2001
DOI: 10.1034/j.1399-0004.2001.600104.x
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Familial resemblance for glucose and insulin metabolism indices derived from an intravenous glucose tolerance test in Blacks and Whites of the HERITAGE Family Study

Abstract: Type 2 diabetes mellitus (T2DM), characterized by hyperglycemia, is a complex disease primarily caused by impairment in insulin sensitivity (SI) and insulin secretion. While a strong genetic component for T2DM is well established, there are few reports on racial differences in the magnitude of the genetic effects of T2DM and indices of glucose and insulin metabolism. We report here on the familial resemblance for traits related to glucose metabolism at pre-exercise training levels in 492 members from 99 sedent… Show more

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Cited by 40 publications
(35 citation statements)
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“…The heritability of first-and second-phase insulin secretion in response to glucose was 52% and 77% respectively. For the first phase our results fit neatly in the 35% to 76% range of heritability estimates previously reported using the IVGTT test [6,11,[15][16][17]. However, previous heritability estimates (28% and 58%) of second-phase insulin secretion in response to IVGTT were considerably lower [11,17] than those found in our hyperglycaemic clamp.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…The heritability of first-and second-phase insulin secretion in response to glucose was 52% and 77% respectively. For the first phase our results fit neatly in the 35% to 76% range of heritability estimates previously reported using the IVGTT test [6,11,[15][16][17]. However, previous heritability estimates (28% and 58%) of second-phase insulin secretion in response to IVGTT were considerably lower [11,17] than those found in our hyperglycaemic clamp.…”
Section: Discussionsupporting
confidence: 88%
“…In twin studies, the genetic contribution to beta cell function has been tested mostly by examining surrogate measurements of insulin secretion derived from fasting blood levels or in response to oral glucose. In five studies using IVGTT, heritability estimates of the acute insulin response to glucose ranged from 35% to 76% [6,11,[15][16][17]. The heritability of the second-phase insulin response to glucose in an IVGTT has been investigated in two of these studies only [11,17] and was estimated to be 28% and 58%.…”
Section: Introductionmentioning
confidence: 99%
“…The heritability of fasting serum insulin and glucose concentrations remained highly significant even after controlling for the effects of significant covariates. The marked heritability of fasting serum glucose and insulin concentrations appears consistent with other reports in Framingham [6,7], Amish [8], and HERITAGE families [9]. Additionally, the genome scans in AAs and EAs provided suggestive evidence that genes regulating fasting serum insulin concentrations and insulin sensitivity (HOMA) were present on chromosomes 19, 7, 5, 4 and 2, and genes regulating fasting glucose concentration were present on chromosomes 2, 5, 9, 13 and 18.…”
Section: Discussionsupporting
confidence: 88%
“…In non-hypertensive populations, an adjusted h 2 value of 0.34 for fasting serum glucose [6] and 0.46 for fasting serum insulin concentrations [7] were reported in the Framingham Offspring Study. Similar high familial correlations for these prediabetic measures were reported in Amish families [8], the HERITAGE FAMILY study [9], and Caucasian twins [3]. Elevated serum insulin and glucose concentrations represent an increased risk of developing overt type 2 diabetes mellitus, with increased rates of cardiovascular morbidity and mortality [10].…”
Section: Introductionsupporting
confidence: 61%
“…In addition, it is important to appreciate that other factors are known to play key roles in determining b-cell function. Approximately, 25% of the variability in DI appears to be related to genetic factors 34,35 and specific fat depots (ie, intrahepatic) may be intimately related to b-cell function, 36 so additional research in these areas is warranted.…”
Section: Body Fatmentioning
confidence: 99%