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Role of genetic variation in the human sodium–glucose cotransporter 2 gene (SGLT2) in glucose homeostasis

    Uta Enigk*

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    *Authors contributed equally

    Search for more papers by this author

    ,
    Jana Breitfeld*

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    *Authors contributed equally

    Search for more papers by this author

    ,
    Dorit Schleinitz

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    ,
    Kerstin Dietrich

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    ,
    Jan Halbritter

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    ,
    Antje Fischer-Rosinsky

    Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Department of Endocrinology, Diabetes & Nutrition, Berlin, Germany

    German Institute of Human Nutrition Potsdam-Rehbrücke, Department of Clinical Nutrition, Nuthetal, Germany

    ,
    Beate Enigk

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    ,
    Ines Müller

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    ,
    Joachim Spranger

    Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Department of Endocrinology, Diabetes & Nutrition, Berlin, Germany

    German Institute of Human Nutrition Potsdam-Rehbrücke, Department of Clinical Nutrition, Nuthetal, Germany

    ,
    Andreas Pfeiffer

    Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Department of Endocrinology, Diabetes & Nutrition, Berlin, Germany

    German Institute of Human Nutrition Potsdam-Rehbrücke, Department of Clinical Nutrition, Nuthetal, Germany

    ,
    Michael Stumvoll

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    , &
    Anke Tönjes

    Interdisciplinary Centre for Clinical Research, University of Leipzig, Leipzig, Germany

    Published Online:https://doi.org/10.2217/pgs.11.69

    Aims: Mutations in the sodium–glucose cotransporter 2 (SGLT2), as well as treatment with SGLT2 inhibitors result in reduced fasting glucose levels, HbA1c and BMI. We therefore investigated the effects of common genetic variation in SGLT2 on human Type 2 diabetes and related traits. Materials & methods: Four HapMap tagging SNPs covering the common genetic variation in SGLT2 (r2 > 0.8 and minor allele frequency >0.01) were genotyped for subsequent association studies on BMI, Type 2 diabetes and related metabolic traits in 1013 Sorbs (Germany). An independent cohort from Berlin (n = 2042) was taken for replication. Results: The rs9934336 G-allele was nominally associated with increased 30-min plasma glucose, 120-min insulin concentrations and AUC120minglucose during oral glucose tolerance test in 907 nondiabetic Sorbs (p < 0.05). In the combined analysis including the Sorbs and the Berlin cohort, rs9934336 was nominally associated with 120-min insulin concentrations (adjusted p < 0.05) in nondiabetic subjects (n = 2590). Conclusion: Our data suggest a role of SGLT2 genetic variation in the regulation of glucose homeostasis and promote pharmacogenomic studies to clarify the efficacy of antidiabetic treatment by SGLT2 inhibitors.

    Original submitted 2 March 2011; Revision submitted 22 April 2011

    Papers of special note have been highlighted as: ▪ of interest ▪▪ of considerable interest

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