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Loci for insulin processing and secretion provide insight into type 2 diabetes risk.


ABSTRACT: Insulin secretion is critical for glucose homeostasis, and increased levels of the precursor proinsulin relative to insulin indicate pancreatic islet beta-cell stress and insufficient insulin secretory capacity in the setting of insulin resistance. We conducted meta-analyses of genome-wide association results for fasting proinsulin from 16 European-ancestry studies in 45,861 individuals. We found 36 independent signals at 30 loci (p value < 5 × 10-8), which validated 12 previously reported loci for proinsulin and ten additional loci previously identified for another glycemic trait. Half of the alleles associated with higher proinsulin showed higher rather than lower effects on glucose levels, corresponding to different mechanisms. Proinsulin loci included genes that affect prohormone convertases, beta-cell dysfunction, vesicle trafficking, beta-cell transcriptional regulation, and lysosomes/autophagy processes. We colocalized 11 proinsulin signals with islet expression quantitative trait locus (eQTL) data, suggesting candidate genes, including ARSG, WIPI1, SLC7A14, and SIX3. The NKX6-3/ANK1 proinsulin signal colocalized with a T2D signal and an adipose ANK1 eQTL signal but not the islet NKX6-3 eQTL. Signals were enriched for islet enhancers, and we showed a plausible islet regulatory mechanism for the lead signal in the MADD locus. These results show how detailed genetic studies of an intermediate phenotype can elucidate mechanisms that may predispose one to disease.

SUBMITTER: Broadaway KA 

PROVIDER: S-EPMC9943750 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Loci for insulin processing and secretion provide insight into type 2 diabetes risk.

Broadaway K Alaine KA   Yin Xianyong X   Williamson Alice A   Parsons Victoria A VA   Wilson Emma P EP   Moxley Anne H AH   Vadlamudi Swarooparani S   Varshney Arushi A   Jackson Anne U AU   Ahuja Vasudha V   Bornstein Stefan R SR   Corbin Laura J LJ   Delgado Graciela E GE   Dwivedi Om P OP   Fernandes Silva Lilian L   Frayling Timothy M TM   Grallert Harald H   Gustafsson Stefan S   Hakaste Liisa L   Hammar Ulf U   Herder Christian C   Herrmann Sandra S   Højlund Kurt K   Hughes David A DA   Kleber Marcus E ME   Lindgren Cecilia M CM   Liu Ching-Ti CT   Luan Jian'an J   Malmberg Anni A   Moissl Angela P AP   Morris Andrew P AP   Perakakis Nikolaos N   Peters Annette A   Petrie John R JR   Roden Michael M   Schwarz Peter E H PEH   Sharma Sapna S   Silveira Angela A   Strawbridge Rona J RJ   Tuomi Tiinamaija T   Wood Andrew R AR   Wu Peitao P   Zethelius Björn B   Baldassarre Damiano D   Eriksson Johan G JG   Fall Tove T   Florez Jose C JC   Fritsche Andreas A   Gigante Bruna B   Hamsten Anders A   Kajantie Eero E   Laakso Markku M   Lahti Jari J   Lawlor Deborah A DA   Lind Lars L   März Winfried W   Meigs James B JB   Sundström Johan J   Timpson Nicholas J NJ   Wagner Robert R   Walker Mark M   Wareham Nicholas J NJ   Watkins Hugh H   Barroso Inês I   O'Rahilly Stephen S   Grarup Niels N   Parker Stephen Cj SC   Boehnke Michael M   Langenberg Claudia C   Wheeler Eleanor E   Mohlke Karen L KL  

American journal of human genetics 20230123 2


Insulin secretion is critical for glucose homeostasis, and increased levels of the precursor proinsulin relative to insulin indicate pancreatic islet beta-cell stress and insufficient insulin secretory capacity in the setting of insulin resistance. We conducted meta-analyses of genome-wide association results for fasting proinsulin from 16 European-ancestry studies in 45,861 individuals. We found 36 independent signals at 30 loci (p value < 5 × 10<sup>-8</sup>), which validated 12 previously rep  ...[more]

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