Le diabète et l’obésité, réellement des maladies héritées d’un passé de chasseurs-cueilleurs ?

Abstract

According to the thrifty genotype hypothesis, the high prevalence of type 2 diabetes and obesity is a consequence of genetic variants that have undergone positive selection during historical periods of erratic food supply. The recent expansion in the number of validated type 2 diabetes- and obesity-susceptibility loci, coupled with access to empirical data, enables us to look for evidence in support (or otherwise) of the thrifty genotype hypothesis using proven loci. We employed a range of tests to obtain complementary views of the evidence for selection: we determined whether the risk allele at associated “index” sing-lenucleotide polymorphisms is derived or ancestral, calculated the integrated haplotype score (iHS) and assessed the population differentiation statistic fixation index (FST) for 17 type 2 diabetes and 13 obesity loci. We found no evidence for significant differences for the derived-ancestral allele test. None of the studied loci showed strong evidence for selection based on the iHS score. We find a high FST for rs7901695 at TCF7L2, the largest type 2 diabetes effect size found to date. Our results provide some evidence for selection at specific loci, but there are no consistent patterns of selection that provide conclusive confirmation of the thrifty genotype hypothesis. Discovery of more signals and more causal variants for type 2 diabetes and obesity is likely to allow more detailed examination of these issues.