1 型糖尿病、冠状动脉疾病和白细胞计数之间的遗传关系。

IF 8.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetologia Pub Date : 2024-08-14 DOI:10.1007/s00125-024-06247-9
Jolade Adebekun, Ajay Nadig, Priscilla Saarah, Samira Asgari, Linda Kachuri, David A Alagpulinsa
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引用次数: 0

摘要

目的/假设:即使考虑了已知的心血管风险因素,1 型糖尿病仍与过高的冠状动脉疾病(CAD)风险相关。改变白细胞生成的造血基因扰动是冠心病风险的一个新的独立调节因素。我们研究了 1 型糖尿病、CAD 和白细胞数量之间是否存在共同的遗传决定因素和因果关系:方法:利用全基因组关联研究汇总统计进行配对连锁不平衡得分回归和遗传率估计汇总统计(ρ-HESS),分别估计全基因组和局部遗传相关性,并利用双样本孟德尔随机化估计白细胞计数(335,855 名健康个体)、1 型糖尿病(18,942 例,501,638 名对照个体)和 CAD(122,733 例,424,528 名对照个体)之间的因果关系。通过潜在因果变量(LCV)模型估算了1型糖尿病与CAD之间遗传相关性的遗传因果关系比例:结果:1 型糖尿病和 CAD 之间存在明显的全基因组遗传相关性(rg)(rg=0.088,p=8.60 × 10-3),这两种疾病与嗜酸性粒细胞计数共享明显的全基因组遗传决定因素(1 型糖尿病的 rg [rg(T1D)]=0.093,p=7.20 × 10-3)。093,p=7.20×10-3;CAD的rg[rg(CAD)]=0.092,p=3.68×10-6)和淋巴细胞计数(rg(T1D)=-0.052,p=2.76×10-2;rg(CAD)=0.176,p=1.82×10-15)。16个独立位点显示白细胞计数、1型糖尿病和/或CAD之间存在严格的Bonferroni显着局部遗传相关性。1 型糖尿病和 CAD 之间共享位点内基因表达水平的顺式遗传调控与这两种疾病以及白细胞计数相关,包括 SH2B3、CTSH、MORF4L1、CTRB1、CTRB2、CFDP1 和 IFIH1。基因预测的淋巴细胞、中性粒细胞和嗜酸性粒细胞计数与 1 型糖尿病和 CAD 相关(1 型糖尿病的淋巴细胞 OR [ORT1D]=0.67, p=2.02-19,ORCAD=1.09,p=2.67 × 10-6;中性粒细胞 ORT1D=0.82,p=5.63 × 10-5,ORCAD=1.17,p=5.02 × 10-14;嗜酸性粒细胞 ORT1D=1.67,p=5.45 × 10-25,ORCAD=1.07,p=2.03 × 10-4。1型糖尿病与CAD之间的遗传因果关系比例为0.36 ± 0.16(pLCV=1.30 × 10-2),表明可能存在中间因果变量:本研究揭示了 1 型糖尿病和 CAD 的共同遗传机制,这些机制可能通过调控基因表达和白细胞数量导致这两种疾病的同时发生,并确定了细胞和分子靶点,以便进一步研究疾病预测和潜在药物的发现。
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Genetic relations between type 1 diabetes, coronary artery disease and leukocyte counts.

Aims/hypothesis: Type 1 diabetes is associated with excess coronary artery disease (CAD) risk even when known cardiovascular risk factors are accounted for. Genetic perturbation of haematopoiesis that alters leukocyte production is a novel independent modifier of CAD risk. We examined whether there are shared genetic determinants and causal relationships between type 1 diabetes, CAD and leukocyte counts.

Methods: Genome-wide association study summary statistics were used to perform pairwise linkage disequilibrium score regression and heritability estimation from summary statistics (ρ-HESS) to respectively estimate the genome-wide and local genetic correlations, and two-sample Mendelian randomisation to estimate the causal relationships between leukocyte counts (335,855 healthy individuals), type 1 diabetes (18,942 cases, 501,638 control individuals) and CAD (122,733 cases, 424,528 control individuals). A latent causal variable (LCV) model was performed to estimate the genetic causality proportion of the genetic correlation between type 1 diabetes and CAD.

Results: There was significant genome-wide genetic correlation (rg) between type 1 diabetes and CAD (rg=0.088, p=8.60 × 10-3) and both diseases shared significant genome-wide genetic determinants with eosinophil count (rg for type 1 diabetes [rg(T1D)]=0.093, p=7.20 × 10-3, rg for CAD [rg(CAD)]=0.092, p=3.68 × 10-6) and lymphocyte count (rg(T1D)=-0.052, p=2.76 × 10-2, rg(CAD)=0.176, p=1.82 × 10-15). Sixteen independent loci showed stringent Bonferroni significant local genetic correlations between leukocyte counts, type 1 diabetes and/or CAD. Cis-genetic regulation of the expression levels of genes within shared loci between type 1 diabetes and CAD was associated with both diseases as well as leukocyte counts, including SH2B3, CTSH, MORF4L1, CTRB1, CTRB2, CFDP1 and IFIH1. Genetically predicted lymphocyte, neutrophil and eosinophil counts were associated with type 1 diabetes and CAD (lymphocyte OR for type 1 diabetes [ORT1D]=0.67, p=2.02-19, ORCAD=1.09, p=2.67 × 10-6; neutrophil ORT1D=0.82, p=5.63 × 10-5, ORCAD=1.17, p=5.02 × 10-14; and eosinophil ORT1D=1.67, p=5.45 × 10-25, ORCAD=1.07, p=2.03 × 10-4. The genetic causality proportion between type 1 diabetes and CAD was 0.36 ± 0.16 (pLCV=1.30 × 10-2), suggesting a possible intermediary causal variable.

Conclusions/interpretation: This study sheds light on shared genetic mechanisms underlying type 1 diabetes and CAD, which may contribute to their co-occurrence through regulation of gene expression and leukocyte counts and identifies cellular and molecular targets for further investigation for disease prediction and potential drug discovery.

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来源期刊
Diabetologia
Diabetologia 医学-内分泌学与代谢
CiteScore
18.10
自引率
2.40%
发文量
193
审稿时长
1 months
期刊介绍: Diabetologia, the authoritative journal dedicated to diabetes research, holds high visibility through society membership, libraries, and social media. As the official journal of the European Association for the Study of Diabetes, it is ranked in the top quartile of the 2019 JCR Impact Factors in the Endocrinology & Metabolism category. The journal boasts dedicated and expert editorial teams committed to supporting authors throughout the peer review process.
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