Genetic Predisposition to Disease

疾病的遗传易感性
  • 文章类型: Journal Article
    特发性突发性感觉神经性听力损失(ISSHL)是一种突然发作,原因不明的感觉神经性听力损失.抑郁症是一种常见的精神障碍和残疾的主要原因。这里,我们使用双样本孟德尔随机化方法,使用来自ISSHL全基因组关联研究的汇总统计数据(1491例,196,592名对照)和抑郁症(23,424例,192,220个对照)在欧洲人口中。本研究使用逆方差加权研究了与抑郁症相关的单核苷酸多态性与ISSHL之间的双向关系。额外的敏感性分析,如孟德尔随机化-Egger(MR-Egger),加权中位数估计,和遗漏分析,进行评估结果的可靠性。在随机效应IVW方法中,对ISSHL的遗传易感性与抑郁症之间存在显着因果关系(OR=1.037,95%CI=1.004-1.072,P=0.030)。相比之下,遗传性抑郁不是ISSHL的危险因素(OR=1.134,95%CI=0.871~1.475,P=0.350)。通过不同的MR方法验证和敏感性分析,所有上述结果是一致的。我们收集的证据表明ISSHL与抑郁症之间存在因果关系。前者的存在诱发或进一步加剧后者,而当后者是影响因素时,就不存在类似的情况。
    Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is a sudden onset, unexplained sensorineural hearing loss. Depression is a common mental disorder and a leading cause of disability. Here, We used a two-sample Mendelian randomization approach using pooled statistics from genome-wide association studies of ISSHL (1491 cases, 196,592 controls) and depression (23,424 cases, 192,220 controls) in European populations. This study investigated the bidirectional relationship between single nucleotide polymorphisms associated with depression and ISSHL using inverse variance weighting.Additional sensitivity analyses, such as Mendelian randomization-Egger (MR-Egger), weighted median estimates, and leave-one-out analysis, were performed to assess the reliability of the findings. Significant causal association between genetic susceptibility to ISSHL and depression in a random-effects IVW approach (OR = 1.037, 95% CI = 1.004-1.072, P = 0.030). In contrast, genetic depression was not risk factors for ISSHL (OR = 1.134, 95% CI = 0.871-1.475, P = 0.350). After validation by different MR methods and the sensitivity analysis, all of the above results are consistent. The evidence we have gathered suggests a causal relationship between ISSHL and depression. The presence of the former induces or further exacerbates the latter, whereas a similar situation does not exist when the latter is an influencing factor.
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  • 文章类型: Journal Article
    虽然目前有超过40个复制基因具有晚期阿尔茨海默病(LOAD)的映射风险等位基因,载脂蛋白E基因座E4单倍型仍然是风险的最大驱动因素,神经病理学证实的E44携带者的比值比超过30(95%置信区间16.59-58.75)。我们试图解决APOEE4单倍型是否通过表达网络在全球范围内修饰表达以增加LOAD风险。我们使用人脑组数据构建表达网络,使用可扩展的混合数据类型贝叶斯网络(BN)建模将APOEE4携带者与非携带者进行比较。我们发现VGF具有最大的解释权重。VGF的高表达是一种保护性信号,甚至在APOEE4等位基因的背景下。负载风险信号,考虑到APOE背景,包括高水平的SPECC1L,HLA-DRA和RANBP3L。我们的发现提名了几个新的成绩单,采取组合方法构建网络,包括已知的LOAD风险位点。
    While there are currently over 40 replicated genes with mapped risk alleles for Late Onset Alzheimer\'s disease (LOAD), the Apolipoprotein E locus E4 haplotype is still the biggest driver of risk, with odds ratios for neuropathologically confirmed E44 carriers exceeding 30 (95% confidence interval 16.59-58.75). We sought to address whether the APOE E4 haplotype modifies expression globally through networks of expression to increase LOAD risk. We have used the Human Brainome data to build expression networks comparing APOE E4 carriers to non-carriers using scalable mixed-datatypes Bayesian network (BN) modeling. We have found that VGF had the greatest explanatory weight. High expression of VGF is a protective signal, even on the background of APOE E4 alleles. LOAD risk signals, considering an APOE background, include high levels of SPECC1L, HLA-DRA and RANBP3L. Our findings nominate several new transcripts, taking a combined approach to network building including known LOAD risk loci.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    精神分裂症(SPR)是导致社会和职业功能严重恶化的最具破坏性的精神疾病,但是,病因尚不清楚。这项研究的目的是探索韩国人群中精神分裂症家庭中寻求新奇行为的遗传基础。通过进行基于家族的全基因组关联研究,我们的目标是在SPR的背景下,确定潜在的遗传标记和变异与寻找新奇的性状相关。我们尽可能招募了27位先证者(具有SPR)与他们的父母和兄弟姐妹。从27个家族的58个个体的血液样本中提取DNA,并在Illumina核心外显子组单核苷酸多态性(SNP)阵列中进行分析。使用基于家族的关联测试(qFAM)来推导所有染色体上的SNP关联值。尽管最终的800,000个SNP中没有一个达到8.45×10-7的全基因组显著阈值,但最显著的4个SNP在10-5至10-7范围内。这项研究确定了家庭中寻求新奇行为与SPR之间的遗传关联。RAPGEF5作为一个重要的基因出现,以及其他神经精神相关基因。像DRD4和COMT这样值得注意的基因没有表现出关联,可能是由于对精神分裂症家庭的关注。在揭示这种复杂关系的同时,需要更大的研究才能得出可靠的结论和更深入的机理见解。
