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Published in: Diabetologia 8/2009

01-08-2009 | Article

Strong association of socioeconomic status with genetic ancestry in Latinos: implications for admixture studies of type 2 diabetes

Authors: J. C. Florez, A. L. Price, D. Campbell, L. Riba, M. V. Parra, F. Yu, C. Duque, R. Saxena, N. Gallego, M. Tello-Ruiz, L. Franco, M. Rodríguez-Torres, A. Villegas, G. Bedoya, C. A. Aguilar-Salinas, M. T. Tusié-Luna, A. Ruiz-Linares, D. Reich

Published in: Diabetologia | Issue 8/2009

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Abstract

Aims/hypothesis

Type 2 diabetes is more prevalent in US American minority populations of African or Native American descent than it is in European Americans. However, the proportion of this epidemiological difference that can be ascribed to genetic or environmental factors is unknown. To determine whether genetic ancestry is correlated with diabetes risk in Latinos, we estimated the proportion of European ancestry in case–control samples from Mexico and Colombia in whom socioeconomic status had been carefully ascertained.

Methods

We genotyped 67 ancestry-informative markers in 499 participants with type 2 diabetes and 197 controls from Medellín (Colombia), as well as in 163 participants with type 2 diabetes and 72 controls from central Mexico. Each participant was assigned a socioeconomic status scale via various measures.

Results

Although European ancestry was associated with lower diabetes risk in Mexicans (OR [95% CI] 0.06 [0.02–0.21], p = 2.0 × 10−5) and Colombians (OR 0.26 [0.08–0.78], p = 0.02), adjustment for socioeconomic status eliminated the association in the Colombian sample (OR 0.64 [0.19–2.12], p = 0.46) and significantly attenuated it in the Mexican sample (OR 0.17 [0.04–0.71], p = 0.02). Adjustment for BMI did not change the results.

