Type 1 diabetes

Genetic Associations With C-peptide Levels Before Type 1 Diabetes Diagnosis in At-risk Relatives

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

The type 2 diabetes-associated JAZF1 rs864745 T allele and higher T1D-GRS2 are associated with lower C-peptide AUC before diagnosis of type 1 diabetes, with implications for the design of prevention trials.

Study context

Population
Autoantibody-positive participants who developed T1D in the TrialNet Pathway to Prevention Study, with T1DExomeChip data
Participants
713 participants
Outcome
AUC C-peptide levels during OGTTs, association with T1D-GRS2 and 16 known SNPs
Follow-up
9 months before diagnosis
Methodological detailsretrospective analysis
  • Retrospective analysis

Main finding

As reported in the abstract

C-peptide AUC in the 9 months before diagnosis

Higher T1D-GRS2 associated with lower C-peptide AUC, univariate β (P < .0001)

−.06

Higher T1D-GRS2 associated with lower C-peptide AUC, multivariate β (P = .005)

−.03

JAZF1 rs864745 T allele associated with lower C-peptide AUC, univariate β (P = .002)

−.11

JAZF1 rs864745 T allele associated with lower C-peptide AUC, multivariate β (P = .018)

−.06

Observational data: associations, not effects.

Original publication

Genetic Associations With C-peptide Levels Before Type 1 Diabetes Diagnosis in At-risk Relatives. J Clin Endocrinol Metab. Published 20 May 2024. doi:10.1210/clinem/dgae349

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