“…This Pro 12 Ala SNP has been associated with reduced transcriptional activity in vitro [17]. Discordant results have been reported in the literature [17][18][19][20][21][22][23]; however, a recent meta-analyses of 16 studies, which included over 3,000 individuals, demonstrated that the Ala allele confers protection from diabetes (21% risk reduction) [24,25]. It is possible that the environment, particularly diet or exercise habits, could modify the genotype effect and may account for a portion of the disparity found between separate studies.…”