GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification

Research output: Contribution to journalJournal articleResearchpeer-review

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GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification. / Lagou, Vasiliki; Jiang, Longda; Ulrich, Anna; Zudina, Liudmila; González, Karla Sofia Gutiérrez; Balkhiyarova, Zhanna; Faggian, Alessia; Maina, Jared G.; Chen, Shiqian; Todorov, Petar V.; Sharapov, Sodbo; David, Alessia; Marullo, Letizia; Mägi, Reedik; Rujan, Roxana Maria; Ahlqvist, Emma; Thorleifsson, Gudmar; Gao, Ηe; Εvangelou, Εvangelos; Benyamin, Beben; Scott, Robert A.; Isaacs, Aaron; Zhao, Jing Hua; Willems, Sara M.; Johnson, Toby; Gieger, Christian; Grallert, Harald; Meisinger, Christa; Müller-Nurasyid, Martina; Strawbridge, Rona J.; Goel, Anuj; Rybin, Denis; Albrecht, Eva; Jackson, Anne U.; Stringham, Heather M.; Corrêa, Ivan R.; Farber-Eger, Eric; Steinthorsdottir, Valgerdur; Uitterlinden, André G.; Munroe, Patricia B.; Brown, Morris J.; Schmidberger, Julian; Holmen, Oddgeir; Thorand, Barbara; Hveem, Kristian; Wilsgaard, Tom; Mohlke, Karen L.; Wang, Zhe; den Hoed, Marcel; Shmeliov, Aleksey; den Hoed, Marcel; Loos, Ruth J.F.; Kratzer, Wolfgang; Haenle, Mark; Koenig, Wolfgang; Boehm, Bernhard O.; Tan, Tricia M.; Tomas, Alejandra; Salem, Victoria; Barroso, Inês; Tuomilehto, Jaakko; Boehnke, Michael; Florez, Jose C.; Hamsten, Anders; Watkins, Hugh; Njølstad, Inger; Wichmann, H. Erich; Caulfield, Mark J.; Khaw, Kay Tee; van Duijn, Cornelia M.; Hofman, Albert; Wareham, Nicholas J.; Langenberg, Claudia; Whitfield, John B.; Martin, Nicholas G.; Montgomery, Grant; Scapoli, Chiara; Tzoulaki, Ioanna; Elliott, Paul; Thorsteinsdottir, Unnur; Stefansson, Kari; Brittain, Evan L.; McCarthy, Mark I.; Froguel, Philippe; Sexton, Patrick M.; Wootten, Denise; Groop, Leif; Dupuis, Josée; Meigs, James B.; Deganutti, Giuseppe; Demirkan, Ayse; Pers, Tune H.; Reynolds, Christopher A.; Aulchenko, Yurii S.; Kaakinen, Marika A.; Jones, Ben; Prokopenko, Inga; van Duijn, Cornelia M.

In: Nature Genetics, Vol. 55, No. 9, 2023, p. 1448-1461.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Lagou, V, Jiang, L, Ulrich, A, Zudina, L, González, KSG, Balkhiyarova, Z, Faggian, A, Maina, JG, Chen, S, Todorov, PV, Sharapov, S, David, A, Marullo, L, Mägi, R, Rujan, RM, Ahlqvist, E, Thorleifsson, G, Gao, Η, Εvangelou, Ε, Benyamin, B, Scott, RA, Isaacs, A, Zhao, JH, Willems, SM, Johnson, T, Gieger, C, Grallert, H, Meisinger, C, Müller-Nurasyid, M, Strawbridge, RJ, Goel, A, Rybin, D, Albrecht, E, Jackson, AU, Stringham, HM, Corrêa, IR, Farber-Eger, E, Steinthorsdottir, V, Uitterlinden, AG, Munroe, PB, Brown, MJ, Schmidberger, J, Holmen, O, Thorand, B, Hveem, K, Wilsgaard, T, Mohlke, KL, Wang, Z, den Hoed, M, Shmeliov, A, den Hoed, M, Loos, RJF, Kratzer, W, Haenle, M, Koenig, W, Boehm, BO, Tan, TM, Tomas, A, Salem, V, Barroso, I, Tuomilehto, J, Boehnke, M, Florez, JC, Hamsten, A, Watkins, H, Njølstad, I, Wichmann, HE, Caulfield, MJ, Khaw, KT, van Duijn, CM, Hofman, A, Wareham, NJ, Langenberg, C, Whitfield, JB, Martin, NG, Montgomery, G, Scapoli, C, Tzoulaki, I, Elliott, P, Thorsteinsdottir, U, Stefansson, K, Brittain, EL, McCarthy, MI, Froguel, P, Sexton, PM, Wootten, D, Groop, L, Dupuis, J, Meigs, JB, Deganutti, G, Demirkan, A, Pers, TH, Reynolds, CA, Aulchenko, YS, Kaakinen, MA, Jones, B, Prokopenko, I & van Duijn, CM 2023, 'GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification', Nature Genetics, vol. 55, no. 9, pp. 1448-1461. https://doi.org/10.1038/s41588-023-01462-3

