Keeping with the diabetes theme, the first genome-wide association study of Type II diabetes has been published, and it's extraordinarily promising. Besides picking up the oft-replicated TCF7L2 gene mentioned before, they pick up three other loci, including finding a non-synonymous mutations in a zinc transporter. That's notable because 1. non-synonymous mutations clearly can have phenotypic effects (there's no wondering, could this really do something?), and 2. drug targeting of zinc transport is feasible (TCF7L2 is a transcription factor, and when you start playing with transcription factors you risk messing with a lot of pathways). The news article accompanying this study has some good perspective:

In 1918, Ronald Aylmer Fisher, an evolutionary biologist and pioneer of modern statistics, published a paper on the genetic causes of disease that brought together two rival factions. Geneticists promoted a paradigm in which diseases worked a lot like Mendel's pea plants, with just one or two genes responsible for each condition. Biometricians, however, advocated a continuous distribution of phenotypes. Fisher suggested that many mendelian traits could result in the continuous distribution of a disease. In doing so, he established the conceptual basis for the search for complex disease genes that continues today.

But Fisher's theories had a more immediate impact on animals and agriculture than on medicine — in people, it's much easier to study and measure mendelian diseases and traits. Even the much-heralded Human Genome Project in the 1990s didn't help as much as expected.
...
It has taken time for big GWA studies to be completed. "Many people didn't know how much association studies would deliver," says Peter Donnelly, a lead investigator of the Wellcome Trust Case Control Consortium, which began collecting samples for GWA studies in 2005.

Yet new results, including a study on type 2 diabetes published this week, suggest that the GWA approach will bear fruit, and lots of it....Modern biology may finally have begun to bring technological and scientific rigour to Fisher's decades-old insights.

Labels: Association, Diabetes, Genetics

Speaking of the thrifty genotype hypothesis, a new paper from the cats at deCODE Genetics takes an in depth look at one of the loci consistently implicated in Type II diabetes. According to the authors, the succeptibility allele is ancestral, and the other, non-ancestral allele shows signs of being under recent positive selection in all the populations studied. Even more interestingly, the protective allele is associated with decreases in levels of circulating ghrelin (a hormone that increases appetite) and increases in levels of circulating leptin (a hormone that decreases appetite). This would seem, by my reckoning, to be consistent with the thrifty genotype hypothesis. In addition,

We obtained rough age estimates for HapA [the protective allele] based on its recombination history: 11,933, 8,401 and 4,051 years for the CEU, East Asian and YRI HapMap groups, respectively. Although tentative, these ages coincide broadly with the onset of agriculture in the three geographic regions represented by the HapMap groups.

On the other hand, the succeptibility allele is associated with decreased BMI after controlling for diabetic status, though I'm not sure that has any bearing on the hypothesis.

The authors conclude, bizarrely, "we note our findings contradict a key prediction of the thrifty-genotype hypothesis, insofar as HapBT2D, a major risk factor for type 2 diabetes, is negatively associated with BMI and is not the variant that contributed to adaptive evolution in the recent past."

Huh?

I can only conclude, based on that statement, that the authors aren't really clear on what the thrifty genotype hypothesis is. The original Neel paper (which is cited in this paper, so the authors have hopefully read it) makes a few simple claims, the most important of which is that the "diabetic genotype" was favorable up until the transition from the hunter-gatherer lifestyle to agriculture. It certainly does not claim that a diabetes-causing allele should be under recent positive selection, nor am I sure how anyone could get that impression. I'm inclined to take the exact opposite conclusion from this paper than the authors--that is, this data seems to support, rather than contradict, a key prediction of the thrifty genotype hypothesis, insofar as the ancestral allele leads to succeptibility, and the derived allele, which arose at about the time of agriculture, mat be associated with reduced appetite.

Labels: Association, Diabetes, Genetics