Delnaz Roshandel, Athina Spiliopoulou, Stuart J McGurnaghan, Andrii Iakovliev, Debby Lipschutz, Caroline Hayward, Shelley B Bull, Barbara E K Klein, Kristine E Lee, Gregory L Kinney, Marian Rewers, Tina Costacou, Rachel G Miller, Paul M McKeigue, Andrew D Paterson, Helen M Colhoun
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引用次数: 0
摘要
已确定的 1 型糖尿病(T1D)患者 C 肽和诊断年龄(AAD)的遗传位点只能解释其变异的一小部分。在此,我们旨在对 T1D 患者的 C 肽和确诊年龄进行大型全基因组关联研究(GWAS),并确定与 C 肽和确诊年龄相关的 HLA 等位基因/单倍型。7,252和7,923名患有T1D的欧洲个体分别被纳入C肽和AAD的GWAS。对 T1D 有强烈保护作用的 HLA-DQB1*06:02 与较高的 C 肽相关。增加 T1D 风险的 HLA-DQB1*03:02、HLADRB1*03:01 和 HLA-A*24:02 与更年轻的 AAD 独立相关。HLA-DR3-DR4 单倍型组合是最强的 T1D 易感因子,与较年轻的 AAD 相关。在 HLA 区域之外,位于 Chr5(GABRG2)上的 rs115673528 与 C 肽相关,而位于 Chr15(CTSH,已知的 T1D 基因座)上的重复序列 rs111970692 与 AAD 相关。基因预测的 CTSH 表达、甲基化和蛋白水平与 AAD 相关;孟德尔随机分析表明,较高水平的前胰蛋白酶 H 可减少 AAD。总之,一些与 T1D 相关的 HLA 等位基因/单倍型也会导致 C 肽和 AAD 的变化。除 HLA 外,T1D 基因位点一般与 C 肽或 AAD 无关。CTSH可能是延缓1型糖尿病发展/恶化的潜在治疗靶点。
Genetics of C-Peptide and Age at Diagnosis in Type 1 Diabetes.
Article highlights: Identified genetic loci for C-peptide and type 1 diabetes (T1D) age at diagnosis (AAD) explain only a small proportion of their variation. We aimed to identify additional genetic loci associated with C-peptide and AAD. Some HLA allele/haplotypes associated with T1D also contributed to variability of C-peptide and AAD, whereas outside the HLA region, T1D loci were mostly not associated with C-peptide or AAD. Genetic variation within CTSH can affect AAD. There is still residual heritability of C-peptide and AAD outside of HLA that could benefit from larger meta-genome-wide association studies.