Scope:
Insulin resistance (IR) and chronic inflammation are hallmarks of Type 2 Diabetes (T2D). The ‘nod like receptor pyrin domain containing-3’ (NLRP3) inflammasome is a metabolic sensor activated by saturated fatty acids (SFA) to initiate IL-β inflammation and IR. This study investigated whether interactions between SFA intake and genetic variants related to NLRP3, altered T2D risk factors.
Methods:
Fixed-effect meta-analyses of six Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium (n=19,005), tested interactions between SFA and NLRP3 related SNPs and modulation of fasting insulin, fasting glucose, and Homeostasis Model Assessment of Insulin Resistance.
Results:
rs12143966 interacted with SFA, each 1% increase in SFA energy intake, increased fasting insulin by 0.0063 IU/mL (SE± 0.002, p=0.001) per each copy of the major (G) allele. rs4925663 (OR2B11 upstream of NLRP3), interacted with SFA (β ± SE = −0.0058 ± 0.002, p=0.004), to increase fasting insulin by 0.0058 IU/mL, per additional copy of the major (C) allele. Both associations are close to significance threshold (P<0.0001). rs4925663 causes a missense mutation affecting NLRP3 expression.
Conclusion:
Two NLRP3-related SNPs showed a novel interaction with dietary SFA to modulate fasting insulin. Greater SFA intake may heighten T2D risk, depending on inflammasome related genetic variants.