    Schizophrenia (SPR) is the most devastating mental illness that causes severe deterioration in social and occupational functioning, but, the etiology remains unknown. The objective of this study is to explore the genetic underpinnings of novelty seeking behavior in schizophrenic family within the Korean population. By conducting a family-based genome-wide association study, we aim to identify potential genetic markers and variations associated with novelty seeking traits in the context of SPR. We have recruited 27 probands (with SPR) with their parents and siblings whenever possible. DNA was extracted from blood sampling of 58 individuals in 27 families and analyzed in an Illumina core exome single nucleotide polymorphism (SNP) array. A family-based association test (qFAM) was used to derive SNP association values across all chromosomes. Although none of the final 800,000 SNPs reached the genome-wide significant threshold of 8.45 × 10-7, the most significant 4 SNPs were within the 10-5 to 10-7. This study identifies genetic associations between novelty seeking behavior and SPR within families. RAPGEF5 emerges as a significant gene, along with other neuropsychiatric-related genes. Noteworthy genes like DRD4 and COMT did not show associations, possibly due to the focus on schizophrenic family. While shedding light on this complex relationship, larger studies are needed for robust conclusions and deeper mechanistic insights.
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  • 文章类型: Journal Article
    原发性硬化性胆管炎(PSC),慢性胆汁淤积性肝病,常与炎症性肠病有关。随着“微生物群”和“肠道淋巴细胞归巢”假说的出现,特异性免疫细胞与PSC发病机理有关,尽管他们的身份仍然存在争议。首次全基因组关联分析利用来自3757个欧洲人的非重叠数据来评估731种免疫表型。包括2871例病例和12,019例对照的全基因组关联分析得出了PSC的汇总统计数据。进行逆方差加权(IVW)分析以确定与PSC因果关系的免疫表型,并使用加权模式对结果进行了验证,MR-Egger,和加权中位数方法。进行了综合敏感性分析,以验证其稳健性,异质性,和结果的水平多效性。IVW分析显示26个免疫性状表现出与PSC的因果关联。HLA-DR+CD4+上的CD3(IVW比值比[OR]:0.904;95%置信区间[CI]:0.828-0.986,P=.023)和分泌Treg上的CD3(IVWOR:0.893;95%CI:0.823-0.969,P=.007)与PSC易感性呈负相关,并且在3种验证方法中表现出高度一致性。此外,其他7种免疫特性,包括CD39+静息Treg绝对细胞(IVWOR=1.083,95%CI:1.013-1.157,P=0.019),分泌CD39+的Treg绝对细胞(IVWOR=1.063,95%CI:1.012-1.118,P=0.015),幼稚CD8br上的CD3(IVWOR=0.907,95%CI:0.835-0.986,P=0.022),CD39+激活的Treg上的CD3(IVWOR=0.927,95%CI:0.864-0.994,P=0.034),CD28对静息Treg(IVWOR=0.724,95%CI:0.630-0.833,P=5.95E-06),CD39+CD4+(IVWOR=1.055,95%CI:1.001-1.112,P=0.044)和CD39在加权中值和加权模式验证方法中表现出一致的结果。此外,在单核苷酸多态性中没有观察到显著的异质性或水平多效性.留一法结果显示,依次消除每个单核苷酸多态性对模型效应估计或定性推断没有显着影响。这项研究评估了731个免疫性状与PSC易感性之间的潜在因果关系。使用IVW方法鉴定了26个免疫性状。跨多种方法的验证揭示了9种免疫性状,与PSC存在似是而非的因果关系。这些发现可能揭示了机械途径和新的治疗方法。
    Primary sclerosing cholangitis (PSC), a chronic cholestatic liver condition, is frequently associated with inflammatory bowel disease. Specific immune cells have been implicated in PSC pathogenesis with the emergence of the \"microbiota\" and \"gut lymphocyte homing\" hypotheses, albeit their identities remain controversial. The first genome-wide association analysis leveraged nonoverlapping data from 3757 Europeans to evaluate 731 immunophenotypes. A genome-wide association analysis comprising 2871 cases and 12,019 controls yielded summary statistics for PSC. An inverse-variance weighted (IVW) analysis was performed to identify immunophenotypes causally related to PSC, and the results were validated using weighted mode, MR-Egger, and weighted median methods. Comprehensive