Academic Journal

GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification.
Συγγραφείς: Lagou, V, Jiang, L, Ulrich, A, Zudina, L, González, KSG, Balkhiyarova, Z, Faggian, A, Maina, JG, Chen, S, Todorov, PV, Sharapov, S, David, A, Marullo, L, Mägi, R, Rujan, R-M, Ahlqvist, E, Thorleifsson, G, Gao, Η, Εvangelou, Ε, Benyamin, B, Scott, RA, Isaacs, A, Zhao, JH, Willems, SM, Johnson, T, Gieger, C, Grallert, H, Meisinger, C, Müller-Nurasyid, M, Strawbridge, RJ, Goel, A, Rybin, D, Albrecht, E, Jackson, AU, Stringham, HM, Corrêa, IR, Farber-Eger, E, Steinthorsdottir, V, Uitterlinden, AG, Munroe, PB, Brown, MJ, Schmidberger, J, Holmen, O, Thorand, B, Hveem, K, Wilsgaard, T, Mohlke, KL, Wang, Z, GWA-PA Consortium, Shmeliov, A, den Hoed, M, Loos, RJF, Kratzer, W, Haenle, M, Koenig, W, Boehm, BO, Tan, TM, Tomas, A, Salem, V, Barroso, I, Tuomilehto, J, Boehnke, M, Florez, JC, Hamsten, A, Watkins, H, Njølstad, I, Wichmann, H-E, Caulfield, MJ, Khaw, K-T, van Duijn, CM, Hofman, A, Wareham, NJ, Langenberg, C, Whitfield, JB, Martin, NG, Montgomery, G, Scapoli, C, Tzoulaki, I, Elliott, P, Thorsteinsdottir, U, Stefansson, K, Brittain, EL, McCarthy, MI, Froguel, P, Sexton, PM, Wootten, D, Groop, L, Dupuis, J, Meigs, JB, Deganutti, G, Demirkan, A, Pers, TH, Reynolds, CA, Aulchenko, YS, Kaakinen, MA, Jones, B, Prokopenko, I, Meta-Analysis of Glucose and Insulin-Related Traits Consortium (MAGIC)
Έτος έκδοσης: 2023
Συλλογή: Queen Mary University of London: Queen Mary Research Online (QMRO)
Θεματικοί όροι: Humans, Glucose, Genome-Wide Association Study, Blood Glucose, Diabetes Mellitus, Type 2, Colon
Περιγραφή: Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on 'around the clock' glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals. Of these, 44 loci are new for glycemic traits. Regulatory, glycosylation and metagenomic annotations highlight ileum and colon tissues, indicating an underappreciated role of the gastrointestinal tract in controlling blood glucose. Functional follow-up and molecular dynamics simulations of lower frequency coding variants in glucagon-like peptide-1 receptor (GLP1R), a type 2 diabetes treatment target, reveal that optimal selection of GLP-1R agonist therapy will benefit from tailored genetic stratification. We also provide evidence from Mendelian randomization that lung function is modulated by blood glucose and that pulmonary dysfunction is a diabetes complication. Our investigation yields new insights into the biology of glucose regulation, diabetes complications and pathways for treatment stratification.
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: 1448 - 1461
Γλώσσα: English
Relation: Nat Genet; https://qmro.qmul.ac.uk/xmlui/handle/123456789/91149
DOI: 10.1038/s41588-023-01462-3
Διαθεσιμότητα: https://qmro.qmul.ac.uk/xmlui/handle/123456789/91149
https://doi.org/10.1038/s41588-023-01462-3
Rights: Attribution 3.0 United States ; http://creativecommons.org/licenses/by/3.0/us/
Αριθμός Καταχώρησης: edsbas.1C059B2C
Βάση Δεδομένων: BASE
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  – Url: https://qmro.qmul.ac.uk/xmlui/handle/123456789/91149#
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PubType: Academic Journal
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  Data: Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on 'around the clock' glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals. Of these, 44 loci are new for glycemic traits. Regulatory, glycosylation and metagenomic annotations highlight ileum and colon tissues, indicating an underappreciated role of the gastrointestinal tract in controlling blood glucose. Functional follow-up and molecular dynamics simulations of lower frequency coding variants in glucagon-like peptide-1 receptor (GLP1R), a type 2 diabetes treatment target, reveal that optimal selection of GLP-1R agonist therapy will benefit from tailored genetic stratification. We also provide evidence from Mendelian randomization that lung function is modulated by blood glucose and that pulmonary dysfunction is a diabetes complication. Our investigation yields new insights into the biology of glucose regulation, diabetes complications and pathways for treatment stratification.
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  Data: Nat Genet; https://qmro.qmul.ac.uk/xmlui/handle/123456789/91149
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