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Common variants near ATM are associated with glycemic response to metformin in type 2 diabetes
Open accessAbstract
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.
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Metadata
- Authors
- The GoDARTS and UKPDS Diabetes Pharmacogenetics Study Group, & The Wellcome Trust Case Control Consortium 2
- Venue
- Nature Genetics
- Published
- 2010-12-26
- Volume
- 43
- Issue
- 2
- Pages
- 117-120
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- OpenAlex
- W2162897961
- Cited by
- 432
- References
- 38
- FWCI
- 15.01
- Type
- journal article
- Language
- en
- Open access
- green
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