Diabetes complications

Whole-exome and whole-genome sequencing of 1064 individuals with type 1 diabetes reveals novel genes for diabetic kidney disease

DiabetologiaPublished Genetic association study

Authors' conclusion

Our sequencing-based meta-analysis revealed multiple genes, variants and regulatory regions that were suggestively associated with DKD. However, as no variant or gene reached genome-wide significance, further studies are needed to validate the findings.

Study context

Population
Individuals with T1D; Whole-exome sequencing (WES) in 498 and whole-genome sequencing (WGS) in 599after quality control
Participants
1,064 individuals
Comparison
Diabetic kidney disease (DKD) vs normal albumin excretion despite long T1D duration
  • DKDn = 541
  • Normal albumin excretionn = 523reference
Outcome
Association of low-frequency and common variants, genes and regulatory regions with DKD
Methodological detailswhole-exome and whole-genome sequencing meta-analysis, case-control, WES and WGS meta-analysis, single-variant and gene-aggregate tests, replication in FinnGen genome-wide association study (GWAS)
  • Whole-exome and whole-genome sequencing meta-analysis
  • Case-control
  • WES and WGS meta-analysis
  • Single-variant and gene-aggregate tests
  • Replication in FinnGen GWAS

Pooled result

As reported in the abstract

THAP7 rs369250 (minor allele frequency (MAF)=49%), suggestive association, replicated in FinnGen GWAS for CKD and DKD phenotypes
p=1.50 × 10-5
Gene-aggregate meta-analysis: suggestive evidence at four genes; NAT16 (MAFPAV≤10%) and LTA (MAFPAV≤5%) replicated in FinnGen
p<4.0 × 10-4
Enhancer on chromosome 18q12.3 (MAFvariants≤5%), interacting with METTL4; lead variant replicated, predicted to alter MafB binding
p=3.94 × 10-5

Further pooled results

LTA rs2229092 C allele and serum TNFR1, TNFR2, TNFR3

Significantly lower TNFR1, TNFR2 and TNFR3 serum levels with the C allele in a subset of FinnDiane participants

Original publication

Whole-exome and whole-genome sequencing of 1064 individuals with type 1 diabetes reveals novel genes for diabetic kidney disease. Diabetologia. Published 6 August 2024. doi:10.1007/s00125-024-06241-1

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