The Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Quantinuum Research LLC, San Diego, CA 92101, USA.
Metabolism. 2021 Jan;114:154418. doi: 10.1016/j.metabol.2020.154418. Epub 2020 Nov 4.
Type 1 diabetes (T1D) is a heterogeneous disease. This study identified T1D cases with low polygenic risk score (PRS) to better represent T1D cases with less prominent autoimmune response (T1bD), and performed a gene-based association study to identify novel susceptibility loci in two independent cohorts, characterized by low PRS. The Notch ligand Delta-like 1 gene (DLL1) was identified with genome-wide significance in both cohorts, highlighting the roles of DLL1 genetic variants in T1D patients with low PRS, supported by functional evidence from a recent study by Rubey et al.
1 型糖尿病(T1D)是一种异质性疾病。本研究鉴定了低多基因风险评分(PRS)的 T1D 病例,以更好地代表自身免疫反应不明显的 T1D 病例(T1bD),并在两个具有低 PRS 的独立队列中进行了基于基因的关联研究,以鉴定新的易感基因座。Notch 配体 Delta-like 1 基因(DLL1)在两个队列中均达到全基因组显著性水平,突出了 DLL1 遗传变异在低 PRS 的 T1D 患者中的作用,这一结果得到了 Rubey 等人最近研究的功能证据的支持。