Conclusions/interpretation

The proportion of non-European ancestry is associated with both type 2 diabetes and lower socioeconomic status in admixed Latino populations from North and South America. We conclude that ancestry-directed search for genetic markers associated with type 2 diabetes in Latinos may benefit from information involving social factors, as these factors have a quantitatively important effect on type 2 diabetes risk relative to ancestry effects.
Appendix
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Literature
1.
go back to reference Carter JS, Pugh JA, Monterrosa A (1996) Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med 125:221–232PubMed Carter JS, Pugh JA, Monterrosa A (1996) Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med 125:221–232PubMed
2.
go back to reference Bennett PH, Burch TA, Miller M (1971) Diabetes mellitus in American (Pima) Indians. Lancet 2:125–128PubMedCrossRef Bennett PH, Burch TA, Miller M (1971) Diabetes mellitus in American (Pima) Indians. Lancet 2:125–128PubMedCrossRef
3.
go back to reference Hamman RF, Bennett PH, Miller M (1978) Incidence of diabetes among the Pima Indians. Adv Metab Disord 9:49–63PubMed Hamman RF, Bennett PH, Miller M (1978) Incidence of diabetes among the Pima Indians. Adv Metab Disord 9:49–63PubMed
4.
go back to reference Knowler WC, Pettitt DJ, Saad MF, Bennett PH (1990) Diabetes mellitus in the Pima Indians: incidence, risk factors and pathogenesis. Diabetes Metab Rev 6:1–27PubMedCrossRef Knowler WC, Pettitt DJ, Saad MF, Bennett PH (1990) Diabetes mellitus in the Pima Indians: incidence, risk factors and pathogenesis. Diabetes Metab Rev 6:1–27PubMedCrossRef
5.
go back to reference Flegal KM, Ezzati TM, Harris MI et al (1991) Prevalence of diabetes in Mexican Americans, Cubans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 1982–1984. Diabetes Care 14:628–638PubMedCrossRef Flegal KM, Ezzati TM, Harris MI et al (1991) Prevalence of diabetes in Mexican Americans, Cubans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 1982–1984. Diabetes Care 14:628–638PubMedCrossRef
6.
go back to reference Stern MP, Gaskill SP, Allen CR Jr, Garza V, Gonzales JL, Waldrop RH (1981) Cardiovascular risk factors in Mexican Americans in Laredo, Texas. II. Prevalence and control of hypertension. Am J Epidemiol 113:556–562PubMed Stern MP, Gaskill SP, Allen CR Jr, Garza V, Gonzales JL, Waldrop RH (1981) Cardiovascular risk factors in Mexican Americans in Laredo, Texas. II. Prevalence and control of hypertension. Am J Epidemiol 113:556–562PubMed
7.
go back to reference Hanis CL, Ferrell RE, Barton SA et al (1983) Diabetes among Mexican Americans in Starr County, Texas. Am J Epidemiol 118:659–672PubMed Hanis CL, Ferrell RE, Barton SA et al (1983) Diabetes among Mexican Americans in Starr County, Texas. Am J Epidemiol 118:659–672PubMed
8.
go back to reference Samet JM, Coultas DB, Howard CA, Skipper BJ, Hanis CL (1988) Diabetes, gallbladder disease, obesity, and hypertension among Hispanics in New Mexico. Am J Epidemiol 128:1302–1311PubMed Samet JM, Coultas DB, Howard CA, Skipper BJ, Hanis CL (1988) Diabetes, gallbladder disease, obesity, and hypertension among Hispanics in New Mexico. Am J Epidemiol 128:1302–1311PubMed
9.
go back to reference Hamman RF, Marshall JA, Baxter J et al (1989) Methods and prevalence of non-insulin-dependent diabetes mellitus in a biethnic Colorado population. The San Luis Valley Diabetes Study. Am J Epidemiol 129:295–311PubMed Hamman RF, Marshall JA, Baxter J et al (1989) Methods and prevalence of non-insulin-dependent diabetes mellitus in a biethnic Colorado population. The San Luis Valley Diabetes Study. Am J Epidemiol 129:295–311PubMed
10.
go back to reference Haffner SM, Stern MP, Hazuda HP, Pugh JA, Patterson JK (1986) Hyperinsulinemia in a population at high risk for non-insulin-dependent diabetes mellitus. N Engl J Med 315:220–224PubMedCrossRef Haffner SM, Stern MP, Hazuda HP, Pugh JA, Patterson JK (1986) Hyperinsulinemia in a population at high risk for non-insulin-dependent diabetes mellitus. N Engl J Med 315:220–224PubMedCrossRef
11.
go back to reference Neel JV (1962) Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? Am J Hum Genet 14:353–362PubMed Neel JV (1962) Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? Am J Hum Genet 14:353–362PubMed
