Polymorphisms in FTO and TCF7L2 genes of Euro-Brazilian women with
gestational diabetes
Sandra Fabrico de Melo
a
, Henrique Ravanhol Frigeri
a,b
, Izabella Castilhos Ribeiro dos Santos-Weiss
a
,
Rosângela Roginski Réa
c
, Emanuel Maltempi de Souza
d
, Dayane Alberton
a
,
Fabiane Gomes de Moraes Rego
a
, Geraldo Picheth
a,
⁎
a
Post-Graduate Program in Pharmaceutical Science, Federal University of Parana, Brazil
b
Health and Biosciences School, Pontifical Catholic University of Parana, Curitiba, Parana, Brazil
c
Endocrinology and Metabolism Service (SEMPR), Clinical Hospital, Federal University of Parana, Brazil
d
Department of Biochemistry and Molecular Biology, Federal University of Parana, Brazil
abstract article info
Article history:
Received 27 February 2015
Received in revised form 14 May 2015
Accepted 15 June 2015
Available online xxxx
Keywords:
Gestational diabetes mellitus
FTO
TCF7L2
Polymorphisms
Case-controlled study
SNP
Objective: To investigate the association between fat mass and obesity-associated (FTO) gene polymor-
phisms rs8050136C N A and rs9939609T N A, and transcription factor 7-like 2 (TCF7L2) gene polymorphisms
rs12255372G N T and rs7903146C N T, in a sample group of pregnant Euro-Brazilian women with or without
gestational diabetes mellitus (GDM).
Methods: Subjects were classified as either healthy pregnant control (n = 200) or GDM (n = 200) according
to the 2010 criteria of the American Diabetes Association. The polymorphisms were genotyped using fluorescent
probes (TaqMan®).
Results: All groups were in the Hardy–Weinberg equilibrium. The genotype and allele frequencies of the
examined polymorphisms did not exhibit significant difference (P N 0.05) between the groups. In the healthy
and GDM pregnant women groups, the A-allele frequencies (95% CI) of FTO polymorphisms rs8050136 and
rs9939609 were 39% (34–44%); 38% (33–43%) and 40% (35–45%); 41% (36–46%), respectively; and the T-allele
frequencies of TCF7L2 polymorphisms rs12255372 and rs7903146 were 30% (26–35%), 32% (27–37%) and 29%
(25–34%), 36% (31–41%), respectively.
Conclusion: The examined polymorphisms were not associated with GDM in the Euro-Brazilian population
studied.
© 2015 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
Introduction
Gestational diabetes mellitus (GDM) is a type of diabetes diagnosed
during pregnancy, which is not considered to be overt diabetes; GDM
affects 1–14% of all pregnancies worldwide, with rising incidence level
[1]. GDM occurs in about 7% of pregnancies in Brazil, a prevalence that
is rapidly increasing in association with the obesity epidemic [2].
Chronic hyperglycemia in GDM is associated with an increase in
the morbimortality of both the mother and fetus [3]. Patients with
GDM have increased risk of developing type 2 diabetes (T2D), and the
children of GDM mothers are more susceptible to diabetes and obesity
in adult life [1].
Obesity and family history of diabetes are two major risk factors
common to GDM and T2D [4]. These similarities suggest that both
these diseases could share genetic factors such as single nucleotide
polymorphisms (SNPs) involved in disease predisposition [5].
Fat mass and obesity-associated (FTO) is a protein-coding gene
located in chromosome region 16q12.2 (NCBI GeneID: 79068). It was
initially described in mice and encodes for a 502 amino acid protein
[6]. The FTO is associated with the control of food intake and energy
balance. However, the function of FTO remains to be elucidated [7].
Polymorphisms (SNPs) in this gene have been associated with obesity
in European subjects, as well as with the increase of fat mass in other
populations [7–9]. FTO SNPs rs8050136C N A and rs9939609T N A were
shown to be associated with fat body mass accumulation and obesity
in several studies, primarily among Asians and Europeans [6,10,11].
The transcription factor 7-like 2 (TCF7L2) gene is located in chromo-
some region 10q25.3 (NCBI GeneID: 6934), and encodes for a protein of
596 amino acids [12]. The TCF7L2 protein is involved in the Wnt signal-
ing pathway. The Wnt glycoprotein enhances the formation of heterodi-
mers of beta-catenin with TCF7L2, which induces the expression
of several genes such as glucagon-like peptide-1 (GLP-1), insulin, and
Clinical Biochemistry xxx (2015) xxx–xxx
⁎ Corresponding author at: Clinical Analysis Department, Federal University of Paraná,
Curitiba, Parana, Brazil Rua Prefeito Lothário Meissner, 632, 80210-170 Curitiba, PR, Brazil.
E-mail address: gpicheth@ufpr.br (G. Picheth).
CLB-09055; No. of pages: 4; 4C:
http://dx.doi.org/10.1016/j.clinbiochem.2015.06.013
0009-9120/© 2015 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
Contents lists available at ScienceDirect
Clinical Biochemistry
journal homepage: www.elsevier.com/locate/clinbiochem
Please cite this article as: de Melo SF, et al, Polymorphisms in FTO and TCF7L2 genes of Euro-Brazilian women with gestational diabetes, Clin
Biochem (2015), http://dx.doi.org/10.1016/j.clinbiochem.2015.06.013