TY - BOOK AU - Howard, Barbara V TI - A gene-family analysis of 61 genetic variants in the nicotinic acetylcholine receptor genes for insulin resistance and type 2 diabetes in American Indians SN - 0012-1797 KW - *Diabetes Mellitus, Type 2/ge [Genetics] KW - *Genetic Variation KW - *Indians, North American/ge [Genetics] KW - *Insulin Resistance/ge [Genetics] KW - *Receptors, Nicotinic/ge [Genetics] KW - Adult KW - Aged KW - Blood Glucose/an [Analysis] KW - Diabetes Mellitus, Type 2/ep [Epidemiology] KW - Female KW - Genetic Association Studies/sn [Statistics & Numerical Data] KW - Genetic Predisposition to Disease KW - Humans KW - Insulin/bl [Blood] KW - Male KW - Middle Aged KW - Pedigree KW - Polymorphism, Single Nucleotide KW - Smoking/ep [Epidemiology] KW - Smoking/ge [Genetics] KW - Young Adult KW - MedStar Health Research Institute KW - Journal Article KW - Research Support, N.I.H., Extramural N1 - Available online from MWHC library: 1995 - present (after 3 months), Available in print through MWHC library: 1999 - 2006 N2 - Cigarette smoking is a risk factor for type 2 diabetes. Genetic variants in the nicotinic acetylcholine receptor (nAChR) genes have been associated with smoking phenotypes and are likely to influence diabetes. Although each single variant may have only a minor effect, the joint contribution of multiple single nucleotide polymorphisms (SNPs) to the occurrence of disease may be larger. In this study, we conducted a gene-family analysis to investigate the joint impact of 61 tag SNPs in 7 nAChRs genes on insulin resistance and type 2 diabetes in 3,665 American Indians recruited by the Strong Heart Family Study. Results show that although multiple SNPs showed marginal individual association with insulin resistance and type 2 diabetes, only a few can pass adjustment for multiple testing. However, a gene-family analysis considering the joint impact of all 61 SNPs reveals significant association of the nAChR gene family with both insulin resistance and type 2 diabetes (both P < 0.0001), suggesting that genetic variants in the nAChR genes jointly contribute to insulin resistance and type 2 diabetes among American Indians. The effects of these genetic variants on insulin resistance and diabetes are independent of cigarette smoking per se UR - http://dx.doi.org/10.2337/db11-1393 ER -