The risk of diabetes associated with DDE exposure and its interaction with a common FTO gene variant: the Pro-Saude study, Brazil

Author:

Meyer Armando1ORCID,Sichieri Rosely2,Porta Miquel3,Robinson Oliver4,Verly Eliseu2,Neto José2,Rosa Ana5,Vineis Paolo4,Faerstein Eduardo2

Affiliation:

1. Federal University of Rio de Janeiro: Universidade Federal do Rio de Janeiro

2. Rio de Janeiro State University: Universidade do Estado do Rio de Janeiro

3. Hospital del Mar Institute for Medical Research: Institut Hospital del Mar d'Investigacions Mediques

4. Imperial College London School of Public Health

5. Oswaldo Cruz Foundation: Fundacao Oswaldo Cruz

Abstract

Abstract

Exposure to dichlorodiphenyldichloroethylene (DDE) is suspected to be associated with an increased risk of type 2 diabetes (T2D). Other studies suggested that the fat mass and obesity-associated gene (FTO) is associated with T2D risk, regardless of adiposity. Dichlorodiphenyltrichloroethane (DDT) was used in Brazil until the mid-2000s, but no previous studies investigated the association between diabetes and body concentrations of DDE in that country. We investigated that association in a population of Rio de Janeiro, as well as how the FTO-rs9939609 genotypes might affect it. In this cross-sectional study nested in the Pro-Saude cohort, participants were randomly selected according to age, sex, and educational level at the cohort's baseline up to n = 520. Individuals who self-reported diabetes or presented glycated hemoglobin (HbA1c) ≥ 6.5% in the study's phase 4 were considered diabetic. We used logistic regression to estimate the odds ratio of diabetes according to serum levels of DDE, adjusting for age, sex, and total fat mass. We stratified the adjusted odds ratio by FTO-rs9939609 variant genotypes. Serum levels of DDE were associated with a higher chance of having diabetes (OR: 1.43; 95%CI: 1.11–1.84). Across quartiles of DDE concentrations, the dose-response relationship was statistically significant (p-trend = 0.003). The magnitude of the association was higher among individuals with the homozygous allele for the FTO-rs9939609 gene (OR: 3.33; 0.45–24.13). Exposure to DDE may increase the risk of developing diabetes in the Brazilian population, especially in individuals homozygous allele for the FTO-rs9939609 variant.

Publisher

Springer Science and Business Media LLC

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