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Andrew T. Hattersley
Published in Volume 117, Issue 8
J Clin Invest. 2007; 117(8):2077–2079 doi:10.1172/JCI33077
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Figure 1
From genetic association to pathophysiology in TCF7L2 genotypes predisposing to type 2 diabetes.

Diagram of proposed pathophysiological pathway explaining how TCF7L2 risk genotypes predispose to type 2 diabetes. The risk genotype results in overexpression of TCF7L2 in pancreatic β cells, which in turn results in reduced insulin secretion. Reduced insulin secretion results in a predisposition to type 2 diabetes directly and also indirectly by increasing hepatic glucose output. Dotted arrows represent previous genetic associations. Solid arrows show observations reported by Lyssenko and colleagues in the current issue of the JCI (1).