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Insulin gene variable number of tandem repeat genotype and the low birth weight, precocious pubarche, and hyperinsulinism sequence

Low birth weight associations with hyperinsulinemia and other adulthood disease risk factors have been described in several cohorts, including girls who present with precocious pubarche (pubic hair

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Published in:The journal of clinical endocrinology and metabolism 2001-12, Vol.86 (12), p.5788-5793
Main Authors: IBANEZ, Lourdes, KEN ONG, POTAU, Neus, MARCOS, Maria Victoria, DE ZEGHER, Francis, DUNGER, David
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container_end_page 5793
container_issue 12
container_start_page 5788
container_title The journal of clinical endocrinology and metabolism
container_volume 86
creator IBANEZ, Lourdes
KEN ONG
POTAU, Neus
MARCOS, Maria Victoria
DE ZEGHER, Francis
DUNGER, David
description Low birth weight associations with hyperinsulinemia and other adulthood disease risk factors have been described in several cohorts, including girls who present with precocious pubarche (pubic hair
doi_str_mv 10.1210/jc.86.12.5788
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We hypothesized that these associations might be influenced by the insulin gene (INS) variable number of tandem repeat (VNTR), a common polymorphism related to INS transcription levels. In 141 Caucasian girls, who presented with precocious pubarche, hyperinsulinemia was assessed from mean insulin levels during an oral glucose load (MSI), and insulin sensitivity was determined from fasting glucose and insulin levels. Fasting blood lipid profiles were also measured. DNA was genotyped for INS VNTR allele class (I or III) in precocious pubarche girls and in 140 age- and body mass index-matched control girls. INS VNTR genotype distribution was similar in precocious pubarche and control girls. However among precocious pubarche girls, INS VNTR genotype was related to the severity of phenotype; I/I and I/III genotypes had lower birth weights (P < 0.01), higher MSI (P < 0.005), and lower insulin sensitivity (P < 0.005) than III/III girls. In precocious pubarche girls, birth weight was also inversely related to MSI (r = -0.29; P < 0.0005), total cholesterol (r = -0.38; P < 0.0005), and low density lipoprotein cholesterol (r = -0.44; P < 0.0005). Using logistic regression, additive adverse effects of I/* genotype and low birth weight were seen on MSI (P = 0.03 and P = 0.004, respectively) and total cholesterol levels (P = 0.01 and P < 0.0001). In summary, in girls who presented with precocious pubarche, hyperinsulinemia and dyslipidemia were related to both low birth weight and INS VNTR class I alleles. A similar interaction between genotype and intrauterine growth restraint may underlie other reported links between low birth weight and adulthood disease risks.]]></description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.86.12.5788</identifier><identifier>PMID: 11739440</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Adolescent ; Biological and medical sciences ; Birth Weight ; Child ; Cholesterol - blood ; Diabetes. Impaired glucose tolerance ; Diseases of mother, fetus and pregnancy ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Gene Frequency ; Genetic Variation ; Gynecology. Andrology. Obstetrics ; Humans ; Hyperinsulinism - genetics ; Hyperinsulinism - physiopathology ; Infant, Low Birth Weight - physiology ; Infant, Newborn ; Insulin - blood ; Insulin - genetics ; Insulin Resistance ; Medical sciences ; Minisatellite Repeats ; Phenotype ; Pregnancy. Fetus. 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We hypothesized that these associations might be influenced by the insulin gene (INS) variable number of tandem repeat (VNTR), a common polymorphism related to INS transcription levels. In 141 Caucasian girls, who presented with precocious pubarche, hyperinsulinemia was assessed from mean insulin levels during an oral glucose load (MSI), and insulin sensitivity was determined from fasting glucose and insulin levels. Fasting blood lipid profiles were also measured. DNA was genotyped for INS VNTR allele class (I or III) in precocious pubarche girls and in 140 age- and body mass index-matched control girls. INS VNTR genotype distribution was similar in precocious pubarche and control girls. However among precocious pubarche girls, INS VNTR genotype was related to the severity of phenotype; I/I and I/III genotypes had lower birth weights (P < 0.01), higher MSI (P < 0.005), and lower insulin sensitivity (P < 0.005) than III/III girls. In precocious pubarche girls, birth weight was also inversely related to MSI (r = -0.29; P < 0.0005), total cholesterol (r = -0.38; P < 0.0005), and low density lipoprotein cholesterol (r = -0.44; P < 0.0005). Using logistic regression, additive adverse effects of I/* genotype and low birth weight were seen on MSI (P = 0.03 and P = 0.004, respectively) and total cholesterol levels (P = 0.01 and P < 0.0001). In summary, in girls who presented with precocious pubarche, hyperinsulinemia and dyslipidemia were related to both low birth weight and INS VNTR class I alleles. A similar interaction between genotype and intrauterine growth restraint may underlie other reported links between low birth weight and adulthood disease risks.]]