sensitivity analyses were performed to verify the robustness, heterogeneity, and horizontal pleiotropy of the results. IVW analysis revealed 26 immune traits exhibiting causal associations with PSC. CD3 on HLA-DR+ CD4+ (IVW odds ratio [OR]: 0.904; 95% confidence interval [CI]: 0.828-0.986, P = .023) and CD3 on secreting Treg (IVW OR: 0.893; 95% CI: 0.823-0.969, P = .007) were negatively associated with PSC susceptibility and demonstrated high consistency across the 3 validation methods. Moreover, 7 other immune traits, including CD39+ resting Treg absolute cell (IVW OR = 1.083, 95% CI: 1.013-1.157, P = .019), CD39+ secreting Treg absolute cell (IVW OR = 1.063, 95% CI: 1.012-1.118, P = .015), CD3 on naive CD8br (IVW OR = 0.907, 95% CI: 0.835-0.986, P = .022), CD3 on CD39+ activated Treg (IVW OR = 0.927, 95% CI: 0.864-0.994, P = .034), CD28 on resting Treg (IVW OR = 0.724, 95% CI: 0.630-0.833, P = 5.95E-06), and CD39 on CD39+ CD4+ (IVW OR = 1.055, 95% CI: 1.001-1.112, P = .044) exhibited consistent results in the Weighted Median and Weighted Mode validation methods. Moreover, no significant heterogeneity or horizontal pleiotropy was observed across the single nucleotide polymorphisms. The leave-one-out results revealed that sequentially eliminating each single nucleotide polymorphism had no significant influence on model effect estimates or qualitative inference. This study evaluated potential causal links between 731 immune traits and PSC susceptibility. Twenty-six immune traits were identified using the IVW method. Verification across multiple methods revealed 9 immune traits with a plausible causal connection to PSC. These findings may uncover mechanistic pathways and novel therapeutic approaches.
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  • 文章类型: Journal Article
    多项研究证实了子宫内膜癌(EC)在乳腺癌(BC)的发生发展中的重要作用,本研究将通过2个样本孟德尔随机分析来探讨EC和BC之间的因果关系。来自已发表的全基因组关联研究的汇总数据用于使用5种方法评估女性EC和BC风险之间的关联。即,方差逆加权(IVW),MR-Egger,加权中位数(WME),以EC相关遗传基因座作为辅助变量(IV)的简单多轴分析法(SM)和加权多轴分析法(WM)用于评估结果的稳健性.统计结果显示EC和BC之间存在因果关系(IVW:OR=1.07,95%CI=1.01-1.32,P=.02;MR-Egger:OR=1.21,95%CI=0.71-1.51,P=.11;加权中位数:OR=1.05,95%CI=0.97-1.31,P=.敏感性分析结果表明,没有显著的异质性或多重性,结果稳定。EC与发展为BC的风险增加有关。此MR分析的结果可用作筛查EC女性BC的指南,并有助于提高对早期发现和治疗的筛查意识。
    Several studies have confirmed the important role of endometrial cancer (EC) in the development and progression of breast cancer (BC), and this study will explore the causal relationship between EC and BC by 2-sample Mendelian randomization analysis. Pooled data from published genome-wide association studies were used to assess the association between EC and BC risk in women using 5 methods, namely, inverse variance weighting (IVW), MR-Egger, weighted median (WME), simple multimaximetry (SM) and weighted multimaximetry (WM) with the EC-associated genetic loci as the instrumental variables (IV) and sensitivity analyses were used to assess the robustness of the results. The statistical results showed a causal association between EC and BC (IVW: OR = 1.07, 95% CI = 1.01-1.32, P = .02; MR-Egger: OR = 1.21, 95% CI = 0.71-1.51, P = .11; weighted median: OR = 1.05, 95% CI = 0.97-1.31, P = .19; simple plurality method: OR = 0.98, 95% CI = 0.81-1.15, P = .78; weighted plurality method: OR = 0.98, 95% CI = 0.81-1.14, P = .75), and the results of the sensitivity analyses showed that there was no significant heterogeneity or multiplicity, and the results were stable. EC is associated with an increased risk of developing BC. The results of this MR analysis can be used as a guideline for screening for BC in women with EC and to help raise awareness of screening for early detection and treatment.
