Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers.
AIMS/HYPOTHESIS: The common muscle-specific TBC1D4 p.Arg684Ter loss-of-function variant defines a subtype of non-autoimmune diabetes in Arctic populations. Homozygous carriers are characterised by elevated postprandial glucose and insulin levels. Because 3.8% of the Greenlandic population are homozy...
Main Authors: | , , , , , , , , , , , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Springer Science and Business Media LLC
2021
|
Subjects: | |
Online Access: | https://www.repository.cam.ac.uk/handle/1810/321851 https://doi.org/10.17863/CAM.69310 |
id |
ftunivcam:oai:www.repository.cam.ac.uk:1810/321851 |
---|---|
record_format |
openpolar |
spelling |
ftunivcam:oai:www.repository.cam.ac.uk:1810/321851 2024-02-04T09:57:56+01:00 Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. Schnurr, Theresia M Jørsboe, Emil Chadt, Alexandra Dahl-Petersen, Inger K Kristensen, Jonas M Wojtaszewski, Jørgen FP Springer, Christian Bjerregaard, Peter Brage, Søren Pedersen, Oluf Moltke, Ida Grarup, Niels Al-Hasani, Hadi Albrechtsen, Anders Jørgensen, Marit E Hansen, Torben 2021-08 Print-Electronic application/pdf https://www.repository.cam.ac.uk/handle/1810/321851 https://doi.org/10.17863/CAM.69310 eng eng Springer Science and Business Media LLC http://dx.doi.org/10.1007/s00125-021-05461-z Diabetologia https://www.repository.cam.ac.uk/handle/1810/321851 doi:10.17863/CAM.69310 Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ Arctic Gene-environment interaction Lifestyle therapy Physical activity Postprandial hyperglycaemia TBC1D4 loss-of-function Adult Blood Glucose Diabetes Mellitus Type 2 Exercise Female GTPase-Activating Proteins Genetic Predisposition to Disease Genotyping Techniques Glucose Tolerance Test Greenland Humans Hyperglycemia Insulin Inuit Life Style Loss of Function Mutation Male Middle Aged Postprandial Period Article 2021 ftunivcam https://doi.org/10.17863/CAM.69310 2024-01-11T23:25:20Z AIMS/HYPOTHESIS: The common muscle-specific TBC1D4 p.Arg684Ter loss-of-function variant defines a subtype of non-autoimmune diabetes in Arctic populations. Homozygous carriers are characterised by elevated postprandial glucose and insulin levels. Because 3.8% of the Greenlandic population are homozygous carriers, it is important to explore possibilities for precision medicine. We aimed to investigate whether physical activity attenuates the effect of this variant on 2 h plasma glucose levels after an oral glucose load. METHODS: In a Greenlandic population cohort (n = 2655), 2 h plasma glucose levels were obtained after an OGTT, physical activity was estimated as physical activity energy expenditure and TBC1D4 genotype was determined. We performed TBC1D4-physical activity interaction analysis, applying a linear mixed model to correct for genetic admixture and relatedness. RESULTS: Physical activity was inversely associated with 2 h plasma glucose levels (β[main effect of physical activity] -0.0033 [mmol/l] / [kJ kg-1 day-1], p = 6.5 × 10-5), and significantly more so among homozygous carriers of the TBC1D4 risk variant compared with heterozygous carriers and non-carriers (β[interaction] -0.015 [mmol/l] / [kJ kg-1 day-1], p = 0.0085). The estimated effect size suggests that 1 h of vigorous physical activity per day (compared with resting) reduces 2 h plasma glucose levels by an additional ~0.7 mmol/l in homozygous carriers of the risk variant. CONCLUSIONS/INTERPRETATION: Physical activity improves glucose homeostasis particularly in homozygous TBC1D4 risk variant carriers via a skeletal muscle TBC1 domain family member 4-independent pathway. This provides a rationale to implement physical activity as lifestyle precision medicine in Arctic populations. DATA REPOSITORY: The Greenlandic Cardio-Metabochip data for the Inuit Health in Transition study has been deposited at the European Genome-phenome Archive ( https://www.ebi.ac.uk/ega/dacs/EGAC00001000736 ) under accession EGAD00010001428. Article in Journal/Newspaper Arctic Greenland greenlandic inuit Apollo - University of Cambridge Repository Arctic Greenland |
institution |
Open Polar |
collection |
Apollo - University of Cambridge Repository |
op_collection_id |
ftunivcam |
language |
English |
topic |
Arctic Gene-environment interaction Lifestyle therapy Physical activity Postprandial hyperglycaemia TBC1D4 loss-of-function Adult Blood Glucose Diabetes Mellitus Type 2 Exercise Female GTPase-Activating Proteins Genetic Predisposition to Disease Genotyping Techniques Glucose Tolerance Test Greenland Humans Hyperglycemia Insulin Inuit Life Style Loss of Function Mutation Male Middle Aged Postprandial Period |
spellingShingle |
