Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations

Type 2 diabetes (T2D) is a complex disease characterized by beta cell dysfunctions. Islet amyloid polypeptide (IAPP) is highly conserved and co-secreted with insulin with over 40% of autopsy cases of T2D showing islet amyloid formation due to IAPP aggregation. Dysregulation in IAPP processing, stabi...

Full description

Bibliographic Details
Main Authors: Lam, V, Ma, R, Lee, H, Hu, C, Park, K, Furuta, H, Wang, Y, Tam, C, Sim, X, Ng, D, Liu, J, Wong, T, Tai, E, Morris, A, Tang, N, Woo, J, Leung, P, Kong, A, Ozaki, R, Jia, W, Nanjo, K, Xu, G, Ng, M, So, W, Chan, J
Format: Journal article
Language:English
Published: Public Library of Science 2013
_version_ 1797064360292515840
author Lam, V
Ma, R
Lee, H
Hu, C
Park, K
Furuta, H
Wang, Y
Tam, C
Sim, X
Ng, D
Liu, J
Wong, T
Tai, E
Morris, A
Tang, N
Woo, J
Leung, P
Kong, A
Ozaki, R
Jia, W
Lee, H
Nanjo, K
Xu, G
Ng, M
So, W
Chan, J
author_facet Lam, V
Ma, R
Lee, H
Hu, C
Park, K
Furuta, H
Wang, Y
Tam, C
Sim, X
Ng, D
Liu, J
Wong, T
Tai, E
Morris, A
Tang, N
Woo, J
Leung, P
Kong, A
Ozaki, R
Jia, W
Lee, H
Nanjo, K
Xu, G
Ng, M
So, W
Chan, J
author_sort Lam, V
collection OXFORD
description Type 2 diabetes (T2D) is a complex disease characterized by beta cell dysfunctions. Islet amyloid polypeptide (IAPP) is highly conserved and co-secreted with insulin with over 40% of autopsy cases of T2D showing islet amyloid formation due to IAPP aggregation. Dysregulation in IAPP processing, stabilization and degradation can cause excessive oligomerization with beta cell toxicity. Previous studies examining genetic associations of pathways implicated in IAPP metabolism have yielded conflicting results due to small sample size, insufficient interrogation of gene structure and gene-gene interactions. In this multi-staged study, we screened 89 tag single nucleotide polymorphisms (SNPs) in 6 candidate genes implicated in IAPP metabolism and tested for independent and joint associations with T2D and beta cell dysfunctions. Positive signals in the stage-1 were confirmed by de novo and in silico analysis in a multi-centre unrelated case-control cohort. We examined the association of significant SNPs with quantitative traits in a subset of controls and performed bioinformatics and relevant functional analyses. Amongst the tag SNPs, rs1583645 in carboxypeptidase E (CPE) and rs6583813 in insulin degrading enzyme (IDE) were associated with 1.09 to 1.28 fold increased risk of T2D (P Meta = 9.4×10(-3) and 0.02 respectively) in a meta-analysis of East Asians. Using genetic risk scores (GRS) with each risk variant scoring 1, subjects with GRS≥3 (8.2% of the cohort) had 56% higher risk of T2D than those with GRS = 0 (P = 0.01). In a subcohort of control subjects, plasma IAPP increased and beta cell function index declined with GRS (P = 0.008 and 0.03 respectively). Bioinformatics and functional analyses of CPE rs1583645 predicted regulatory elements for chromatin modification and transcription factors, suggesting differential DNA-protein interactions and gene expression. Taken together, these results support the importance of dysregulation of IAPP metabolism in T2D in East Asians.
first_indexed 2024-03-06T21:13:09Z
format Journal article
id oxford-uuid:3edf0144-845b-4fa2-8dcd-b039cb11367e
institution University of Oxford
language English
last_indexed 2024-03-06T21:13:09Z
publishDate 2013
publisher Public Library of Science
record_format dspace
spelling oxford-uuid:3edf0144-845b-4fa2-8dcd-b039cb11367e2022-03-26T14:28:26ZGenetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populationsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3edf0144-845b-4fa2-8dcd-b039cb11367eEnglishSymplectic Elements at OxfordPublic Library of Science2013Lam, VMa, RLee, HHu, CPark, KFuruta, HWang, YTam, CSim, XNg, DLiu, JWong, TTai, EMorris, ATang, NWoo, JLeung, PKong, AOzaki, RJia, WLee, HNanjo, KXu, GNg, MSo, WChan, JType 2 diabetes (T2D) is a complex disease characterized by beta cell dysfunctions. Islet amyloid polypeptide (IAPP) is highly conserved and co-secreted with insulin with over 40% of autopsy cases of T2D showing islet amyloid formation due to IAPP aggregation. Dysregulation in IAPP processing, stabilization and degradation can cause excessive oligomerization with beta cell toxicity. Previous studies examining genetic associations of pathways implicated in IAPP metabolism have yielded conflicting results due to small sample size, insufficient interrogation of gene structure and gene-gene interactions. In this multi-staged study, we screened 89 tag single nucleotide polymorphisms (SNPs) in 6 candidate genes implicated in IAPP metabolism and tested for independent and joint associations with T2D and beta cell dysfunctions. Positive signals in the stage-1 were confirmed by de novo and in silico analysis in a multi-centre unrelated case-control cohort. We examined the association of significant SNPs with quantitative traits in a subset of controls and performed bioinformatics and relevant functional analyses. Amongst the tag SNPs, rs1583645 in carboxypeptidase E (CPE) and rs6583813 in insulin degrading enzyme (IDE) were associated with 1.09 to 1.28 fold increased risk of T2D (P Meta = 9.4×10(-3) and 0.02 respectively) in a meta-analysis of East Asians. Using genetic risk scores (GRS) with each risk variant scoring 1, subjects with GRS≥3 (8.2% of the cohort) had 56% higher risk of T2D than those with GRS = 0 (P = 0.01). In a subcohort of control subjects, plasma IAPP increased and beta cell function index declined with GRS (P = 0.008 and 0.03 respectively). Bioinformatics and functional analyses of CPE rs1583645 predicted regulatory elements for chromatin modification and transcription factors, suggesting differential DNA-protein interactions and gene expression. Taken together, these results support the importance of dysregulation of IAPP metabolism in T2D in East Asians.
spellingShingle Lam, V
Ma, R
Lee, H
Hu, C
Park, K
Furuta, H
Wang, Y
Tam, C
Sim, X
Ng, D
Liu, J
Wong, T
Tai, E
Morris, A
Tang, N
Woo, J
Leung, P
Kong, A
Ozaki, R
Jia, W
Lee, H
Nanjo, K
Xu, G
Ng, M
So, W
Chan, J
Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title_full Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title_fullStr Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title_full_unstemmed Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title_short Genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
title_sort genetic associations of type 2 diabetes with islet amyloid polypeptide processing and degrading pathways in asian populations
work_keys_str_mv AT lamv geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT mar geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT leeh geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT huc geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT parkk geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT furutah geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT wangy geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT tamc geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT simx geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT ngd geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT liuj geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT wongt geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT taie geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT morrisa geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT tangn geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT wooj geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT leungp geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT konga geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT ozakir geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT jiaw geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT leeh geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT nanjok geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT xug geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT ngm geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT sow geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations
AT chanj geneticassociationsoftype2diabeteswithisletamyloidpolypeptideprocessinganddegradingpathwaysinasianpopulations