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  • 文章类型: Journal Article
    背景:在像泰国这样的发展中国家,非传染性疾病(NCDs)的研究很少在长期队列中进行,尤其是劳动年龄人口。我们的目标是评估非传染性疾病相关危险因素的患病率和发病率,在参加SirirajHealth(SIH)研究队列的医护人员中,尤其是2型糖尿病(T2DM).
    方法:SIH研究设计为纵向队列,在Siriraj医院进行,泰国。总共招募了5,011名参与者(77%为女性)并进行了随访。身体检查,血液生化分析,家族史评估,行为评估,和遗传学因素进行了评估。
    结果:平均年龄为35.44±8.24岁,51%的参与者超重和肥胖。我们观察到,与女性相比,男性更容易患T2DM和血脂异常(DLP)。衰老与糖尿病前期和T2DM显著相关(P<0.001)。此外,老化,代谢综合征,甘油三酯升高与糖尿病前期和T2DM的发展相关。rs7903146(C/T)和rs4506565(A/T)的次要T等位基因与发生糖尿病前期的高风险相关,比值比为2.74(95%置信区间[CI]:0.32-23.3)和2.71(95%CI:0.32-23.07),分别;然而,这些相关性均无统计学意义(P>0.05)。
    结论:SIH研究的结果提供了对健康状况的全面了解,危险因素,以及特定工作人群中与T2DM相关的遗传因素,并强调需要进一步研究和干预的领域,以解决T2DM和非传染性疾病日益增加的负担。
    BACKGROUND: The study of non-communicable diseases (NCDs) in a developing country like Thailand has rarely been conducted in long-term cohorts, especially among the working-age population. We aim to assess the prevalence and incidence of risk factors and their associations underlying NCDs, especially type-2 diabetes mellitus (T2DM) among healthcare workers enrolled in the Siriraj Health (SIH) study cohort.
    METHODS: The SIH study was designed as a longitudinal cohort and conducted at Siriraj hospital, Thailand. A total of 5,011 participants (77% women) were recruited and follow-up. Physical examinations, blood biochemical analyses, family history assessments, behavior evaluations, and genetics factors were assessed.
    RESULTS: The average age was 35.44±8.24 years and 51% of participants were overweight and obese. We observed that men were more likely to have a prevalence of T2DM and dyslipidemia (DLP) compared to women. Aging was significantly associated with pre-diabetes and T2DM (P<0.001). Additionally, aging, metabolic syndrome, and elevated triglycerides were associated with the development of pre-diabetes and T2DM. The minor T allele of the rs7903146(C/T) and rs4506565 (A/T) were associated with a high risk of developing pre-diabetes with odds ratios of 2.74 (95% confidence interval [CI]: 0.32-23.3) and 2.71 (95% CI: 0.32-23.07), respectively; however, these associations were statistically insignificant (P>0.05).
    CONCLUSIONS: The findings of the SIH study provide a comprehensive understanding of the health status, risk factors, and genetic factors related to T2DM in a specific working population and highlight areas for further research and intervention to address the growing burden of T2DM and NCDs.