Arctic Gene-environment interaction Lifestyle therapy Physical activity Postprandial hyperglycaemia TBC1D4 loss-of-function Adult Blood Glucose Diabetes Mellitus Type 2 Exercise Female GTPase-Activating Proteins Genetic Predisposition to Disease Genotyping Techniques Glucose Tolerance Test Greenland Humans Hyperglycemia Insulin Inuit Life Style Loss of Function Mutation Male Middle Aged Postprandial Period Schnurr, Theresia M Jørsboe, Emil Chadt, Alexandra Dahl-Petersen, Inger K Kristensen, Jonas M Wojtaszewski, Jørgen FP Springer, Christian Bjerregaard, Peter Brage, Søren Pedersen, Oluf Moltke, Ida Grarup, Niels Al-Hasani, Hadi Albrechtsen, Anders Jørgensen, Marit E Hansen, Torben Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
topic_facet |
Arctic Gene-environment interaction Lifestyle therapy Physical activity Postprandial hyperglycaemia TBC1D4 loss-of-function Adult Blood Glucose Diabetes Mellitus Type 2 Exercise Female GTPase-Activating Proteins Genetic Predisposition to Disease Genotyping Techniques Glucose Tolerance Test Greenland Humans Hyperglycemia Insulin Inuit Life Style Loss of Function Mutation Male Middle Aged Postprandial Period |
description |
AIMS/HYPOTHESIS: The common muscle-specific TBC1D4 p.Arg684Ter loss-of-function variant defines a subtype of non-autoimmune diabetes in Arctic populations. Homozygous carriers are characterised by elevated postprandial glucose and insulin levels. Because 3.8% of the Greenlandic population are homozygous carriers, it is important to explore possibilities for precision medicine. We aimed to investigate whether physical activity attenuates the effect of this variant on 2 h plasma glucose levels after an oral glucose load. METHODS: In a Greenlandic population cohort (n = 2655), 2 h plasma glucose levels were obtained after an OGTT, physical activity was estimated as physical activity energy expenditure and TBC1D4 genotype was determined. We performed TBC1D4-physical activity interaction analysis, applying a linear mixed model to correct for genetic admixture and relatedness. RESULTS: Physical activity was inversely associated with 2 h plasma glucose levels (β[main effect of physical activity] -0.0033 [mmol/l] / [kJ kg-1 day-1], p = 6.5 × 10-5), and significantly more so among homozygous carriers of the TBC1D4 risk variant compared with heterozygous carriers and non-carriers (β[interaction] -0.015 [mmol/l] / [kJ kg-1 day-1], p = 0.0085). The estimated effect size suggests that 1 h of vigorous physical activity per day (compared with resting) reduces 2 h plasma glucose levels by an additional ~0.7 mmol/l in homozygous carriers of the risk variant. CONCLUSIONS/INTERPRETATION: Physical activity improves glucose homeostasis particularly in homozygous TBC1D4 risk variant carriers via a skeletal muscle TBC1 domain family member 4-independent pathway. This provides a rationale to implement physical activity as lifestyle precision medicine in Arctic populations. DATA REPOSITORY: The Greenlandic Cardio-Metabochip data for the Inuit Health in Transition study has been deposited at the European Genome-phenome Archive ( https://www.ebi.ac.uk/ega/dacs/EGAC00001000736 ) under accession EGAD00010001428. |
format |
Article in Journal/Newspaper |
author |
Schnurr, Theresia M Jørsboe, Emil Chadt, Alexandra Dahl-Petersen, Inger K Kristensen, Jonas M Wojtaszewski, Jørgen FP Springer, Christian Bjerregaard, Peter Brage, Søren Pedersen, Oluf Moltke, Ida Grarup, Niels Al-Hasani, Hadi Albrechtsen, Anders Jørgensen, Marit E Hansen, Torben |
author_facet |
Schnurr, Theresia M Jørsboe, Emil Chadt, Alexandra Dahl-Petersen, Inger K Kristensen, Jonas M Wojtaszewski, Jørgen FP Springer, Christian Bjerregaard, Peter Brage, Søren Pedersen, Oluf Moltke, Ida Grarup, Niels Al-Hasani, Hadi Albrechtsen, Anders Jørgensen, Marit E Hansen, Torben |
author_sort |
Schnurr, Theresia M |
title |
Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
title_short |
Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
title_full |
Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
title_fullStr |
Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
title_full_unstemmed |
Physical activity attenuates postprandial hyperglycaemia in homozygous TBC1D4 loss-of-function mutation carriers. |
title_sort |
physical activity attenuates postprandial hyperglycaemia in homozygous tbc1d4 loss-of-function mutation carriers. |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
https://www.repository.cam.ac.uk/handle/1810/321851 https://doi.org/10.17863/CAM.69310 |
geographic |
Arctic Greenland |
geographic_facet |
Arctic Greenland |
genre |
Arctic Greenland greenlandic inuit |
genre_facet |
Arctic Greenland greenlandic inuit |
op_relation |
https://www.repository.cam.ac.uk/handle/1810/321851 doi:10.17863/CAM.69310 |
op_rights |
Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.17863/CAM.69310 |
_version_ |
1789962261595422720 |