Type 2 & other diabetes

Exploring genetic risk factors for β-cell deterioration in type 2 diabetes mellitus: Insights from longitudinal C-peptide analysis

Diabetes Res Clin PractPublished Longitudinal cohort study

Authors' conclusion

Using IAD calculated by fasting serum C-peptide over 10 years, KCNJ11 (rs5219) was identified as a genetic factor that was associated with the decline in insulin secretion in Japanese patients with type 2 diabetes mellitus.

Study context

Population
Japanese patients with T2D without significant obesity or renal dysfunction; fasting serum C-peptide observed over 10.5 ± 4.7 years
Participants
116 patients
Exposure
KCNJ11 homozygous susceptibility allele TT vs TC/CC
  • TTn = 20
  • TC/CCn = 96reference
Outcome
Individual annual decline of fasting serum C-peptide (IAD), by regression analysis, in patients with or without susceptible allele of candidate SNPs (KCNQ1, TCF7L2, CDKN2A/B, CDKAL1, UBE2E2, HHEX, KCNJ11)
Follow-up
10.5 ± 4.7 years
Methodological detailscandidate SNP analysis
  • Candidate SNP analysis

Main finding

As reported in the abstract

IAD by KCNJ11 (rs5219) genotype

TT

−2.583

range −3.285: −0.893 · × 10-2 nmol/L/year

TC/CC

−1.367

range −2.273: −0.767 · × 10-2 nmol/L/year

P = 0.035

Observational data: associations, not effects.

Further findings

IAD (all patients)
−1.513 [−2.635: −0.129] × 10-2 nmol/L/year

Original publication

Exploring genetic risk factors for β-cell deterioration in type 2 diabetes mellitus: Insights from longitudinal C-peptide analysis. Diabetes Res Clin Pract. Published 17 February 2025. doi:10.1016/j.diabres.2025.112049

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