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  • 文章类型: Journal Article
    冠心病(CHD)的预测模型中不包括遗传因素。
    作者评估了冠心病(定义为心肌梗死,冠状动脉血运重建,或心血管死亡)以及单基因家族性高胆固醇血症(FH)和家族史(FamHx)引起的风险是否独立于PRS并与之相加。
    在英国生物银行的参与者中,PRSCHD使用metaGRS计算,使用合并队列方程(PCE)估计发生CHD的10年风险.评估受试者操作者曲线的曲线下面积(AUC)和净再分类改善(NRI)。FH被定义为LDLR中存在致病性或可能致病性变异,APOB,或PCSK9。FamHx被定义为一级亲属的冠心病诊断。PRSCHD的独立和累加效应,FH,和FamHx在分层分析中进行了评估。
    在323,373名具有基因型数据的参与者中,在PCE中加入PRSCHD可使AUC从0.759(95%CI:0.755-0.763)增加至0.773(95%CI:0.769-0.777).在55岁之前,PRSCHD的AUC和NRIEvent较高。在199,997名具有外显子组序列数据的参与者中,10,000人的PRSCHD≥95百分位数(PRSP95),673有FH,46,163人拥有FamHx。与PRSP95相关的CHD风险独立于FH和FamHx。与PRSCHD组合相关的风险,FH,和FamHx是相加的,可以通过将每个遗传因素的风险相乘来获得综合估计。
    将PRSCHD纳入PCE可以改善冠心病的风险预测,尤其是在年轻的时候。PRSCHD协会,FH,FamHx与CHD是独立和相加的。
    UNASSIGNED: Genetic factors are not included in prediction models for coronary heart disease (CHD).
    UNASSIGNED: The authors assessed the predictive utility of a polygenic risk score (PRS) for CHD (defined as myocardial infarction, coronary revascularization, or cardiovascular death) and whether the risks due to monogenic familial hypercholesterolemia (FH) and family history (FamHx) are independent of and additive to the PRS.
    UNASSIGNED: In UK-biobank participants, PRSCHD was calculated using metaGRS, and 10-year risk for incident CHD was estimated using the pooled cohort equations (PCE). The area under the curve (AUC) of the receiver operator curve and net reclassification improvement (NRI) were assessed. FH was defined as the presence of a pathogenic or likely pathogenic variant in LDLR, APOB, or PCSK9. FamHx was defined as a diagnosis of CHD in first-degree relatives. Independent and additive effects of PRSCHD, FH, and FamHx were evaluated in stratified analyses.
    UNASSIGNED: In 323,373 participants with genotype data, the addition of PRSCHD to PCE increased the AUC from 0.759 (95% CI: 0.755-0.763) to 0.773 (95% CI: 0.769-0.777). The AUC and NRIEvent for PRSCHD were higher before the age of 55 years. Of 199,997 participants with exome sequence data, 10,000 had a PRSCHD ≥95th percentile (PRSP95), 673 had FH, and 46,163 had FamHx. The CHD risk associated with PRSP95 was independent of FH and FamHx. The risks associated with combinations of PRSCHD, FH, and FamHx were additive and comprehensive estimates could be obtained by multiplying the risk from each genetic factor.
    UNASSIGNED: Incorporating PRSCHD into the PCE improves risk prediction for CHD, especially at younger ages. The associations of PRSCHD, FH, and FamHx with CHD were independent and additive.
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  • 文章类型: Journal Article
    炎症性肠病(IBD)和类风湿性关节炎(RA)的合并症发生率很高;然而,高利率背后的原因尚不清楚。他们相似的基因组成可能是造成这种共病的原因。
    根据IBD和RA的全基因组关联研究获得的数据,我们首先通过连锁不平衡评分回归(LDSC)分析评估了总体遗传关联.Further,通过估计汇总统计中的遗传力进行局部相关分析.接下来,通过孟德尔双样本随机化(MR)分析了两种疾病之间的因果关系.通过条件/联合错误发现率(cond/conjFDR)方法分析了遗传重叠。进行基因特异性表达的LDSC分析以鉴定两种疾病之间的相关组织。最后,还进行了GWAS多性状分析(MTAG)。
    IBD和RA在基因组水平上是相关的,整体和局部。MR结果提示IBD诱发RA。我们基于<0.01的conjFDR鉴定了IBD和RA之间的20个共有基因座。此外,我们确定了两个组织,即脾脏和小肠末端回肠,通常与IBD和RA相关。
    这里,我们证明了IBD和RA的遗传组成之间存在多基因重叠,并为这两种疾病之间高合并症的遗传结构和机制提供了新的见解.