12.
go back to reference Gardner LI Jr, Stern MP, Haffner SM et al (1984) Prevalence of diabetes in Mexican Americans. Relationship to percent of gene pool derived from Native American sources. Diabetes 33:86–92PubMedCrossRef Gardner LI Jr, Stern MP, Haffner SM et al (1984) Prevalence of diabetes in Mexican Americans. Relationship to percent of gene pool derived from Native American sources. Diabetes 33:86–92PubMedCrossRef
13.
go back to reference Chakraborty R, Ferrell RE, Stern MP, Haffner SM, Hazuda HP, Rosenthal M (1986) Relationship of prevalence of non-insulin-dependent diabetes mellitus to Amerindian admixture in the Mexican Americans of San Antonio, Texas. Genet Epidemiol 3:435–454PubMedCrossRef Chakraborty R, Ferrell RE, Stern MP, Haffner SM, Hazuda HP, Rosenthal M (1986) Relationship of prevalence of non-insulin-dependent diabetes mellitus to Amerindian admixture in the Mexican Americans of San Antonio, Texas. Genet Epidemiol 3:435–454PubMedCrossRef
14.
go back to reference Knowler WC, Williams RC, Pettitt DJ, Steinberg AG (1988) Gm3;5, 13, 14 and type 2 diabetes mellitus: an association in American Indians with genetic admixture. Am J Hum Genet 43:520–526PubMed Knowler WC, Williams RC, Pettitt DJ, Steinberg AG (1988) Gm3;5, 13, 14 and type 2 diabetes mellitus: an association in American Indians with genetic admixture. Am J Hum Genet 43:520–526PubMed
15.
go back to reference Williams RC, Long JC, Hanson RL, Sievers ML, Knowler WC (2000) Individual estimates of European genetic admixture associated with lower body-mass index, plasma glucose, and prevalence of type 2 diabetes in Pima Indians. Am J Hum Genet 66:527–538PubMedCrossRef Williams RC, Long JC, Hanson RL, Sievers ML, Knowler WC (2000) Individual estimates of European genetic admixture associated with lower body-mass index, plasma glucose, and prevalence of type 2 diabetes in Pima Indians. Am J Hum Genet 66:527–538PubMedCrossRef
16.
go back to reference Villarreal-Molina MT, Aguilar-Salinas CA, Rodriguez-Cruz M et al (2007) The ATP-binding cassette transporter A1 R230C variant affects HDL cholesterol levels and BMI in the Mexican population: association with obesity and obesity-related comorbidities. Diabetes 56:1881–1887PubMedCrossRef Villarreal-Molina MT, Aguilar-Salinas CA, Rodriguez-Cruz M et al (2007) The ATP-binding cassette transporter A1 R230C variant affects HDL cholesterol levels and BMI in the Mexican population: association with obesity and obesity-related comorbidities. Diabetes 56:1881–1887PubMedCrossRef
17.
go back to reference Villarreal-Molina MT, Flores-Dorantes MT, Arellano-Campos O et al (2008) Association of the ATP-binding cassette transporter A1 R230C variant with early-onset type 2 diabetes in a Mexican population. Diabetes 57:509–513PubMedCrossRef Villarreal-Molina MT, Flores-Dorantes MT, Arellano-Campos O et al (2008) Association of the ATP-binding cassette transporter A1 R230C variant with early-onset type 2 diabetes in a Mexican population. Diabetes 57:509–513PubMedCrossRef
18.
go back to reference Reich DE, Gabriel SB, Altshuler D (2003) Quality and completeness of SNP databases. Nat Genet 33:457–458PubMedCrossRef Reich DE, Gabriel SB, Altshuler D (2003) Quality and completeness of SNP databases. Nat Genet 33:457–458PubMedCrossRef
19.
go back to reference Tian C, Hinds DA, Shigeta R et al (2007) A genomewide single-nucleotide-polymorphism panel for Mexican American admixture mapping. Am J Hum Genet 80:1014–1023PubMedCrossRef Tian C, Hinds DA, Shigeta R et al (2007) A genomewide single-nucleotide-polymorphism panel for Mexican American admixture mapping. Am J Hum Genet 80:1014–1023PubMedCrossRef
20.
go back to reference Price AL, Patterson N, Yu F et al (2007) A genomewide admixture map for Latino populations. Am J Hum Genet 80:1024–1036PubMedCrossRef Price AL, Patterson N, Yu F et al (2007) A genomewide admixture map for Latino populations. Am J Hum Genet 80:1024–1036PubMedCrossRef
21.
go back to reference Mao X, Bigham AW, Mei R et al (2007) A genomewide admixture mapping panel for Hispanic/Latino populations. Am J Hum Genet 80:1171–1178PubMedCrossRef Mao X, Bigham AW, Mei R et al (2007) A genomewide admixture mapping panel for Hispanic/Latino populations. Am J Hum Genet 80:1171–1178PubMedCrossRef