></description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Child</subject><subject>Cholesterol - blood</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Gene Frequency</subject><subject>Genetic Variation</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hyperinsulinism - genetics</subject><subject>Hyperinsulinism - physiopathology</subject><subject>Infant, Low Birth Weight - physiology</subject><subject>Infant, Newborn</subject><subject>Insulin - blood</subject><subject>Insulin - genetics</subject><subject>Insulin Resistance</subject><subject>Medical sciences</subject><subject>Minisatellite Repeats</subject><subject>Phenotype</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Puberty, Precocious - genetics</subject><subject>Puberty, Precocious - physiopathology</subject><subject>Reference Values</subject><subject>Severity of Illness Index</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNpF0DtLBDEQB_Agip6npa2k0co9k002j1LEFxzYKNgt2dzEzbEvk13F1k9uzjuwmmH4ZSb8ETqjZEFzSq7XdqFEaheFVGoPzajmRSaplvtoRkhOMy3ztyN0HOOaEMp5wQ7REaWSac7JDP08dXFqfIffoQP8aYI3VQO4m9oKAu4dHk23ghYHGMCMG9WP3wPgNMVjDbjpv3Dlw1jjL_Dv9XiFhwC2t76fIh6mygRbw9Ufr9O74LfnfGxxhI8JOgsn6MCZJsLprs7R6_3dy-1jtnx-eLq9WWaWUT1mgkpwylnLlRDCMqclkSvBnVKgC0aIYZwC0UmwPFeFIya3GqSWSlhNVmyOLrd7h9Cny3EsWx8tNI3pIP22lDnjrNB5gtkW2tDHGMCVQ_CtCd8lJeUm9HJtSyVSW25CT_58t3iqWlj9613KCVzsgInWNC6Yzvr47zgVUnLJfgH8Iowq</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>IBANEZ, Lourdes</creator><creator>KEN ONG</creator><creator>POTAU, Neus</creator><creator>MARCOS, Maria Victoria</creator><creator>DE ZEGHER, Francis</creator><creator>DUNGER, David</creator><general>Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Insulin gene variable number of tandem repeat genotype and the low birth weight, precocious pubarche, and hyperinsulinism sequence</title><author>IBANEZ, Lourdes ; KEN ONG ; POTAU, Neus ; MARCOS, Maria Victoria ; DE ZEGHER, Francis ; DUNGER, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-617ef8fcc48666c3f9707d64f88e95300a341e09fcc32285f0a2c9e79786c90d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Child</topic><topic>Cholesterol - blood</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Gene Frequency</topic><topic>Genetic Variation</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hyperinsulinism - genetics</topic><topic>Hyperinsulinism - physiopathology</topic><topic>Infant, Low Birth Weight - physiology</topic><topic>Infant, Newborn</topic><topic>Insulin - blood</topic><topic>Insulin - genetics</topic><topic>Insulin Resistance</topic><topic>Medical sciences</topic><topic>Minisatellite Repeats</topic><topic>Phenotype</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Puberty, Precocious - genetics</topic><topic>Puberty, Precocious - physiopathology</topic><topic>Reference Values</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>IBANEZ, Lourdes</creatorcontrib><creatorcontrib>KEN ONG</creatorcontrib><creatorcontrib>POTAU, Neus</creatorcontrib><creatorcontrib>MARCOS, Maria Victoria</creatorcontrib><creatorcontrib>DE ZEGHER, Francis</creatorcontrib><creatorcontrib>DUNGER, David</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>IBANEZ, Lourdes</au><au>KEN ONG</au><au>POTAU, Neus</au><au>MARCOS, Maria Victoria</au><au>DE ZEGHER, Francis</au><au>DUNGER, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insulin gene variable number of tandem repeat genotype and the low birth weight, precocious pubarche, and hyperinsulinism sequence</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>86</volume><issue>12</issue><spage>5788</spage><epage>5793</epage><pages>5788-5793</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract><![CDATA[Low birth weight associations with hyperinsulinemia and other adulthood disease risk factors have been described in several cohorts, including girls who present with precocious pubarche (pubic hair <8 yr). We hypothesized that these associations might be influenced by the insulin gene (INS) variable number of tandem repeat (VNTR), a common polymorphism related to INS transcription levels. In 141 Caucasian girls, who presented with precocious pubarche, hyperinsulinemia was assessed from mean insulin levels during an oral glucose load (MSI), and insulin sensitivity was determined from fasting glucose and insulin levels. Fasting blood lipid profiles were also measured. DNA was genotyped for INS VNTR allele class (I or III) in precocious pubarche girls and in 140 age- and body mass index-matched control girls. INS VNTR genotype distribution was similar in precocious pubarche and control girls. However among precocious pubarche girls, INS VNTR genotype was related to the severity of phenotype; I/I and I/III genotypes had lower birth weights (P < 0.01), higher MSI (P < 0.005), and lower insulin sensitivity (P < 0.005) than III/III girls. In precocious pubarche girls, birth weight was also inversely related to MSI (r = -0.29; P < 0.0005), total cholesterol (r = -0.38; P < 0.0005), and low density lipoprotein cholesterol (r = -0.44; P < 0.0005). Using logistic regression, additive adverse effects of I/* genotype and low birth weight were seen on MSI (P = 0.03 and P = 0.004, respectively) and total cholesterol levels (P = 0.01 and P < 0.0001). In summary, in girls who presented with precocious pubarche, hyperinsulinemia and dyslipidemia were related to both low birth weight and INS VNTR class I alleles. A similar interaction between genotype and intrauterine growth restraint may underlie other reported links between low birth weight and adulthood disease risks.]]></abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>11739440</pmid><doi>10.1210/jc.86.12.5788</doi><tpages>6</tpages></addata></record>
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source Oxford Journals Online
subjects Adolescent
Biological and medical sciences
Birth Weight
Child
Cholesterol - blood
Diabetes. Impaired glucose tolerance
Diseases of mother, fetus and pregnancy
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Gene Frequency
Genetic Variation
Gynecology. Andrology. Obstetrics
Humans
Hyperinsulinism - genetics
Hyperinsulinism - physiopathology
Infant, Low Birth Weight - physiology
Infant, Newborn
Insulin - blood
Insulin - genetics
Insulin Resistance
Medical sciences
Minisatellite Repeats
Phenotype
Pregnancy. Fetus. Placenta
Puberty, Precocious - genetics
Puberty, Precocious - physiopathology
Reference Values
Severity of Illness Index
title Insulin gene variable number of tandem repeat genotype and the low birth weight, precocious pubarche, and hyperinsulinism sequence
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