Review Article

Genetic Variance in Uncoupling Protein 2 in Relation to Obesity, Type 2 Diabetes, and Related Metabolic Traits: Focus on the Functional −866G>A Promoter Variant (rs659366)

Table 3

Summary of association or prospective studies of the UCP2 promoter −866G>A (rs659366) polymorphism in relation to type 2 diabetes and intermediary phenotype.

Ethnic population (Allele frequency in %) (Allele frequency in %)PhenotypesReference

Caucasian201 (41.2)391 (32.5)A-allele associated with type 2 diabetes increased disposition indexKrempler et al. 2002 [70]

Caucasian565 (32.4)483 (33.6)AA genotype decreased insulin sensitivity and was associated with type 2 diabetesD’Adamo et al. 2004 [80]

Caucasian2595 (37.0)AA genotype increased risk of type 2 diabetes, especially combined with obesityGable et al. 2006 [99] P

Caucasian302 (28.8)A-allele associated with decreased insulin secretion. Isolated islets of A-allele carriers had decreased in vitro insulin secretionSesti et al. 2003 [72]

Caucasian131 (33.0)118 (48.0)G-allele associated with type 2 diabetes and increased adipose tissue mRNAWang et al. 2004 [73]

Caucasian746 (28.6)327 (34.5)G-allele associated with type 2 diabetesBulotta et al. 2005 [82]

Caucasian2216 (38.1)GG genotype increased risk of type 2 diabetesLyssenko et al. 2005 [100] P

Indian762 (35.0) 924 (41.0)G-allele associated with type 2 diabetesRai et al. 2007 [101]

Caucasian3122 (36.7)GG genotype increased risk of MI in menCheurfa et al. 2008 [102]P

Caucasian589 (38.2)AA genotype borderline associated with increased fasting insulin levelsEsterbauer et al. 2001 [74]

Pima Indian864 (54.0)Not associated with type 2 diabetes within group. AA genotype borderline associated with decreased insulin sensitivity Kovacs et al. 2005 [83]
263 (55.5)

Various15842198 (35.4–46.7)Not associated with type 2 diabetesHsu et al. 2008 [87]

Japanese413 (47.2)172 (43.1)Not associated with type 2 diabetes, but A-allele showed higher transcriptional activity and carriers had decreased AIRSasahara et al. 2004 [71]

Caucasian235 (43.2)No association with changes fasting p-glucose or s-insulin in glucose-tolerant subjects Dalgaard et al. 2003 [60]
410 (34.5)

Caucasian507AA genotype decreased total cholesterol and decreased LDL-cholesterol.Salopuro et al. 2009 [88]P

Caucasian296 (37.0)No influence on insulin sensitivityLe Fur et al. 2004 [89]

Caucasian375 (41.3)2316 (35.8)A-allele associated with increased type 2 diabetes risk, increased risk of CAD and systolic BP, and increased oxidative stressDhamrait et al. 2004 [77]

Various901 (39.4)Diabetic A-allele carriers poor survival after MIPalmer et al. 2009 [103]P

Caucasian453 (33.0–36.0)AA genotype associated with increased oxidative stress and CADStephens et al. 2008 [104]

Caucasian227 (39.3)Diab. neuropathy lower in AA genotypeRudofsky et al. [105]

Caucasian280 (39.3)GG genotype associated with low-grade inflammation, but not insulin levelsLabayen et al. 2009 [106]

Caucasian383 (31.9)GG genotype associated with increased CRPLapice et al. 2010 [107]

PDenotes prospective study. Disposition index: the product of Si and AIR. Abbreviations: Si: insulin sensitivity; AIR: acute insulin response; MI: myocardial infarct; LDL: low density lipoprotein; CRP: C-reactive protein; CAD: coronary artery disease.