@article{TEXTUAL, recid = {8554}, author = {Urbanek, Margrit and Hayes, M. Geoffrey and Lee, Hoon and Freathy, Rachel M. and Lowe, Lynn P. and Ackerman, Christine and Jafari, Nadereh and Dyer, Alan R. and Cox, Nancy J. and Dunger, David B. and Hattersley, Andrew T. and Metzger, Boyd E. and Lowe Jr., William L.}, title = {The Role of Inflammatory Pathway Genetic Variation on Maternal Metabolic Phenotypes during Pregnancy}, journal = {PLOS ONE}, address = {2012-03-30}, number = {TEXTUAL}, abstract = {<p>Background: Since mediators of inflammation are associated with insulin resistance, and the risk of developing diabetes mellitus and gestational diabetes, we hypothesized that genetic variation in members of the inflammatory gene pathway impact glucose levels and related phenotypes in pregnancy. We evaluated this hypothesis by testing for association between genetic variants in 31 inflammatory pathway genes in the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) cohort, a large multiethnic multicenter study designed to address the impact of glycemia less than overt diabetes on pregnancy outcome.</p><p>Results: Fasting, 1-hour, and 2-hour glucose, fasting and 1-hour C-peptide, and HbA1c levels were measured in blood samples obtained from HAPO participants during an oral glucose tolerance test at 24-32 weeks gestation. We tested for association between 458 SNPs mapping to 31 genes in the inflammatory pathway and metabolic phenotypes in 3836 European ancestry and 1713 Thai pregnant women. The strongest evidence for association was observed with <em>TNF alpha</em> and HbA1c (rs1052248; 0.04% increase per allele C; p-value = 4.4×10<sup>−5</sup>), <em>RETN</em> and fasting plasma glucose (rs1423096; 0.7 mg/dl decrease per allele A; p-value = 1.1×10<sup>−4</sup>), <em>IL8</em> and 1 hr plasma glucose (rs2886920; 2.6 mg/dl decrease per allele T; p-value = 1.3×10<sup>−4</sup>), <em>ADIPOR2</em> and fasting C-peptide (rs2041139; 0.55 ug/L decrease per allele A; p-value = 1.4×10<sup>−4</sup>), <em>LEPR</em> and 1-hour C-peptide (rs1171278; 0.62 ug/L decrease per allele T; p-value = 2.4×10<sup>−4</sup>), and <em>IL6</em> and 1-hour plasma glucose (rs6954897; −2.29 mg/dl decrease per allele G, p-value = 4.3×10<sup>−4</sup>).</p><p>Conclusion: Based on the genes surveyed in this study the inflammatory pathway is unlikely to have a strong impact on maternal metabolic phenotypes in pregnancy although variation in individual members of the pathway (e.g. <em>RETN</em>, <em>IL8</em>, <em>ADIPOR2</em>, <em>LEPR</em>, <em>IL6</em>, and <em>TNF alpha</em>,) may contribute to metabolic phenotypes in pregnant women.</p>}, url = {http://knowledge.uchicago.edu/record/8554}, }