The Common HNF1A Variant I27L Is a Modifier of Age at Diabetes Diagnosis in Individuals With HNF1A-MODY.

The Common HNF1A Variant I27L Is a Modifier of Age at Diabetes Diagnosis in Individuals With HNF1A-MODY.
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DOI:
10.2337/db18-0133
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发表时间:
2018-09
期刊:
影响因子:
7.7
通讯作者:
Weedon MN
Weedon MN
中科院分区:
医学1区
文献类型:
--
作者:
Locke JM;Saint-Martin C;Laver TW;Patel KA;Wood AR;Sharp SA;Ellard S;Bellanné-Chantelot C;Hattersley AT;Harries LW;Weedon MN

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由于HNF1A基因突变,成熟型糖尿病(MODY)患者的糖尿病诊断年龄存在很大差异。我们假设与2型糖尿病易感性相关的HNF1A基因座(rs1169288, I27L; rs1800574, A98V)的常见变异可能会改变HNF1A- mody个体的糖尿病诊断年龄。两个独立队列的荟萃分析,包括781名HNF1A-MODY个体,发现基因型和诊断年龄之间没有显著关联。然而,在根据突变类型(蛋白质截断变异(PTV)或错义)进行分层后,我们发现每个27L等位基因与诊断时年龄减少1.6年(95% CI -2.6, -0.7)相关,特别是在具有PTV的HNF1A-MODY个体的亚组(n=444)中。在HNF1A-MODY个体的两个独立队列中,效应大小相似且显著。我们报告了诊断时HNF1A- mody年龄的强大遗传修饰因子,进一步说明了HNF1A遗传变异对糖尿病表型的强烈影响。
There is wide variation in the age at diagnosis of diabetes in individuals with Maturity-Onset Diabetes of the Young (MODY) due to a mutation in the HNF1A gene. We hypothesised that common variants at the HNF1A locus (rs1169288, I27L; rs1800574, A98V), which are associated with type 2 diabetes susceptibility, may modify age at diabetes diagnosis in HNF1A-MODY individuals. Meta-analysis of two independent cohorts, comprising 781 HNF1A-MODY individuals, found no significant associations between genotype and age at diagnosis. However after stratifying according to type of mutation (protein-truncating variant (PTV) or missense), we found each 27L allele to be associated with a 1.6 year decrease (95% CI -2.6, -0.7) in age at diagnosis, specifically in the subset (n=444) of HNF1A-MODY individuals with a PTV. The effect size was similar and significant across the two independent cohorts of HNF1A-MODY individuals. We report a robust genetic modifier of HNF1A-MODY age at diagnosis that further illustrates the strong effect of genetic variation within HNF1A upon diabetes phenotype.
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