Aug 23, 2012

TCF7L2 rs7903146 impairs islet function and morphology in non-diabetic individuals

Diabetologia
O Le BacquerF Pattou

Abstract

Transcription factor 7-like 2 (TCF7L2) is a Wnt-signalling-associated transcription factor. Genetic studies have clearly demonstrated that DNA polymorphisms within TCF7L2 confer the strongest known association with increased risk of type 2 diabetes. However, the impact of the TCF7L2 type-2-diabetes-associated rs7903146 T allele on biological function and morphology of human pancreatic islets is unknown. Paraffin sections of pancreases from 187 brain-deceased donors (HbA(1c) <6.5% [48 mmol/mol]) were used to genotype the TCF7L2 variant rs7903146 and evaluate its impact on islet morphology and alpha and beta cell subpopulations following immunostaining for glucagon and C-peptide. Following islet isolation, we investigated the correlation between TCF7L2 genotype and in vitro islet functional variables from our in-house pancreatic database. TCF7L2 rs7903146 (T/T) was associated with reduced basal and glucose-stimulated insulin secretion in isolated human islets, and reduced islet density in whole pancreas. Morphological analysis demonstrated islet size was increased in T/T carriers. Furthermore, rs7903146 was associated with an increased glucagon/C-peptide ratio, especially in bigger islets. The TCF7L2 variant rs7903146 risk allele...Continue Reading

Mentioned in this Paper

Diabetes Mellitus, Non-Insulin-Dependent
Glucagon (rDNA)
Structure of Beta Cell of Islet
TCF7L2
Science of Morphology
Benign Tumor of Pancreas
Cessation of Life
C-Peptide
Glucagon
Insulin C-peptide Measurement

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