AA homozygotes had significantly higher MHC-I proportions (p=0.042) and lower MHC-IIx proportions (p=0.033). This sex-specific finding contrasts with the G allele's endurance advantages at the performance level, suggesting complex genotype-by-sex interactions in muscle physiology.

Allele A
OR
p 4.2e-2
N 214
Candidate gene study
East Asian

ClinVar annotation

Benign
1 submitter

PPARGC1A-related disorder

View on ClinVar →

Research that mentions this SNP (13)

Genetic variation of FTO: rs1421085 T>C, rs8057044 G>A, rs9939609 T>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
Common variation at PPARGC1A/B and change in body composition and metabolic traits following preventive interventions: the Diabetes Prevention Program
AssociationN=3,234Paul W. Franks et al.(2014)· Diabetologia

This study examined associations between PPARGC1A and PPARGC1B variants and cardiometabolic traits in 3,234 participants of the Diabetes Prevention Program. PPARGC1A variation was strongly associated with baseline triacylglycerol (p=2.9×10⁻³⁰), BMI (p=2.0×10⁻⁵), and changes in these traits at 1 year. The Gly482Ser variant (rs8192678) was associated with subcutaneous adiposity and insulin resistance, while rs2970852 modified metformin's effect on triacylglycerols (p=0.04).

Traits studied:Body mass index (BMI)Glucose concentrationsInsulin resistanceSubcutaneous adiposityTriacylglycerol concentrationsType 2 diabetesVisceral adiposityWaist circumference
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
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
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 ENPP1 K121Q polymorphism determines individual susceptibility to the insulin-sensitising effect of lifestyle intervention
AssociationN=1,563Müssig K. et al.(2010)· Diabetologia

In a study of 1,563 European ancestry participants at increased type 2 diabetes risk, the ENPP1 K121Q polymorphism (rs1044498) did not show cross-sectional association with insulin sensitivity. However, during a 9-month lifestyle intervention in 342 participants, minor allele (Q) carriers showed significantly impaired improvement in insulin sensitivity (p=0.0067 additive, p=0.0027 dominant), suggesting K121Q determines individual susceptibility to the insulin-sensitizing effects of lifestyle intervention.

Traits studied:Glucose toleranceInsulin resistanceInsulin sensitivityObesityType 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
PPARGC1A sequence variation and cardiovascular risk-factor levels: a study of the main genetic effects and gene × environment interactions in children from the European Youth Heart Study
AssociationN=2,101Brito EC et al.(2009)· Diabetologia

This candidate gene association study tested 35 tagging SNPs across PPARGC1A in 2,101 Danish and Estonian children from the European Youth Heart Study, finding nominally significant associations with BMI (rs10018239, p=0.039), waist circumference (rs7656250, rs8192678, rs3755863, rs10018239; p=0.002-0.043), systolic blood pressure (rs2970869, p=0.018), aerobic fitness (rs7656250, rs13117172; p=0.002-0.008), and fasting glucose (rs7657071, rs11724368; p=0.002-0.045). However, none of these associations remained significant after correction for multiple comparisons, suggesting PPARGC1A variation has only modest effects on metabolic and cardiovascular traits in children.

Traits studied:BMIaerobic fitnesscholesteroldiastolic blood pressurefasting glucosephysical activitysystolic blood pressuretriglycerideswaist circumference
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
PPARGC1A coding variation may initiate impaired NEFA clearance during glucose challenge
AssociationN=691Franks PW et al.(2007)· Diabetologia

In 691 healthy middle-aged Europeans, the PPARGC1A Ser482 allele (Gly482Ser, rs8192678) was associated with elevated non-esterified fatty acid (NEFA) levels at 30 min (p=0.02) and 2 h (p=0.01) and with NEFA AUC (p=0.019) following an oral glucose challenge. The association was significantly stronger in obese individuals (p=0.028 to p=0.005 across time points) than in lean individuals (p>0.6), suggesting obesity modifies the genotype effect on NEFA clearance.

Traits studied:Glucose toleranceNEFA (non-esterified fatty acid) levelsType 2 diabetes risk
TCF7L2 is reproducibly associated with type 2 diabetes in various ethnic groups: a global meta-analysis
Meta-analysisN=46,397Stéphane Cauchi et al.(2007)· Journal of Molecular Medicine

This meta-analysis demonstrates that TCF7L2 rs7903146 T allele is reproducibly associated with type 2 diabetes across multiple ethnic groups. The authors analyzed 29,195 control subjects and 17,202 T2D cases across 29 studies, finding a pooled odds ratio of 1.46 [1.42-1.51] (p=5.4×10−140). The rs7903146 variant showed the strongest and most consistent association with T2D compared to other known diabetes susceptibility genes, with allelic ORs of 1.56 [1.29-1.89] in Moroccans and 1.52 [1.29-1.78] in Austrians.

Traits studied:Type 2 Diabetes
Interaction between the UCP2–866G/A, mtDNA 10398G/A and PGC1α p.Thr394Thr and p.Gly482Ser polymorphisms in type 2 diabetes susceptibility in North Indian population
OtherRai E. et al.(2007)· Human Genetics

Erratum correcting the rsID for the PGC1α p.Gly482Ser polymorphism from rs8192673 to rs8192678 in the original study examining interactions between UCP2 -866G/A, mtDNA 10398G/A, and PGC1α polymorphisms in type 2 diabetes susceptibility in a North Indian population.

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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