T ype 2 diabetes/insulin resistance is a major component of the metabolic syndrome, which also includes hyperlipidemia, central obesity, hypertension, and cardiovascular diseases. Dramatic changes in environment and lifestyle have led to an epidemic increase in the number of diabetes patients, with the current 160 million expected to reach 220 million in 2010 and 300 million in 2025 (1,2). Its familial nature and differential prevalence in diverse populations suggest that type 2 diabetes is the consequence of the interactions of genetic and environmental factors (3). According to Permutt and Hattersley (4) and Rich (5), the best-fit genetic model, inferred from most of the previous genetic studies for type 2 diabetes, involves a few genes with moderate effect, superimposed on a polygenic background.Linkage studies have implicated many regions on a number of chromosomes as being related to type 2 diabetes phenotypes. Among them, regions on chromosomes 1q, 2q, 3q, 9q, 10q, and 11q have been replicated (6). In addition, there is evidence of a quantitative trait locus (QTL) on chromosome 3, which may be influencing the expression of the metabolic syndrome (7,8). However, more genetic investigations in different populations are necessary to further our understanding of this complex condition.In the present study, genome-wide scans for insulin resistance-a major risk factor for type 2 diabetes-were conducted in Mexican Americans from the San Antonio Family Heart Study (SAFHS) (9). The insulin resistance traits examined by multipoint analysis included fasting and 2-h glucose, fasting and 2-h insulin, and the calculated insulin resistance indexes (homeostasis model assessment of insulin resistance index [HOMA-IR], quantitative insulin sensitivity check index [QUICKI], corrected insulin response [CIR], and insulin response to glucose [IRG]).
RESEARCH DESIGN AND METHODSSubjects and data. Mexican Americans who are from San Antonio, Texas, and have been participating in the SAFHS (9) are the subjects of this study. Probands were selected randomly from a census tract in San Antonio of Ͼ90% Mexican-American residency, without regard to any preexisting medical conditions. Probands who were selected were 40 -60 years of age, had a spouse who was willing to participate, and had at least six offspring who were CIR, corrected insulin response; HOMA-IR, homeostasis model assessment of insulin resistance index; IBD, identity-by-descent; IPF-1, insulin promotor factor-1; IRG, insulin response to glucose; LOD, logarithm of odds; MODY, maturity-onset diabetes of the young; NPL, nonparametric linkage; QTL, quantitative trait locus; QUICKI, quantitative insulin sensitivity check index.