Abstract
The transcription factor 7-like 2 (TCF7L2) G/T gene polymorphism, also known as rs12255372, has been linked to increases in risk for type 2 diabetes (T2DM), especially in the European population. However, a clear consensus on the subject is still lacking in analyses of the Chinese population. To explore the relationship between the TCF7L2 gene polymorphism and T2DM in the Chinese population, we conducted a meta-analysis of 7990 subjects from ten studies. Depending on whether heterogeneity was present, we employed either a fixed or random-effects model, respectively, to assess the pooled odds ratio (ORs) and their corresponding 95% confidence interval (95% CI). TCF7L2 rs12255372 G/T gene polymorphism was significantly associated with T2DM in the Chinese population under allelic (OR 1.38, 95% CI 1.20–1.60, p = 8.59 × 10−6), dominant (OR 1.67, 95% CI 1.20–2.32, p = 0.002), heterozygous (OR 1.65, 95% CI 1.18–2.31, p = 0.003), and additive genetic models (OR 1.53, 95% CI 1.13–2.07, p = 0.006). In the Chinese population, TCF7L2 rs12255372 G/T gene polymorphism may correlate with an increased risk of T2DM. T allele of TCF7L2 rs12255372 G/T gene polymorphism might confer a genetic risk for T2DM in the Chinese population.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig1_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig2_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig3_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig4_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig5_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs13410-017-0560-7/MediaObjects/13410_2017_560_Fig6_HTML.gif)
Similar content being viewed by others
References
Liu Z, Habener JF. Stromal cell-derived factor-1 promotes survival of pancreatic beta cells by the stabilisation of beta-catenin and activation of transcription factor 7-like 2 (TCF7L2). Diabetologia. 2009;52:1589–98.
Gloyn AL, Braun M, Rorsman P. Type 2 diabetes susceptibility gene TCF7L2 and its role in beta-cell function. Diabetes. 2009;58:800–2.
Tong Y, Lin Y, Zhang Y, Yang J, Zhang Y, Liu H, Zhang B. Association between TCF7L2 gene polymorphisms and susceptibility to type 2 diabetes mellitus: a large human genome epidemiology (HuGE) review and meta-analysis. BMC Med Genet. 2009;10:15.
Grant SF, Thorleifsson G, Reynisdottir I, Benediktsson R, Manolescu A, Sainz J, Helgason A, Stefansson H, Emilsson V, Helgadottir A, Styrkarsdottir U, Magnusson KP, Walters GB, Palsdottir E, Jonsdottir T, Gudmundsdottir T, Gylfason A, Saemundsdottir J, Wilensky RL, Reilly MP, Rader DJ, Bagger Y, Christiansen C, Gudnason V, Sigurdsson G, Thorsteinsdottir U, Gulcher JR, Kong A, Stefansson K. Variant of transcription factor 7-like 2 (TCF7L2) gene confers risk of type 2 diabetes. Nat Genet. 2006;38:320–3.
Fan XW, Liu DM, Sun Y, Zhang J, Shi XW. Study on polymorphisms of TCF7L2 gene association with type 2 diabetes based on DHPLC detection. Tian** Med J. 2009;37:835–8.
Lu Q, Gao X, Wang Y, Lv DM, Li W, Wang T, Lu SQ, Yin JL, Yin XX. Analysis on the association of TCF7L2 gene polymorphism with type 2 diabetes mellitus in Huaihai region. Chin J Mod Med. 2012;22:56–60.
Wang ZH. The study on the association of polymorphism in transcription factor 7-like 2 (TCF7L2) and SLC30A8 (solute carrier family 30, member 8) gene with type 2 diabetes. Chongqing: Chongqing Medical University; 2008. p. 107.
Ren Q, Han XY, Wang F, Zhang XY, Han LC, Luo YY, Zhou XH, Ji LN. Exon sequencing and association analysis of polymorphisms in TCF7L2 with type 2 diabetes in a Chinese population. Diabetologia. 2008;51:1146–52.
Zhang MF. Association of TCF7L2 and IGF2BP2 polymorphisms with susceptibility to type 2 diabetes mellitus in **njiang Uygur and Kazak populations. Urumchi: **njiang Medical University; 2009. p. 56.
Zhang L. Replication study for the association of TCF7L2 rs12255372 and rs7903146 with susceptibility to type 2 diabetes in a Chinese Han population. Hengyang: University of South China; 2010. p. 45.
Tu XJ, Hu XH, Chen WY, Hu LC, Fang YQ, Gong SZ. The type 2 diabetes mellitus susceptibility gene analysis in Cixi area. Zhejiang Clin Med J. 2013;15:815–7.
Zhang LW, Li J, Duan FF, Liu ZK, Ma ZQ, Hu YH, Zhan SY, Chen DF. Association of TCF7L2, KCNQ1 gene polymorphism with type 2 diabetes. J Environ Health. 2014;31:156–9.
Yao H, Wang Z, Wang T, Ma Y, Su Y, Ma Q, Wang L, Zhu J. Association of TCF7L2 genetic polymorphisms with type 2 diabetes mellitus in the Uygur population of China. Int J Environ Res Public Health. 2015;12:11797–814.