    UNASSIGNED: The comorbidity rate of inflammatory bowel disease (IBD) and rheumatoid arthritis (RA) is high; nevertheless, the reasons behind this high rate remain unclear. Their similar genetic makeup probably contributes to this comorbidity.
    UNASSIGNED: Based on data obtained from the genome-wide association study of IBD and RA, we first assessed an overall genetic association by performing the linkage disequilibrium score regression (LDSC) analysis. Further, a local correlation analysis was performed by estimating the heritability in summary statistics. Next, the causality between the two diseases was analyzed by two-sample Mendelian randomization (MR). A genetic overlap was analyzed by the conditional/conjoint false discovery rate (cond/conjFDR) method.LDSC with specific expression of gene analysis was performed to identify related tissues between the two diseases. Finally, GWAS multi-trait analysis (MTAG) was also carried out.
    UNASSIGNED: IBD and RA are correlated at the genomic level, both overall and locally. The MR results suggested that IBD induced RA. We identified 20 shared loci between IBD and RA on the basis of a conjFDR of <0.01. Additionally, we identified two tissues, namely spleen and small intestine terminal ileum, which were commonly associated with both IBD and RA.
    UNASSIGNED: Herein, we proved the presence of a polygenic overlap between the genetic makeup of IBD and RA and provided new insights into the genetic architecture and mechanisms underlying the high comorbidity between these two diseases.
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  • 文章类型: Journal Article
    胰岛素抵抗(IR)和β细胞功能障碍是2型糖尿病(T2D)的主要驱动因素。关于IR的全基因组关联研究(GWAS)主要在欧洲人群中进行,而中东人口在很大程度上仍然不足。我们对来自卡塔尔生物银行的6,217名非糖尿病个体(QBB;发现队列;n=2170,复制队列;n=4047)的IR指数(HOMA2-IR)和β细胞功能(HOMA2-%B)进行了GWAS,有或没有体重指数(BMI)调整。我们还开发了HOMA2-IR的多基因评分(PGS),并将其性能与先前衍生的HOMA-IRPGS(PGS003470)进行了比较。我们复制了11个先前与HOMA-IR相关的基因座和24个与HOMA-%B相关的基因座,在名义统计意义上。我们还在VEGFC基因附近发现了一个与β细胞功能相关的新基因座,用rs61552983标记(P=4.38×10-8)。此外,在我们的数据集中,我们表现最好的PGS(Q-PGS4;AdjR2=0.233±0.014;P=1.55x10-3)在预测HOMA2-IR方面优于PGS003470(AdjR2=0.194±0.014;P=5.45x10-2).这是HOMA2上的第一个GWAS,也是在中东进行的第一个关注IR和β细胞功能的GWAS。在这里,我们报道了VEGFC中一个与β细胞功能障碍有关的新基因座。纳入GWAS中代表性不足的群体有可能为IR和β细胞功能的遗传结构提供重要的见解。
    Insulin resistance (IR) and beta cell dysfunction are the major drivers of type 2 diabetes (T2D). Genome-Wide Association Studies (GWAS) on IR have been predominantly conducted in European populations, while Middle Eastern populations remain largely underrepresented. We conducted a GWAS on the indices of IR (HOMA2-IR) and beta cell function (HOMA2-%B) in 6,217 non-diabetic individuals from the Qatar Biobank (QBB; Discovery cohort; n = 2170, Replication cohort; n = 4047) with and without body mass index (BMI) adjustment. We also developed polygenic scores (PGS) for HOMA2-IR and compared their performance with a previously derived PGS for HOMA-IR (PGS003470). We replicated 11 loci that have been previously associated with HOMA-IR and 24 loci that have been associated with HOMA-%B, at nominal statistical significance. We also identified a novel locus associated with beta cell function near VEGFC gene, tagged by rs61552983 (P = 4.38 × 10-8). Moreover, our best performing PGS (Q-PGS4; Adj R2 = 0.233 ± 0.014; P = 1.55 x 10-3) performed better than PGS003470 (Adj R2 = 0.194 ± 0.014; P = 5.45 x 10-2) in predicting HOMA2-IR in our dataset. This is the first GWAS on HOMA2 and the first GWAS conducted in the Middle East focusing on IR and beta cell function. Herein, we report a novel locus in VEGFC that is implicated in beta cell dysfunction. Inclusion of under-represented populations in GWAS has potentials to provide important insights into the genetic architecture of IR and beta cell function.
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