Impact of Genetic Loci Identified in Genome-Wide Association Studies on Diabetic Retinopathy in Chinese Patients With Type 2 Diabetes
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE
Authors: Cheung, Chloe Y. Y.; Hui, Elaine Y. L.; Lee, Chi-Ho; Kwok, Kelvin H. M.; Gangwani, Rita A.; Li, Kenneth K. W.; Chan, Jeffrey C. W.; Woo, Yu-Cho; Chow, Wing-Sun; Yuen, Michele M. A.; Wong, Rachel L. C.; Fong, Carol H. Y.; Xu, Aimin; Wong, David S. H.; Sham, Pak-Chung; Lam, Karen S. L.
Abstract
PURPOSE. Diabetic retinopathy (DR) is a common microvascular complication of type 2 diabetes (T2DM). Genome-wide association studies (GWAS) had identified novel DRsusceptibility genetic variants in various populations. We examined the associations of these DR-associated single nucleotide polymorphisms (SNPs) with severe DR in a Chinese T2DM cohort. METHODS. Cross-sectional case-control studies on sight-threatening DR (STDR) and proliferative DR (PDR) were performed. We genotyped 38 SNPs showing top association signals with DR in previous GWAS in 567 STDR cases, including 309 with PDR and 1490 non-DR controls. Multiple logistic regression models with adjustment for conventional risk factors, including age, sex, duration of diabetes, and presence of hypertension, were employed. RESULTS. The strongest association was found at INSR rs2115386, an intronic SNP of INSR: P-adjusted = 9.13 X 10(-4) (odds ratio [OR], 1.28; 95% confidence interval [95% CI], 1.11-1.48) for STDR, and P-adjusted = 1.12 X 10(-4) (OR [95% CI], 1.44 [1.20-1.74]) for PDR. rs599019 located downstream of COLEC12 (P-adjusted = 0.019; OR [95% CI], 1.19 [1.03-1.38]) and rs4462262 located at an intergenic region between ZWINT and MRPS35P3 (Padjusted 0.041; OR [95% CI], 1.38[1.01-1.89]) also were significantly associated with STDR, but not with PDR alone. On the other hand, MYT1L-LOC729897 rs10199521 (P-adjusted = 0.022; OR [95% CI], 1.25 [1.03-1.51]) and API5 rs899036 (P-adjusted = 0.049; OR [95% CI], 1.36 [1.001.85]) showed significant independent associations only with PDR. Similar results were obtained when hemoglobin A1c also was included in the adjustment models. CONCLUSIONS. We demonstrated the significant and independent associations of several GWASidentified SNPs with DR in Chinese T2DM patients with severe DR. The findings on INSR rs2115386 are supportive of the role of insulin resistance, or the compensatory hyperinsulinemia, in the pathogenesis of DR.
Identification of a Novel Homozygous INSR Variant in a Patient with Rabson-Mendenhall Syndrome from the United Arab Emirates
HORMONE RESEARCH IN PAEDIATRICS
Authors: Bastaki, Fatma; Nair, Pratibha; Mohamed, Madiha; Khadora, Manal Mustafa; Saif, Fatima; Tawfiq, Nafisa; Al-Ali, Mahmoud Taleb; Hamzeh, Abdul Rezzak
Abstract
Background/Aims: This study aimed to identify, clinically and molecularly, the causality of Rabson-Mendenhall syndrome in an Emirati family. It is one of the monogenic syndromes of abnormal glucose homeostasis, which result from insulin receptor defects. Methods: A novel nonsynonymous variant in the INSR gene was uncovered by whole exome sequencing and confirmed using Sanger sequencing in the patient and his parents. Various in silico tools were utilized to analyze the functional consequences of the variant. Results: Results revealed a previously unreported INSR variant in the family: c.421C>T (p.Arg141Trp). Homozygosity for the variant was found in the patient, while both parents were heterozygous. Conclusion: The nonsynonymous protein change hit a highly conserved arginine residue in the insulin-binding a-subunit of the receptor and was deemed 'functionally damaging' by a myriad of bioinformatics tools. This report is a step forward along the way of achieving a better molecular and clinical characterization of Rabson-Mendenhall syndrome. (C) 2016 S. Karger AG, Basel