Progress in genetics of type 2 diabetes and diabetic complications

IF 3 3区 医学 Journal of Diabetes Investigation Pub Date : 2023-01-14 DOI:10.1111/jdi.13970
Nobuhiro Shojima, Toshimasa Yamauchi
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引用次数: 5

Abstract

Type 2 diabetes results from a complex interaction between genetic and environmental factors. Precision medicine for type 2 diabetes using genetic data is expected to predict the risk of developing diabetes and complications and to predict the effects of medications and life-style intervention more accurately for individuals. Genome-wide association studies (GWAS) have been conducted in European and Asian populations and new genetic loci have been identified that modulate the risk of developing type 2 diabetes. Novel loci were discovered by GWAS in diabetic complications with increasing sample sizes. Large-scale genome-wide association analysis and polygenic risk scores using biobank information is making it possible to predict the development of type 2 diabetes. In the ADVANCE clinical trial of type 2 diabetes, a multi-polygenic risk score was useful to predict diabetic complications and their response to treatment. Proteomics and metabolomics studies have been conducted and have revealed the associations between type 2 diabetes and inflammatory signals and amino acid synthesis. Using multi-omics analysis, comprehensive molecular mechanisms have been elucidated to guide the development of targeted therapy for type 2 diabetes and diabetic complications.

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2型糖尿病及其并发症的遗传学研究进展
2型糖尿病是遗传和环境因素复杂相互作用的结果。利用基因数据对2型糖尿病进行精准医疗,有望预测患糖尿病和并发症的风险,并更准确地预测药物和生活方式干预对个体的影响。在欧洲和亚洲人群中进行了全基因组关联研究(GWAS),发现了调节2型糖尿病发病风险的新基因位点。随着样本量的增加,GWAS在糖尿病并发症中发现了新的基因座。利用生物银行信息进行大规模全基因组关联分析和多基因风险评分,使预测2型糖尿病的发展成为可能。在ADVANCE 2型糖尿病临床试验中,多基因风险评分可用于预测糖尿病并发症及其对治疗的反应。已经进行的蛋白质组学和代谢组学研究揭示了2型糖尿病与炎症信号和氨基酸合成之间的关联。利用多组学分析,阐明了全面的分子机制,指导2型糖尿病及其并发症靶向治疗的发展。
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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation Medicine-Internal Medicine
自引率
9.40%
发文量
218
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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