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Submitted on March 9, 2006
Accepted on September 5, 2006
Medical Department III, University of Leipzig, Leipzig, Germany; University Hospital for Children and Adolescents, University of Leipzig, Leipzig, Germany; Vestische Hospital for Children and Adolescents Datteln, University of Witten/Herdecke, Datteln, Germany
* To whom correspondence should be addressed. E-mail: peter.kovacs{at}medizin.uni-leipzig.de.
Context: ENPP1 (nucleotide pyrophosphatase/phosphodiesterase-1) encodes a membrane-bound glycoprotein that inhibits the insulin-receptor tyrosine kinase activity, resulting in reduced insulin sensitivity. Hence, variants in this gene may be related to obesity and insulin resistance.
Objective: In this study, we therefore aimed to explore the role of ENPP1 genetic variants in obesity and related traits in a representative population of Caucasian children and in cohorts of obese children with detailed metabolic characteristics including oral glucose tolerance test.
Design: We genotyped the K121Q, IVS20delT-11 and A/G+1044TGA ENPP1 genetic variants for association analyses in 712 schoolchildren (346 boys and 366 girls; mean age 12 ± 3 yr; mean BMI-SDS (SD-score) 0.09 ± 0.04) and in independent cohorts of 205 obese children from Leipzig and 195 obese children from Datteln, Germany.
Results: We identified a significantly increased risk of obesity in Leipzig children carrying the 121Q variant (adjusted OR: 1.82, 95%CI 1.30-2.56, P = 0.0005) or the [Q-delT-G] haplotype (and 1.75 (1.17-2.62), P = 0.006) as compared with a lean control group. This was replicated in another independent obesity/overweight cohort from Leipzig as well as obese children from Datteln. In addition, obese children from Leipzig with the [Q-delT-G] haplotype were characterized by impaired glucose metabolism, while the [K-delT-G] and [K-insT-A] haplotypes were significantly associated with improved insulin sensitivity and glucose metabolism (all P < 0.05 after adjusting for age, gender and BMI).
Conclusions: In conclusion, our study suggests a potential role of the K121Q polymorphism or derived ENPP1 haplotypes in increased susceptibility to obesity and early impairment of glucose and insulin metabolism in children.
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