Fine-scale haplotype mapping of MUT, AACS, SLC6A15 and PRKCA genes indicates association with insulin resistance of metabolic syndrome and relationship with branched chain amino acid metabolism or regulation

PLoS One. 2019 Mar 26;14(3):e0214122. doi: 10.1371/journal.pone.0214122. eCollection 2019.

Abstract

Branched chain amino acids (BCAA) are essential elements of the human diet, which display increased plasma levels in obesity and regained particular interest as potential biomarkers for development of diabetes. To define determinants of insulin resistance (IR) we investigated 73 genes involved in BCAA metabolism or regulation by fine-scale haplotype mapping in two European populations with metabolic syndrome. French and Romanians (n = 465) were genotyped for SNPs (Affymetrix) and enriched by imputation (BEAGLE 4.1) at 1000 genome project density. Initial association hits detected by sliding window were refined (HAPLOVIEW 3.1 and PHASE 2.1) and correlated to homeostasis model assessment (HOMAIR) index, in vivo insulin sensitivity (SI) and BCAA plasma levels (ANOVA). Four genomic regions were associated with IR located downstream of MUT, AACS, SLC6A15 and PRKCA genes (P between 9.3 and 3.7 x 10-5). Inferred haplotypes up to 13 SNPs length were associated with IR (e.g. MUT gene with P < 4.9 x 10-5; Bonferroni 1.3 x 10-3) and synergistic to HOMAIR. SNPs in the same regions were also associated with one order of magnitude lower P values (e.g. rs20167284 in the MUT gene with P < 1.27 x 10-4) and replicated in Mediterranean samples (n = 832). In French, influential haplotypes (OR > 2.0) were correlated with in vivo insulin sensitivity (1/SI) except for SLC6A15 gene. Association of these genes with BCAA levels was variable, but influential haplotypes confirmed implication of MUT from BCAA metabolism as well as a role of regulatory genes (AACS and PRKCA) and suggested potential changes in transcriptional activity. These data drive attention towards new regulatory regions involved in IR in relation with BCAA and show the ability of haplotypes in phased DNA to detect signals complimentary to SNPs, which may be useful in designing genetic markers for clinical applications in ethnic populations.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amino Acid Transport Systems, Neutral / genetics*
  • Amino Acids, Branched-Chain / genetics*
  • Amino Acids, Branched-Chain / metabolism
  • Female
  • Haplotypes*
  • Humans
  • Insulin Resistance / genetics*
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / genetics*
  • Middle Aged
  • Nerve Tissue Proteins / genetics*
  • Polymorphism, Single Nucleotide*
  • Protein Kinase C-alpha / genetics*

Substances

  • Amino Acid Transport Systems, Neutral
  • Amino Acids, Branched-Chain
  • Nerve Tissue Proteins
  • SLC6A15 protein, human
  • PRKCA protein, human
  • Protein Kinase C-alpha

Grants and funding

The work was funded by the European Union, Seventh Framework Programme for research, technological development and demonstration under grant agreement no FP7-279171-1 (MEDIGNE). The funder did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. BC Platforms Ltd Oy, Espoo, Finland contributed to the implementation of unique servers at Montpellier University containing the BC Platform database for registering SNP genotypes. The Intactile Design, SA, Montpellier, France contributed to the development of MEDIPAD software and MAGDB database allowing to register clinical and genetic data from MEDIGENE collections.