RT Generic T1 Gene-Diet Interactions in Type 2 Diabetes: The Chicken and Egg Debate A1 Ortega, Angeles A1 Berna, Genoveva A1 Rojas, Anabel A1 Martin, Franz A1 Soria, Bernat K1 Type 2 diabetes K1 nutrients K1 nutrigenetic K1 nutrigenomic K1 epigenetic K1 pancreatic -cell K1 Chain amino-acids K1 High-fat diet K1 Beta-cell function K1 Impaired fasting glucose K1 Embryonic stem-cells K1 Proliferator-activated receptor K1 Dose-response metaanalysis K1 Vitamin-c supplementation K1 7-like 2 gene K1 Nf-kappa-b AB Consistent evidence from both experimental and human studies indicates that Type 2 diabetes mellitus (T2DM) is a complex disease resulting from the interaction of genetic, epigenetic, environmental, and lifestyle factors. Nutrients and dietary patterns are important environmental factors to consider in the prevention, development and treatment of this disease. Nutritional genomics focuses on the interaction between bioactive food components and the genome and includes studies of nutrigenetics, nutrigenomics and epigenetic modifications caused by nutrients. There is evidence supporting the existence of nutrient-gene and T2DM interactions coming from animal studies and family-based intervention studies. Moreover, many case-control, cohort, cross-sectional cohort studies and clinical trials have identified relationships between individual genetic load, diet and T2DM. Some of these studies were on a large scale. In addition, studies with animal models and human observational studies, in different countries over periods of time, support a causative relationship between adverse nutritional conditions during in utero development, persistent epigenetic changes and T2DM. This review provides comprehensive information on the current state of nutrient-gene interactions and their role in T2DM pathogenesis, the relationship between individual genetic load and diet, and the importance of epigenetic factors in influencing gene expression and defining the individual risk of T2DM. PB Mdpi SN 1661-6596 YR 2017 FD 2017-06-01 LK http://hdl.handle.net/10668/19277 UL http://hdl.handle.net/10668/19277 LA en DS RISalud RD Apr 12, 2025