Original Article
The Pharmacogenomics Journal advance online publication 4 March 2008; doi: 10.1038/tpj.2008.2
Global meta-analysis of the C-11377G alteration in the ADIPOQ gene indicates the presence of population-specific effects: challenge for global health initiatives
P E H Schwarz1, G W Towers1,2, A van der Merwe2,3, L Perez-Perez4, P Rheeder5, J Schulze1, S R Bornstein1, J Licinio6, M-L Wong6, A E Schutte7 and A Olckers2,3
- 1Division of Endocrinology, Department of Medicine III, Faculty of Medicine Carl Gustav Carus, Technical University Dresden, Dresden, Germany
- 2Centre for Genome Research, North-West University (Potchefstroom Campus), Pretoria, South Africa
- 3DNAbiotec (Pty) Ltd, Pretoria, South Africa
- 4National Institute of Endocrinology, Havana, Cuba
- 5Division of Clinical Epidemiology, University of Pretoria, Pretoria, South Africa
- 6Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
- 7School for Physiology, Nutrition and Consumer Sciences, North-West University (Potchefstroom Campus), Potchefstroom, South Africa
Correspondence: Dr PEH Schwarz, Division of Endocrinology, Department of Medicine III, Faculty of Medicine Carl Gustav Carus, Technical University Dresden, Dresden 01307, Germany. E-mail: peter.schwarz@uniklinikum-dresden.de
Received 1 September 2007; Accepted 25 October 2007; Published online 4 March 2008.
Abstract
Type II diabetes mellitus is currently globally one of the fastest growing non-communicable diseases, especially in developing countries. This investigation reports on a meta-analysis undertaken of the C-11377G locus within the adiponectin gene in a black South African, a Cuban Hispanic and a German Caucasian cohort. Genotyping was performed via a real-time PCR strategy. Both fixed- and random-effects models were tested to describe the diabetes risk at both the cohort and population levels. The 2,2 genotype may only be associated with increased diabetes risk in the Cuban Hispanic cohort. Population-specific effects may have masked these associations upon meta-analytical analysis, as no significant odds ratio could be determined. Thus, to examine diabetes risk, a more global approach including the design of population-specific experimental strategies should be used, which will be crucial in developing health education and policies in a global health programme.
Keywords:
type II diabetes mellitus, genetic, South African, Cuban, German, adiponectin
Abbreviations:
1,1, homozygous genotype of the wild-type allele; 1,2, heterozygous genotype; 2,2, homozygous genotype of the risk allele; 95% CI, 95% confidence interval; ADIPOQ, adipocyte, C1q and collagen domain containing; BMI, body mass index; [-d(F)/d(T) vs T], negative derivative of the fluorescence level vs temperature; LC, LightCycler; n, sample size; OR, odds ratio; SNP, single-nucleotide polymorphism; T2D, type II diabetes mellitus
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