Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Department of Human Genetics, McGill University, Montreal, Quebec, Canada.
Diabetes. 2020 Apr;69(4):784-795. doi: 10.2337/db19-0831. Epub 2020 Jan 31.
Most replicated genetic determinants for type 1 diabetes are common (minor allele frequency [MAF] >5%). We aimed to identify novel rare or low-frequency (MAF <5%) single nucleotide polymorphisms with large effects on risk of type 1 diabetes. We undertook deep imputation of genotyped data followed by genome-wide association testing and meta-analysis of 9,358 type 1 diabetes case and 15,705 control subjects from 12 European cohorts. Candidate variants were replicated in a separate cohort of 4,329 case and 9,543 control subjects. Our meta-analysis identified 27 independent variants outside the MHC, among which 3 were novel and had MAF <5%. Three of these variants replicated with < 0.05 and < In silico analysis prioritized a rare variant at 2q24.3 (rs60587303 [C], MAF 0.5%) within the first intron of with an effect size comparable with those of common variants in the and loci (combined [from the discovery and replication cohorts] estimate of odds ratio [OR] 1.97, 95% CI 1.58-2.47, = 2.9 × 10). Pharmacological inhibition of activity in primary murine T cells augmented effector responses through enhancement of interleukin 2 signaling. These findings provide insight into the genetic architecture of type 1 diabetes and have identified rare variants having a large effect on disease risk.
大多数 1 型糖尿病的复制遗传决定因素都是常见的(次要等位基因频率 [MAF] >5%)。我们旨在确定新的罕见或低频(MAF <5%)单核苷酸多态性,这些多态性对 1 型糖尿病的风险有较大影响。我们对已分型数据进行深度推测,然后进行全基因组关联测试和 12 个欧洲队列的 9358 例 1 型糖尿病病例和 15705 例对照的荟萃分析。候选变异在另一个 4329 例病例和 9543 例对照的队列中进行了复制。我们的荟萃分析确定了 MHC 之外的 27 个独立变异,其中 3 个是新的,MAF <5%。这 3 个变异与 < 0.05 和 < 基于计算的分析优先考虑了 2q24.3 上的一个罕见变异(rs60587303 [C],MAF 0.5%),该变异位于的第一个内含子内,其效应大小与 和 基因座中的常见变异相当(来自发现和复制队列的综合估计比值比 [OR] 1.97,95%CI 1.58-2.47, = 2.9×10)。在原代小鼠 T 细胞中抑制 的活性可通过增强白细胞介素 2 信号转导来增强效应器反应。这些发现提供了对 1 型糖尿病遗传结构的深入了解,并确定了对疾病风险有较大影响的罕见变异。