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Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes.


ABSTRACT: We report the largest and most diverse genetic study of type 1 diabetes (T1D) to date (61,427 participants), yielding 78 genome-wide-significant (P < 5 × 10-8) regions, including 36 that are new. We define credible sets of T1D-associated variants and show that they are enriched in immune-cell accessible chromatin, particularly CD4+ effector T cells. Using chromatin-accessibility profiling of CD4+ T cells from 115 individuals, we map chromatin-accessibility quantitative trait loci and identify five regions where T1D risk variants co-localize with chromatin-accessibility quantitative trait loci. We highlight rs72928038 in BACH2 as a candidate causal T1D variant leading to decreased enhancer accessibility and BACH2 expression in T cells. Finally, we prioritize potential drug targets by integrating genetic evidence, functional genomic maps and immune protein-protein interactions, identifying 12 genes implicated in T1D that have been targeted in clinical trials for autoimmune diseases. These findings provide an expanded genomic landscape for T1D.

SUBMITTER: Robertson CC 

PROVIDER: S-EPMC8273124 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes.

Robertson Catherine C CC   Inshaw Jamie R J JRJ   Onengut-Gumuscu Suna S   Chen Wei-Min WM   Santa Cruz David Flores DF   Yang Hanzhi H   Cutler Antony J AJ   Crouch Daniel J M DJM   Farber Emily E   Bridges S Louis SL   Edberg Jeffrey C JC   Kimberly Robert P RP   Buckner Jane H JH   Deloukas Panos P   Divers Jasmin J   Dabelea Dana D   Lawrence Jean M JM   Marcovina Santica S   Shah Amy S AS   Greenbaum Carla J CJ   Atkinson Mark A MA   Gregersen Peter K PK   Oksenberg Jorge R JR   Pociot Flemming F   Rewers Marian J MJ   Steck Andrea K AK   Dunger David B DB   Wicker Linda S LS   Concannon Patrick P   Todd John A JA   Rich Stephen S SS  

Nature genetics 20210614 7


We report the largest and most diverse genetic study of type 1 diabetes (T1D) to date (61,427 participants), yielding 78 genome-wide-significant (P < 5 × 10<sup>-8</sup>) regions, including 36 that are new. We define credible sets of T1D-associated variants and show that they are enriched in immune-cell accessible chromatin, particularly CD4<sup>+</sup> effector T cells. Using chromatin-accessibility profiling of CD4<sup>+</sup> T cells from 115 individuals, we map chromatin-accessibility quanti  ...[more]

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