Chang YC, Chang TJ, Jiang YD, Kuo SS, Lee KC, Chiu KC, Chuang LM. Association study of the genetic polymorphisms of the transcription factor 7-like 2 (TCF7L2) gene and type 2 diabetes in the Chinese population. Diabetes. 2007;56:2631–7.
Cochran WG. The effectiveness of adjustment by subclassification in removing bias in observational studies. Biometrics. 1968;24:295–313.
Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22:719–48.
DerSimonian R. Laird. N.: meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.
Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. Brit Med J. 1997;315:629–34.
Wu YJ. Association ofsingle nucleotide polymorphism of transcription factor-7 like 2 gene with latent autoimmune diabetes in adults. Changsha: Central South University; 2012. p. 43.
Tsai MK, Wang HM, Shiang JC, Chen IH, Wang CC, Shiao YF, Liu WS, Lin TJ, Chen TM, Chen YH. Sequence variants of ADIPOQ and association with type 2 diabetes mellitus in Taiwan Chinese Han population. The Scientific World J. 2014; doi:10.1155/2014/650393.
Yang Y, Xu JR, Wang YJ, Liu XM. Association of TCF7L2 gene polymorphisms with susceptibility to type 2 diabetes mellitus in a Chinese Hui population. Genet Mol Res. 2015;14:10064–71.
Zhu H. Common variants of the TCF7L2 gene with type 2 diabetes and impaired glucose regulation in a Chinese Han population. Anhui Medical University, Hefei; 2011. p. 56.
Wagner R, Staiger H, Ullrich S, Stefan N, Fritsche A, Häring HU. Untangling the interplay of genetic and metabolic influences on beta-cell function: examples of potential therapeutic implications involving TCF7L2 and FFAR1. Mol Metab. 2014;3:261–7.
Damcott CM, Pollin TI, Reinhart LJ, Ott SH, Shen H, Silver KD, Mitchell BD, Shuldiner AR. Polymorphisms in the transcription factor 7-like 2 (TCF7L2) gene are associated with type 2 diabetes in the Amish: replication and evidence for a role in both insulin secretion and insulin resistance. Diabetes. 2006;55:2654–9.
Cauchi S, Meyre D, Dina C, Choquet H, Samson C, Gallina S, Balkau B, Charpentier G, Pattou F, Stetsyuk V, Scharfmann R, Staels B, Frühbeck G, Froguel P. Transcription factor TCF7L2 genetic study in the French population: expression in human beta-cells and adipose tissue and strong association with type 2 diabetes. Diabetes. 2006;55:2903–8.
Saxena R, Gianniny L, Burtt NP, Lyssenko V, Giuducci C, Sjögren M, Florez JC, Almgren P, Isomaa B, Orho-Melander M, Lindblad U, Daly MJ, Tuomi T, Hirschhorn JN, Ardlie KG, Groop LC, Altshuler D. Common single nucleotide polymorphisms in TCF7L2 are reproducibly associated with type 2 diabetes and reduce the insulin response to glucose in nondiabetic individuals. Diabetes. 2006;55:2890–5.
Dou H, Ma E, Yin L, ** Y, Wang H. The association between gene polymorphism of TCF7L2 and type 2 diabetes in Chinese Han population: a meta-analysis. PLoS One. 2013; doi:10.1371/journal.pone.0059495.
Liu LH, Zhang J, Dong MH, Li SS, Wu QF, Li SM. Meta-analysis on the association of rsl1196218 polymorphisms in TCF7L2 gene and risk of T2DM in the Chinese population. J of Gannan Med Univ. 2015;35:197–201.
Acknowledgements
This work was funded by the National Natural Science Foundation of China (NSFC 81100073 to Dr. Yan-yan Li), Excellent Young and Middle-Aged Teachers Assistance Program of Nan**g Medical University for Dr. Yan-yan Li (2013–2015, JX2161015034), and the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD). We thank all our colleagues working in the Department of Geriatrics, the First Affiliated Hospital of Nan**g Medical University.
Author information
Authors and Affiliations
Contributions
Conceived and designed the experiments: Yan-yan Li. Performed the experiments: Yan-yan Li, Ge Gong, and Hong-yu Geng. Analyzed the data: Yan-yan Li and **n-xing Yang. Contributed reagents/material/analysis tools: Yan-yan Li.Wrote the manuscript: Yan-yan Li. Reference collection and data management: Yan-yan Li. Statistical analyses and paper writing: Yan-yan Li. Study design: Yan-yan Li.
Corresponding author
Ethics declarations
This article does not contain any studies with human participants or animals performed by any of the authors.
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Li, Yy., Yang, Xx., Geng, Hy. et al. Type 2 diabetes mellitus and TCF7L2 gene rs12255372 G/T polymorphism: a meta-analysis involving 7990 subjects. Int J Diabetes Dev Ctries 38, 55–61 (2018). https://doi.org/10.1007/s13410-017-0560-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13410-017-0560-7