APA

Lagou, V., Jiang, L., Ulrich, A., Zudina, L., González, K. S. G., Balkhiyarova, Z., Faggian, A., Maina, J. G., Chen, S., Todorov, P. V., Sharapov, S., David, A., Marullo, L., Mägi, R., Rujan, R. M., Ahlqvist, E., Thorleifsson, G., Gao, Η., Εvangelou, Ε., ... van Duijn, C. M. (2023). GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification. Nature Genetics, 55(9), 1448-1461. https://doi.org/10.1038/s41588-023-01462-3

Vancouver

Lagou V, Jiang L, Ulrich A, Zudina L, González KSG, Balkhiyarova Z et al. GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification. Nature Genetics. 2023;55(9):1448-1461. https://doi.org/10.1038/s41588-023-01462-3

Author

Lagou, Vasiliki ; Jiang, Longda ; Ulrich, Anna ; Zudina, Liudmila ; González, Karla Sofia Gutiérrez ; Balkhiyarova, Zhanna ; Faggian, Alessia ; Maina, Jared G. ; Chen, Shiqian ; Todorov, Petar V. ; Sharapov, Sodbo ; David, Alessia ; Marullo, Letizia ; Mägi, Reedik ; Rujan, Roxana Maria ; Ahlqvist, Emma ; Thorleifsson, Gudmar ; Gao, Ηe ; Εvangelou, Εvangelos ; Benyamin, Beben ; Scott, Robert A. ; Isaacs, Aaron ; Zhao, Jing Hua ; Willems, Sara M. ; Johnson, Toby ; Gieger, Christian ; Grallert, Harald ; Meisinger, Christa ; Müller-Nurasyid, Martina ; Strawbridge, Rona J. ; Goel, Anuj ; Rybin, Denis ; Albrecht, Eva ; Jackson, Anne U. ; Stringham, Heather M. ; Corrêa, Ivan R. ; Farber-Eger, Eric ; Steinthorsdottir, Valgerdur ; Uitterlinden, André G. ; Munroe, Patricia B. ; Brown, Morris J. ; Schmidberger, Julian ; Holmen, Oddgeir ; Thorand, Barbara ; Hveem, Kristian ; Wilsgaard, Tom ; Mohlke, Karen L. ; Wang, Zhe ; den Hoed, Marcel ; Shmeliov, Aleksey ; den Hoed, Marcel ; Loos, Ruth J.F. ; Kratzer, Wolfgang ; Haenle, Mark ; Koenig, Wolfgang ; Boehm, Bernhard O. ; Tan, Tricia M. ; Tomas, Alejandra ; Salem, Victoria ; Barroso, Inês ; Tuomilehto, Jaakko ; Boehnke, Michael ; Florez, Jose C. ; Hamsten, Anders ; Watkins, Hugh ; Njølstad, Inger ; Wichmann, H. Erich ; Caulfield, Mark J. ; Khaw, Kay Tee ; van Duijn, Cornelia M. ; Hofman, Albert ; Wareham, Nicholas J. ; Langenberg, Claudia ; Whitfield, John B. ; Martin, Nicholas G. ; Montgomery, Grant ; Scapoli, Chiara ; Tzoulaki, Ioanna ; Elliott, Paul ; Thorsteinsdottir, Unnur ; Stefansson, Kari ; Brittain, Evan L. ; McCarthy, Mark I. ; Froguel, Philippe ; Sexton, Patrick M. ; Wootten, Denise ; Groop, Leif ; Dupuis, Josée ; Meigs, James B. ; Deganutti, Giuseppe ; Demirkan, Ayse ; Pers, Tune H. ; Reynolds, Christopher A. ; Aulchenko, Yurii S. ; Kaakinen, Marika A. ; Jones, Ben ; Prokopenko, Inga ; van Duijn, Cornelia M. / GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification. In: Nature Genetics. 2023 ; Vol. 55, No. 9. pp. 1448-1461.

