Genome-Wide Association Study of Hypoglycemia in Adults With Diabetes in the Million Veteran Program.

Diabetes Pub Date : 2025-09-19 DOI:10.2337/db25-0304
Sridharan Raghavan, Elizabeth Litkowski, Aubrey Jensen, Brian Charest, Zeyuan Wang, Qin Hui, Hua-Chang Chen, Mary K Rhee, Aaron Leong, James B Meigs, Leslie Lange, Ethan Lange, Peter Reaven, Adriana Hung, Jin Zhou, Yan V Sun, Lawrence S Phillips
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Abstract

Article highlights: Genetic variants associated with hypoglycemia risk in individuals with medication-treated diabetes have not been evaluated genome-wide. The specific question we asked was whether common genetic variants are associated with hypoglycemia among individuals with diabetes treated with glucose-lowering medications. We found four genomic loci were associated with hypoglycemia in a genome-wide association study. One locus-on chromosome 6-was associated with hypoglycemia only in individuals with likely type 1 diabetes, and two loci-on chromosome 2 and chromosome 6-were associated with hypoglycemia only in the context of treatment with sulfonylureas (chromosome 2) or with insulin (chromosome 6). Genetic variants may help identify individuals with diabetes at increased hypoglycemia risk, but additional study is needed to address the clinical utility of genetic data to inform hypoglycemia risk.

百万退伍军人计划中成人糖尿病患者低血糖的全基因组关联研究。
文章重点:与药物治疗糖尿病患者低血糖风险相关的遗传变异尚未在全基因组范围内进行评估。我们提出的具体问题是,在接受降糖药物治疗的糖尿病患者中,常见的遗传变异是否与低血糖有关。我们在一项全基因组关联研究中发现了四个与低血糖相关的基因组位点。6号染色体上的一个位点仅在可能患有1型糖尿病的个体中与低血糖有关,2号染色体和6号染色体上的两个位点仅在使用磺脲类药物(2号染色体)或胰岛素(6号染色体)治疗的情况下与低血糖有关。遗传变异可能有助于识别低血糖风险增加的糖尿病患者,但需要进一步的研究来解决遗传数据在低血糖风险方面的临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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