2021
DOI: 10.1038/s41588-021-00880-5
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Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes

Abstract: We report the largest and most diverse genetic study of type 1 diabetes (T1D) to date (61,427 participants), yielding 78 genome-wide significant ( P < 5 × 10 −8 ) regions, including 36 novel. We define credible sets of T1D-associated variants and show they are enriched in immune cell-accessible chromatin, particularly CD4 + effector T cells. Using chromatin accessibility profiling of CD4 + T cells from 115 individuals, … Show more

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Cited by 177 publications
(163 citation statements)
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References 101 publications
(133 reference statements)
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“…With respect to the lead cis-pQTL for SomaScan, our finding supports IL7R as a likely causal gene at an established type 1 diabetes locus 26 . More recent work, however, identified two distinct variants (rs2303137 27 and rs2287900 28 , r 2 = 0.29) in the same locus, both in moderate LD (r 2 = 0.45) with the SomaScan cis-pQTL but without evidence for colocalisation. However, there is some orthogonal evidence supporting ILR7 as the candidate causal gene at this locus, including the preliminary success of IL-7Ra antibodies in mouse models of type 1 diabetes 29 and immunomodulation in patients with type 1 diabetes 30 .…”
Section: Resultsmentioning
confidence: 95%
“…With respect to the lead cis-pQTL for SomaScan, our finding supports IL7R as a likely causal gene at an established type 1 diabetes locus 26 . More recent work, however, identified two distinct variants (rs2303137 27 and rs2287900 28 , r 2 = 0.29) in the same locus, both in moderate LD (r 2 = 0.45) with the SomaScan cis-pQTL but without evidence for colocalisation. However, there is some orthogonal evidence supporting ILR7 as the candidate causal gene at this locus, including the preliminary success of IL-7Ra antibodies in mouse models of type 1 diabetes 29 and immunomodulation in patients with type 1 diabetes 30 .…”
Section: Resultsmentioning
confidence: 95%
“…Overall, approximately 50 loci have been linked to T1D risk. 2 , 3 Despite the genetic predisposition, the rapid rise in the incidence of childhood T1D worldwide, at an estimated average annual increase of 3.9% over the past decades, is too high to result only from genetic causes; 4 , 5 , 6 we also know from monozygotic twins that genetics do not fully explain T1D, given that disease concordance does not reach 100% (30%–70% range). 7 Earlier studies have linked T1D risk to diverse environmental factors, including epidemiological, pathological, and in vitro studies that have implicated enteroviruses as initiators of autoimmunity and β cell failure in genetically susceptible individuals.…”
Section: Introductionmentioning
confidence: 99%
“…We also rely on the PEP parsers for listing reference genome assets for the refgenie server [ 23 , 24 ]. The PEP specification has been used for a variety of analysis types, such as describing samples for The Cancer Genome Atlas (TCGA) [ 25 ], CRISPR-based screening [ 26 ], DNA methylation analysis [ 27 ], simulated genomic interval data [ 28 ], analysis of Type I diabetes genetics [ 29 ], and others [ 30 ]. A curated list of other research that uses PEP format is maintained in the PEP documentation.…”
Section: Discussionmentioning
confidence: 99%