Bibtex

@article{b485fae05d4a458187f3ccce684cad62,
title = "GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification",
abstract = "Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on {\textquoteleft}around the clock{\textquoteright} glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals. Of these, 44 loci are new for glycemic traits. Regulatory, glycosylation and metagenomic annotations highlight ileum and colon tissues, indicating an underappreciated role of the gastrointestinal tract in controlling blood glucose. Functional follow-up and molecular dynamics simulations of lower frequency coding variants in glucagon-like peptide-1 receptor (GLP1R), a type 2 diabetes treatment target, reveal that optimal selection of GLP-1R agonist therapy will benefit from tailored genetic stratification. We also provide evidence from Mendelian randomization that lung function is modulated by blood glucose and that pulmonary dysfunction is a diabetes complication. Our investigation yields new insights into the biology of glucose regulation, diabetes complications and pathways for treatment stratification.",
author = "Vasiliki Lagou and Longda Jiang and Anna Ulrich and Liudmila Zudina and Gonz{\'a}lez, {Karla Sofia Guti{\'e}rrez} and Zhanna Balkhiyarova and Alessia Faggian and Maina, {Jared G.} and Shiqian Chen and Todorov, {Petar V.} and Sodbo Sharapov and Alessia David and Letizia Marullo and Reedik M{\"a}gi and Rujan, {Roxana Maria} and Emma Ahlqvist and Gudmar Thorleifsson and Ηe Gao and Εvangelos Εvangelou and Beben Benyamin and Scott, {Robert A.} and Aaron Isaacs and Zhao, {Jing Hua} and Willems, {Sara M.} and Toby Johnson and Christian Gieger and Harald Grallert and Christa Meisinger and Martina M{\"u}ller-Nurasyid and Strawbridge, {Rona J.} and Anuj Goel and Denis Rybin and Eva Albrecht and Jackson, {Anne U.} and Stringham, {Heather M.} and Corr{\^e}a, {Ivan R.} and Eric Farber-Eger and Valgerdur Steinthorsdottir and Uitterlinden, {Andr{\'e} G.} and Munroe, {Patricia B.} and Brown, {Morris J.} and Julian Schmidberger and Oddgeir Holmen and Barbara Thorand and Kristian Hveem and Tom Wilsgaard and Mohlke, {Karen L.} and Zhe Wang and {den Hoed}, Marcel and Aleksey Shmeliov and {den Hoed}, Marcel and Loos, {Ruth J.F.} and Wolfgang Kratzer and Mark Haenle and Wolfgang Koenig and Boehm, {Bernhard O.} and Tan, {Tricia M.} and Alejandra Tomas and Victoria Salem and In{\^e}s Barroso and Jaakko Tuomilehto and Michael Boehnke and Florez, {Jose C.} and Anders Hamsten and Hugh Watkins and Inger Nj{\o}lstad and Wichmann, {H. Erich} and Caulfield, {Mark J.} and Khaw, {Kay Tee} and {van Duijn}, {Cornelia M.} and Albert Hofman and Wareham, {Nicholas J.} and Claudia Langenberg and Whitfield, {John B.} and Martin, {Nicholas G.} and Grant Montgomery and Chiara Scapoli and Ioanna Tzoulaki and Paul Elliott and Unnur Thorsteinsdottir and Kari Stefansson and Brittain, {Evan L.} and McCarthy, {Mark I.} and Philippe Froguel and Sexton, {Patrick M.} and Denise Wootten and Leif Groop and Jos{\'e}e Dupuis and Meigs, {James B.} and Giuseppe Deganutti and Ayse Demirkan and Pers, {Tune H.} and Reynolds, {Christopher A.} and Aulchenko, {Yurii S.} and Kaakinen, {Marika A.} and Ben Jones and Inga Prokopenko and {van Duijn}, {Cornelia M.}",
note = "Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
doi = "10.1038/s41588-023-01462-3",
language = "English",
volume = "55",
pages = "1448--1461",
journal = "Nature Genetics",
issn = "1061-4036",
publisher = "nature publishing group",
number = "9",

}

RIS

TY - JOUR

T1 - GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification

AU - Lagou, Vasiliki

AU - Jiang, Longda

AU - Ulrich, Anna

AU - Zudina, Liudmila

AU - González, Karla Sofia Gutiérrez

AU - Balkhiyarova, Zhanna

AU - Faggian, Alessia

AU - Maina, Jared G.

AU - Chen, Shiqian

AU - Todorov, Petar V.

AU - Sharapov, Sodbo

AU - David, Alessia

AU - Marullo, Letizia

AU - Mägi, Reedik

AU - Rujan, Roxana Maria

AU - Ahlqvist, Emma

AU - Thorleifsson, Gudmar

AU - Gao, Ηe

AU - Εvangelou, Εvangelos

AU - Benyamin, Beben

AU - Scott, Robert A.

AU - Isaacs, Aaron

AU - Zhao, Jing Hua

AU - Willems, Sara M.

