Thuesen, A.C.B.* ; Stæger, F.F.* ; Kaci, A.* ; Solheim, M.H.* ; Aukrust, I.* ; Jørsboe, E.* ; Santander, C.G.* ; Andersen, M.K.* ; Li, Z.* ; Gilly, A. ; Stinson, S.E.* ; Gjesing, A.P.* ; Bjerregaard, P.* ; Pedersen, M.L.* ; Larsen, C.V.L.* ; Grarup, N.* ; Jørgensen, M.E.* ; Zeggini, E. ; Bjørkhaug, L.* ; Njølstad, P.R.* ; Albrechtsen, A.* ; Moltke, I.* ; Hansen, T.*
A novel splice-affecting HNF1A variant with large population impact on diabetes in Greenland.
Lancet Reg. Health-Eur. 24:100529 (2023)
Background: The genetic disease architecture of Inuit includes a large number of common high-impact variants. Identification of such variants contributes to our understanding of the genetic aetiology of diseases and improves global equity in genomic personalised medicine. We aimed to identify and characterise novel variants in genes associated with Maturity Onset Diabetes of the Young (MODY) in the Greenlandic population. Methods: Using combined data from Greenlandic population cohorts of 4497 individuals, including 448 whole genome sequenced individuals, we screened 14 known MODY genes for previously identified and novel variants. We functionally characterised an identified novel variant and assessed its association with diabetes prevalence and cardiometabolic traits and population impact. Findings: We identified a novel variant in the known MODY gene HNF1A with an allele frequency of 1.9% in the Greenlandic Inuit and absent elsewhere. Functional assays indicate that it prevents normal splicing of the gene. The variant caused lower 30-min insulin (β = −232 pmol/L, βSD = −0.695, P = 4.43 × 10−4) and higher 30-min glucose (β = 1.20 mmol/L, βSD = 0.441, P = 0.0271) during an oral glucose tolerance test. Furthermore, the variant was associated with type 2 diabetes (OR 4.35, P = 7.24 × 10−6) and HbA1c (β = 0.113 HbA1c%, βSD = 0.205, P = 7.84 × 10−3). The variant explained 2.5% of diabetes variance in Greenland. Interpretation: The reported variant has the largest population impact of any previously reported variant within a MODY gene. Together with the recessive TBC1D4 variant, we show that close to 1 in 5 cases of diabetes (18%) in Greenland are associated with high-impact genetic variants compared to 1–3% in large populations. Funding: Novo Nordisk Foundation, Independent Research Fund Denmark, and Karen Elise Jensen's Foundation.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Hepatocyte Nuclear Factor-1-alpha; Insulin Sensitivity; Glucose-tolerance; Rare Variants; Low-frequency; Onset; Mutations; Association; Genes; Risk
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2023
Prepublished im Jahr
2022
HGF-Berichtsjahr
2022
ISSN (print) / ISBN
2666-7762
e-ISSN
2666-7762
ISBN
Bandtitel
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Konferzenzdatum
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Konferenzband
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Band: 24,
Heft: ,
Seiten: ,
Artikelnummer: 100529
Supplement: ,
Reihe
Verlag
Elsevier
Verlagsort
Radarweg 29, 1043 Nx Amsterdam, Netherlands
Tag d. mündl. Prüfung
0000-00-00
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Hochschule
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Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Translational Genomics (ITG)
POF Topic(s)
30205 - Bioengineering and Digital Health
Forschungsfeld(er)
Genetics and Epidemiology
PSP-Element(e)
G-506700-001
Förderungen
Danmarks Frie Forskningsfond
Novo Nordisk Fonden
Karen Elise Jensens Fond
Københavns Universitet
Sanofi
AstraZeneca
Copyright
Erfassungsdatum
2023-01-17