22.
go back to reference Parra EJ, Hoggart CJ, Bonilla C et al (2004) Relation of type 2 diabetes to individual admixture and candidate gene polymorphisms in the Hispanic American population of San Luis Valley. Colorado. J Med Genet 41:e116CrossRef Parra EJ, Hoggart CJ, Bonilla C et al (2004) Relation of type 2 diabetes to individual admixture and candidate gene polymorphisms in the Hispanic American population of San Luis Valley. Colorado. J Med Genet 41:e116CrossRef
23.
go back to reference Martinez-Marignac VL, Valladares A, Cameron E et al (2007) Admixture in Mexico City: implications for admixture mapping of type 2 diabetes genetic risk factors. Hum Genet 120:807–819PubMedCrossRef Martinez-Marignac VL, Valladares A, Cameron E et al (2007) Admixture in Mexico City: implications for admixture mapping of type 2 diabetes genetic risk factors. Hum Genet 120:807–819PubMedCrossRef
24.
go back to reference Silva Arciniega MR, Brain Calderon ML (2006) Validez y confiabilidad del estudio socioeconómico. Universidad Nacional Autónoma de México y Escuela Nacional de Trabajo Social, Mexico City Silva Arciniega MR, Brain Calderon ML (2006) Validez y confiabilidad del estudio socioeconómico. Universidad Nacional Autónoma de México y Escuela Nacional de Trabajo Social, Mexico City
25.
go back to reference Tang K, Fu DJ, Julien D, Braun A, Cantor CR, Koster H (1999) Chip-based genotyping by mass spectrometry. Proc Natl Acad Sci U S A 96:10016–10020PubMedCrossRef Tang K, Fu DJ, Julien D, Braun A, Cantor CR, Koster H (1999) Chip-based genotyping by mass spectrometry. Proc Natl Acad Sci U S A 96:10016–10020PubMedCrossRef
26.
go back to reference Smith MW, Patterson N, Lautenberger JA et al (2004) A high-density admixture map for disease gene discovery in African Americans. Am J Hum Genet 74:1001–1013PubMedCrossRef Smith MW, Patterson N, Lautenberger JA et al (2004) A high-density admixture map for disease gene discovery in African Americans. Am J Hum Genet 74:1001–1013PubMedCrossRef
27.
go back to reference Reiner AP, Ziv E, Lind DL et al (2005) Population structure, admixture, and aging-related phenotypes in African American adults: the Cardiovascular Health Study. Am J Hum Genet 76:463–477PubMedCrossRef Reiner AP, Ziv E, Lind DL et al (2005) Population structure, admixture, and aging-related phenotypes in African American adults: the Cardiovascular Health Study. Am J Hum Genet 76:463–477PubMedCrossRef
28.
go back to reference Bedoya G, Montoya P, García J et al (2006) Admixture dynamics in Hispanics: a shift in the nuclear genetic ancestry of a South American population isolate. Proc Natl Acad Sci U S A 103:7234–7239PubMedCrossRef Bedoya G, Montoya P, García J et al (2006) Admixture dynamics in Hispanics: a shift in the nuclear genetic ancestry of a South American population isolate. Proc Natl Acad Sci U S A 103:7234–7239PubMedCrossRef
29.
go back to reference Yasuda K, Miyake K, Horikawa Y et al (2008) Variants in KCNQ1 are associated with susceptibility to type 2 diabetes mellitus. Nat Genet 40:1092–1097PubMedCrossRef Yasuda K, Miyake K, Horikawa Y et al (2008) Variants in KCNQ1 are associated with susceptibility to type 2 diabetes mellitus. Nat Genet 40:1092–1097PubMedCrossRef
30.
go back to reference Unoki H, Takahashi A, Kawaguchi T et al (2008) SNPs in KCNQ1 are associated with susceptibility to type 2 diabetes in East Asian and European populations. Nat Genet 40:1098–1102PubMedCrossRef Unoki H, Takahashi A, Kawaguchi T et al (2008) SNPs in KCNQ1 are associated with susceptibility to type 2 diabetes in East Asian and European populations. Nat Genet 40:1098–1102PubMedCrossRef
31.
Metadata
Title
Strong association of socioeconomic status with genetic ancestry in Latinos: implications for admixture studies of type 2 diabetes
Authors
J. C. Florez
A. L. Price
D. Campbell
L. Riba
M. V. Parra
F. Yu
C. Duque
R. Saxena
N. Gallego
M. Tello-Ruiz
L. Franco
M. Rodríguez-Torres
A. Villegas
G. Bedoya
C. A. Aguilar-Salinas
M. T. Tusié-Luna
A. Ruiz-Linares
D. Reich
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 8/2009
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-009-1412-x

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