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Journal of Clinical Endocrinology & Metabolism , doi:10.1210/jc.2009-0392
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The Journal of Clinical Endocrinology & Metabolism Vol. 94, No. 7 2587-2593
Copyright © 2009 by The Endocrine Society

A Single Nucleotide Polymorphism on Exon-4 of the Gene Encoding PPAR{delta} Is Associated with Reduced Height in Adults and Children

Lindsay R. Burch, Kaixin Zhou, Louise A. Donnelly, Alex S. F. Doney, Jeffrey Brady, Catharine Goddard, Andrew D. Morris, Michael K. Hansen and Colin N. A. Palmer

Biomedical Research Institute (L.R.B., K.Z., L.A.D., A.S.F.D., A.D.M., C.N.A.P.), Ninewells Hospital, University of Dundee, and Translational Medicine Research Colaboration (J.B., C.G.) DD1-9SY, Dundee, U.K.; and Wyeth Research (M.K.H.), Collegeville, Pennsylvania 19426

Address all correspondence and requests for reprints to: Colin N. A. Palmer, Biomedical Research Institute, Ninewells Hospital and Medical School, Dundee DD1-9SY, United Kingdom. E-mail: colin.palmer{at}cancer.org.uk.

Context: Peroxisome proliferator-activated receptor (PPAR)-{delta} is a nuclear transcription factor that plays a key role in many metabolic processes, including energy metabolism, and lipid and glucose metabolism. Candidate gene studies have identified a putative functional variant, rs2016520, in the gene encoding PPAR{delta} (PPARD), which is associated in some studies with metabolic traits. In addition, this single-nucleotide polymorphism was associated with adult height in several whole-genome scans, but this association did not achieve whole genome significance.

Objective: This study sought to determine whether PPARD variation influenced height.

Design: Haplotype tagging analysis across PPARD was performed in about 11,000 individuals from the Wellcome Trust U.K. Type 2 Diabetes Case Control Collection (Go-DARTS2).

Results: There was an association between rs2016520 and height in both patients with type 2 diabetes and controls without diabetes (combined P = 5 x 10–5). In a metaanalysis using published data from Caucasian cohorts totaling more than 38,000 participants, compelling evidence was found for this locus and its association with height (P = 10–8) with an overall effect size of about 0.5 cm per allele. A similar analysis in a group of 2700 prepubescent children also displayed a similar effect size to that seen in the adults.

Conclusion: PPARD variation is clearly associated with a phenotype of reduced stature in both adults and children. Because height is an important indicator of metabolic and nutritional status, this provides additional support for a key role for PPAR{delta} in critical metabolic functions. PPAR{delta} may affect height through a variety of mechanisms including altered metabolic efficiency or effects on osteoclast function.




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