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GWAS Study

Exome sequencing of 20,791 cases of type 2 diabetes and 24,440 controls.

Flannick J, Mercader JM, Fuchsberger C et al.

31118516 PubMed ID
GWAS Study Type
35912 Participants
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Chapter I

Publication Details

Comprehensive information about this research publication

Authors

FJ
Flannick J
MJ
Mercader JM
FC
Fuchsberger C
UM
Udler MS
MA
Mahajan A
WJ
Wessel J
TT
Teslovich TM
CL
Caulkins L
KR
Koesterer R
BF
Barajas-Olmos F
BT
Blackwell TW
BE
Boerwinkle E
BJ
Brody JA
CF
Centeno-Cruz F
CL
Chen L
CS
Chen S
CC
Contreras-Cubas C
CE
Córdova E
CA
Correa A
CM
Cortes M
DR
DeFronzo RA
DL
Dolan L
DK
Drews KL
EA
Elliott A
FJ
Floyd JS
GS
Gabriel S
GM
Garay-Sevilla ME
GH
García-Ortiz H
GM
Gross M
HS
Han S
HN
Heard-Costa NL
JA
Jackson AU
JM
Jørgensen ME
KH
Kang HM
KM
Kelsey M
KB
Kim BJ
KH
Koistinen HA
KJ
Kuusisto J
LJ
Leader JB
LA
Linneberg A
LC
Liu CT
LJ
Liu J
LV
Lyssenko V
MA
Manning AK
MA
Marcketta A
MJ
Malacara-Hernandez JM
MA
Martínez-Hernández A
MK
Matsuo K
ME
Mayer-Davis E
ME
Mendoza-Caamal E
MK
Mohlke KL
MA
Morrison AC
NA
Ndungu A
NM
Ng MCY
OC
O'Dushlaine C
PA
Payne AJ
PC
Pihoker C
PW
Post WS
PM
Preuss M
PB
Psaty BM
VR
Vasan RS
RN
Rayner NW
RA
Reiner AP
RC
Revilla-Monsalve C
RN
Robertson NR
SN
Santoro N
SC
Schurmann C
SW
So WY
SX
Soberón X
SH
Stringham HM
ST
Strom TM
TC
Tam CHT
TF
Thameem F
TB
Tomlinson B
TJ
Torres JM
TR
Tracy RP
VD
van Dam RM
VM
Vujkovic M
WS
Wang S
WR
Welch RP
WD
Witte DR
WT
Wong TY
AG
Atzmon G
BN
Barzilai N
BJ
Blangero J
BL
Bonnycastle LL
BD
Bowden DW
CJ
Chambers JC
CE
Chan E
CC
Cheng CY
CY
Cho YS
CF
Collins FS
DV
de Vries PS
DR
Duggirala R
GB
Glaser B
GC
Gonzalez C
GM
Gonzalez ME
GL
Groop L
KJ
Kooner JS
KS
Kwak SH
LM
Laakso M
LD
Lehman DM
NP
Nilsson P
ST
Spector TD
TE
Tai ES
TT
Tuomi T
TJ
Tuomilehto J
WJ
Wilson JG
AC
Aguilar-Salinas CA
BE
Bottinger E
BB
Burke B
CD
Carey DJ
CJ
Chan JCN
DJ
Dupuis J
FP
Frossard P
HS
Heckbert SR
HM
Hwang MY
KY
Kim YJ
KH
Kirchner HL
LJ
Lee JY
LJ
Lee J
LR
Loos RJF
MR
Ma RCW
MA
Morris AD
OC
O'Donnell CJ
PC
Palmer CNA
PJ
Pankow J
PK
Park KS
RA
Rasheed A
SD
Saleheen D
SX
Sim X
SK
Small KS
TY
Teo YY
HC
Haiman C
HC
Hanis CL
HB
Henderson BE
OL
Orozco L
TT
Tusié-Luna T
DF
Dewey FE
BA
Baras A
GC
Gieger C
MT
Meitinger T
SK
Strauch K
LL
Lange L
GN
Grarup N
HT
Hansen T
PO
Pedersen O
ZP
Zeitler P
DD
Dabelea D
AG
Abecasis G
BG
Bell GI
CN
Cox NJ
SM
Seielstad M
SR
Sladek R
MJ
Meigs JB
RS
Rich SS
RJ
Rotter JI
AD
Altshuler D
BN
Burtt NP
SL
Scott LJ
MA
Morris AP
FJ
Florez JC
MM
McCarthy MI
BM
Boehnke M
Chapter II

Abstract

Summary of the research findings

Protein-coding genetic variants that strongly affect disease risk can yield relevant clues to disease pathogenesis. Here we report exome-sequencing analyses of 20,791 individuals with type 2 diabetes (T2D) and 24,440 non-diabetic control participants from 5 ancestries. We identify gene-level associations of rare variants (with minor allele frequencies of less than 0.5%) in 4 genes at exome-wide significance, including a series of more than 30 SLC30A8 alleles that conveys protection against T2D, and in 12 gene sets, including those corresponding to T2D drug targets (P = 6.1 × 10-3) and candidate genes from knockout mice (P = 5.2 × 10-3). Within our study, the strongest T2D gene-level signals for rare variants explain at most 25% of the heritability of the strongest common single-variant signals, and the gene-level effect sizes of the rare variants that we observed in established T2D drug targets will require 75,000-185,000 sequenced cases to achieve exome-wide significance. We propose a method to interpret these modest rare-variant associations and to incorporate these associations into future target or gene prioritization efforts.

2,277 African American cases, 3,098 East Asian ancestry cases, 3,704 European ancestry cases, 6,215 Hispanic/Latino cases, 2,939 South Asian ancestry cases, 2,283 African American controls, 2,921 East Asian ancestry controls, 3,514 European ancestry controls, 5,939 Hispanic/Latino controls, 3,022 South Asian ancestry controls

Chapter III

Study Statistics

Key metrics and study information

35912
Total Participants
GWAS
Study Type
No
Replicated
African American or Afro-Caribbean, Hispanic or Latin American, South Asian, East Asian, European
Ancestry
U.S., U.K.
Recruitment Country
Chapter IV

Analysis

Comprehensive review of health and genetic findings

Important Disclaimer: This review has been performed semi-automatically and is provided for informational purposes only. While we strive for accuracy, this analysis may contain errors, omissions, or misinterpretations of the original research. DNA Genics disclaims all liability for any inaccuracies, errors, or consequences arising from the use of this information. Users should independently verify all information and consult original research publications before making any decisions based on this content. This analysis is not intended as a substitute for professional scientific review or medical advice.

Analysis In Progress

Our analysis of this publication is currently being prepared. Please check back soon for comprehensive insights into the health and genetic findings discussed in this research.