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    Type 2 diabetes risk can be eliminated – if you have the right genes

    24 July 2018

    Researchers from the University of Stirling have discovered a new genetic signature in people whose Type 2 diabetes improves following treatment.

    The team, including academics from the Faculty of Health Sciences and Sport, say it is the first reliable signature for insulin sensitivity in human muscle.

    Scientists believe that the findings, which have been published in the journal Nucleic Acids Research, will inform future research by helping understand why not all people are able to eliminate the risk of the condition by changing their lifestyle.

    Dr Iain J Gallagher, one of the researchers, said: ‘Our hypothesis was that, with sufficient numbers of well characterised subjects and our new analysis methods, we could reveal a robust signature for what is known as ‘insulin resistance’ – an important precursor for developing Type 2 diabetes.’

    ‘Importantly, because we could also examine how the activation status of each ‘insulin resistance’ gene responded to treatment, we have also discovered a potential explanation for why not all people eliminate their Type 2 diabetes risk by following a lifestyle and exercise training programme.’

    The researchers analysed more than 1000 human muscle samples and five distinct treatment regimes. In doing so, they demonstrated that 16 genes are consistently ‘switched’ on or off in muscle tissue, but only in those people whose Type 2 diabetes risk factors improved. In such cases, the gene changes increased the individuals’ insulin sensitivity (a measure of how effectively the hormone insulin is working).

    Activation of the signature is impaired in people with poor insulin sensitivity, and is dysregulated to a greater extent following various types of standard lifestyle treatment.

    The signature includes more than 300 measures of gene activity, representing both protein coding and long non-coding genes. It was extensively modelled to take into account body weight and age, as well as exercise capacity.