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Mechanisms by which common variants in the TCF7L2 gene increase risk of type 2 diabetes

Open access
Lyssenko, Valeriya, Lupi, Roberto, Marchetti, Piero, Del Guerra, Silvia, Orho-Melander, Marju, Almgren, Peter, Sjögren, Marketa, Ling, Charlotte, Eriksson, Karl-Fredrik, Lethagen, υsa-Linda, Mancarella, Rita, Berglund, Göran, Tuomi, Tiinamaija, Nilsson, Peter, Del Prato, Stefano, Groop, Leif·2007·Journal of Clinical Investigation

Abstract

Genetic variants in the gene encoding for transcription factor-7-like 2 (TCF7L2) have been associated with type 2 diabetes (T2D) and impaired beta cell function, but the mechanisms have remained unknown. We therefore studied prospectively the ability of common variants in TCF7L2 to predict future T2D and explored the mechanisms by which they would do this. Scandinavian subjects followed for up to 22 years were genotyped for 3 SNPs (rs7903146, rs12255372, and rs10885406) in TCF7L2, and a subset of them underwent extensive metabolic studies. Expression of TCF7L2 was related to genotype and metabolic parameters in human islets. The CT/TT genotypes of SNP rs7903146 strongly predicted future T2D in 2 independent cohorts (Swedish and Finnish). The risk T allele was associated with impaired insulin secretion, incretin effects, and enhanced rate of hepatic glucose production. TCF7L2 expression in human islets was increased 5-fold in T2D, particularly in carriers of the TT genotype. Overexpression of TCF7L2 in human islets reduced glucose-stimulated insulin secretion. In conclusion, the increased risk of T2D conferred by variants in TCF7L2 involves the enteroinsular axis, enhanced expression of the gene in islets, and impaired insulin secretion.

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Metadata

Authors
Lyssenko, V., Lupi, R., Marchetti, P., Del Guerra, S., Orho-Melander, M., Almgren, P., Sjögren, M., Ling, C., Eriksson, K.-F., Lethagen, Υ.-L., Mancarella, R., Berglund, G., Tuomi, T., Nilsson, P., Del Prato, S., & Groop, L.
Venue
Journal of Clinical Investigation
Published
2007-08-01
Volume
117
Issue
8
Pages
2155-2163
ISSN
0021-9738 (ISSN-L)
OpenAlex
W1966650637
Cited by
829
References
15
FWCI
64.21
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Mechanisms by which common variants in the TCF7L2 gene increase risk of type 2 diabetes. https://app.cochat.ai/papers/10.1172/jci30706
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Lyssenko, V., Lupi, R., Marchetti, P., Del Guerra, S., Orho-Melander, M., Almgren, P., Sjögren, M., Ling, C., Eriksson, K.-F., Lethagen, Υ.-L., Mancarella, R., Berglund, G., Tuomi, T., Nilsson, P., Del Prato, S., & Groop, L. (2007). Mechanisms by which common variants in the TCF7L2 gene increase risk of type 2 diabetes. Journal of Clinical Investigation. https://doi.org/10.1172/jci30706

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.