AU - Johnson, Toby

AU - Gieger, Christian

AU - Grallert, Harald

AU - Meisinger, Christa

AU - Müller-Nurasyid, Martina

AU - Strawbridge, Rona J.

AU - Goel, Anuj

AU - Rybin, Denis

AU - Albrecht, Eva

AU - Jackson, Anne U.

AU - Stringham, Heather M.

AU - Corrêa, Ivan R.

AU - Farber-Eger, Eric

AU - Steinthorsdottir, Valgerdur

AU - Uitterlinden, André G.

AU - Munroe, Patricia B.

AU - Brown, Morris J.

AU - Schmidberger, Julian

AU - Holmen, Oddgeir

AU - Thorand, Barbara

AU - Hveem, Kristian

AU - Wilsgaard, Tom

AU - Mohlke, Karen L.

AU - Wang, Zhe

AU - den Hoed, Marcel

AU - Shmeliov, Aleksey

AU - den Hoed, Marcel

AU - Loos, Ruth J.F.

AU - Kratzer, Wolfgang

AU - Haenle, Mark

AU - Koenig, Wolfgang

AU - Boehm, Bernhard O.

AU - Tan, Tricia M.

AU - Tomas, Alejandra

AU - Salem, Victoria

AU - Barroso, Inês

AU - Tuomilehto, Jaakko

AU - Boehnke, Michael

AU - Florez, Jose C.

AU - Hamsten, Anders

AU - Watkins, Hugh

AU - Njølstad, Inger

AU - Wichmann, H. Erich

AU - Caulfield, Mark J.

AU - Khaw, Kay Tee

AU - van Duijn, Cornelia M.

AU - Hofman, Albert

AU - Wareham, Nicholas J.

AU - Langenberg, Claudia

AU - Whitfield, John B.

AU - Martin, Nicholas G.

AU - Montgomery, Grant

AU - Scapoli, Chiara

AU - Tzoulaki, Ioanna

AU - Elliott, Paul

AU - Thorsteinsdottir, Unnur

AU - Stefansson, Kari

AU - Brittain, Evan L.

AU - McCarthy, Mark I.

AU - Froguel, Philippe

AU - Sexton, Patrick M.

AU - Wootten, Denise

AU - Groop, Leif

AU - Dupuis, Josée

AU - Meigs, James B.

AU - Deganutti, Giuseppe

AU - Demirkan, Ayse

AU - Pers, Tune H.

AU - Reynolds, Christopher A.

AU - Aulchenko, Yurii S.

AU - Kaakinen, Marika A.

AU - Jones, Ben

AU - Prokopenko, Inga

AU - van Duijn, Cornelia M.

N1 - Publisher Copyright: © 2023, The Author(s).

PY - 2023

Y1 - 2023

N2 - Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on ‘around the clock’ glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals. Of these, 44 loci are new for glycemic traits. Regulatory, glycosylation and metagenomic annotations highlight ileum and colon tissues, indicating an underappreciated role of the gastrointestinal tract in controlling blood glucose. Functional follow-up and molecular dynamics simulations of lower frequency coding variants in glucagon-like peptide-1 receptor (GLP1R), a type 2 diabetes treatment target, reveal that optimal selection of GLP-1R agonist therapy will benefit from tailored genetic stratification. We also provide evidence from Mendelian randomization that lung function is modulated by blood glucose and that pulmonary dysfunction is a diabetes complication. Our investigation yields new insights into the biology of glucose regulation, diabetes complications and pathways for treatment stratification.

AB - Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on ‘around the clock’ glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals. Of these, 44 loci are new for glycemic traits. Regulatory, glycosylation and metagenomic annotations highlight ileum and colon tissues, indicating an underappreciated role of the gastrointestinal tract in controlling blood glucose. Functional follow-up and molecular dynamics simulations of lower frequency coding variants in glucagon-like peptide-1 receptor (GLP1R), a type 2 diabetes treatment target, reveal that optimal selection of GLP-1R agonist therapy will benefit from tailored genetic stratification. We also provide evidence from Mendelian randomization that lung function is modulated by blood glucose and that pulmonary dysfunction is a diabetes complication. Our investigation yields new insights into the biology of glucose regulation, diabetes complications and pathways for treatment stratification.

U2 - 10.1038/s41588-023-01462-3

DO - 10.1038/s41588-023-01462-3

M3 - Journal article

C2 - 37679419

AN - SCOPUS:85170159626

VL - 55

SP - 1448

EP - 1461

JO - Nature Genetics

JF - Nature Genetics

SN - 1061-4036

IS - 9

ER -

ID: 367711558