Distribution of the 40 nonsynonymous MT2 variants identified by exon resequencing.
New light has been shed on why people who carry a common genetic melatonin receptor mutation may be more at risk for developing type 2 diabetes. By carefully studying healthy subjects, researchers were able to chart the effect of melatonin supplements on blood sugar control. Their results suggest that taking melatonin close to mealtimes may put people with a common genetic variant more at risk.
As many as 50% of people of European ancestry carry this genetic variation in MTNR1B, a gene that encodes a melatonin receptor. Previous studies have found that this mutation increases a person’s risk of diabetes, but exactly how and why it influences blood sugar control has remained poorly understood and has mostly been studied during the daytime, when naturally occurring melatonin concentrations are very low.
Scheer, Garaulet and their colleagues studied members of a female rugby team at the University of Murcia to investigate the effects of taking melatonin supplements on blood sugar levels. Each recipient received either a dose of melatonin or a placebo in the morning (9 a.m.) and evening (9 p.m.), followed by a large dose of glucose, a so called oral glucose tolerance test. Blood samples were taken before and at 30-minute intervals after they received the glucose doses for the next two hours.
Of the 17 participants, 11 were carriers of the genetic risk variant and 6 were not. They found that in the morning, the effects of melatonin on ability to control blood sugar levels differed significantly between the 2 groups, finding that the carriers’ ability to control blood sugar levels was 6 times worse than non-carriers’. In the evening, no significant differences were found between the 2 groups. The absence of the effect in the evening may have been due to a limited sample size.
“Our data suggest that when subjects take melatonin, the genetic risk variant in MTNR1B causes a much greater change in glucose tolerance in carriers compared to non-carriers, even in people who are not obese and not diabetic,” said Scheer. “Our results suggest that it may be important to take genetics into account when thinking about timing of food consumption and melatonin administration.” The team notes that further, large-scale studies will be needed in vulnerable populations before clinical recommendations can be made. http://www.eurekalert.org/pub_releases/2015-10/bawh-mm100615.php
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