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Is the thrifty genotype hypothesis supported by evidence based on confirmed type 2 diabetes- and obesity-susceptibility variants?
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AIMS/HYPOTHESIS: According to the thrifty genotype hypothesis, the high prevalence of type 2 diabetes and obesity is a consequence of genetic variants that have undergone positive selection during historical periods of erratic food supply. The recent expansion in the number of validated type 2 diabetes- and obesity-susceptibility loci, coupled with access to empirical data, enables us to look for evidence in support (or otherwise) of the thrifty genotype hypothesis using proven loci. METHODS: We employed a range of tests to obtain complementary views of the evidence for selection: we determined whether the risk allele at associated 'index' single-nucleotide polymorphisms is derived or ancestral, calculated the integrated haplotype score (iHS) and assessed the population differentiation statistic fixation index (F (ST)) for 17 type 2 diabetes and 13 obesity loci. RESULTS: We found no evidence for significant differences for the derived/ancestral allele test. None of the studied loci showed strong evidence for selection based on the iHS score. We find a high F (ST) for rs7901695 at TCF7L2, the largest type 2 diabetes effect size found to date. CONCLUSIONS/INTERPRETATION: Our results provide some evidence for selection at specific loci, but there are no consistent patterns of selection that provide conclusive confirmation of the thrifty genotype hypothesis. Discovery of more signals and more causal variants for type 2 diabetes and obesity is likely to allow more detailed examination of these issues.
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“Based on an analysis of 17 type 2 diabetes loci and 13 obesity loci, Southam et al. (48) found no clear evidence for overrepresentation of derived alleles (vs. ancestral alleles) for the obesity or diabetes loci or greater concentration of these loci in a particular ethnic group.”
From Globalization of Diabetes (2011) · cites this paper as [48]
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Metadata
- Authors
- Southam, L., Soranzo, N., Montgomery, S. B., Frayling, T. M., McCarthy, M. I., Barroso, I., & Zeggini, E.
- Affiliations
- Centre for Human Genetics (GB)
- St Thomas' Hospital (GB)
- Wellcome Sanger Institute (GB)
- University of Exeter (GB)
- Corresponding author
- Zeggini, E.
- Venue
- Diabetologia
- Published
- 2009-06-13
- Volume
- 52
- Issue
- 9
- Pages
- 1846-1851
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- PMC
- PMC2723682
- OpenAlex
- W2071881237
- Cited by
- 103
- References
- 15
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 8 · 2022: 2 · 2021: 6 · 2020: 2 · 2018: 5 · 2017: 7 · 2016: 9 · 2015: 6 · 2014: 12 · 2013: 8 · 2012: 13
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Diabetologia (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust (WT077016/Z/05/Z, 088885, 077016, WT088885/Z/09/Z, 079557)
- National Institute for Health and Care Research
- Medical Research Council (G0601261)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Forensic and Genetic Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Evolution and Genetic Dynamics
- Keywords
- thrifty genotype hypothesis, type 2 diabetes, obesity, genetic susceptibility loci, positive selection, integrated haplotype score, fixation index, TCF7L2
- MeSH terms
- Diabetes Mellitus, Type 2, Food Supply, Gene Frequency, Genotype, Humans, Models, Genetic, Obesity, Risk Factors, Selection, Genetic, Prevalence, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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