@article{1d75908d49b446adbd96248f83e224af,
title = "Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes",
abstract = "We report the largest and most diverse genetic study of type 1 diabetes (T1D) to date (61,427 participants), yielding 78 genome-wide-significant (P < 5 × 10-8) regions, including 36 that are new. We define credible sets of T1D-associated variants and show that they are enriched in immune-cell accessible chromatin, particularly CD4+ effector T cells. Using chromatin-accessibility profiling of CD4+ T cells from 115 individuals, we map chromatin-accessibility quantitative trait loci and identify five regions where T1D risk variants co-localize with chromatin-accessibility quantitative trait loci. We highlight rs72928038 in BACH2 as a candidate causal T1D variant leading to decreased enhancer accessibility and BACH2 expression in T cells. Finally, we prioritize potential drug targets by integrating genetic evidence, functional genomic maps and immune protein-protein interactions, identifying 12 genes implicated in T1D that have been targeted in clinical trials for autoimmune diseases. These findings provide an expanded genomic landscape for T1D.",
keywords = "Alleles, Autoimmunity/genetics, CD4-Positive T-Lymphocytes/immunology, Chromosome Mapping, Diabetes Mellitus, Type 1/drug therapy, Drug Discovery, Gene Expression, Genetic Predisposition to Disease, Genetic Variation, Genomics/methods, Humans, Molecular Targeted Therapy, Protein Interaction Mapping",
author = "Robertson, {Catherine C} and Inshaw, {Jamie R J} and Suna Onengut-Gumuscu and Wei-Min Chen and {Santa Cruz}, {David Flores} and Hanzhi Yang and Cutler, {Antony J} and Crouch, {Daniel J M} and Emily Farber and Bridges, {S Louis} and Edberg, {Jeffrey C} and Kimberly, {Robert P} and Buckner, {Jane H} and Panos Deloukas and Jasmin Divers and Dana Dabelea and Lawrence, {Jean M} and Santica Marcovina and Shah, {Amy S} and Greenbaum, {Carla J} and Atkinson, {Mark A} and Gregersen, {Peter K} and Oksenberg, {Jorge R} and Flemming Pociot and Rewers, {Marian J} and Steck, {Andrea K} and Dunger, {David B} and Wicker, {Linda S} and Patrick Concannon and Todd, {John A} and Rich, {Stephen S} and {Type 1 Diabetes Genetics Consortium}",
note = "{\textcopyright} 2021. Crown.",
year = "2021",
month = jul,
doi = "10.1038/s41588-021-00880-5",
language = "English",
volume = "53",
pages = "962--971",
journal = "Nature Genetics",
issn = "1061-4036",
publisher = "Nature Publishing Group",
number = "7",
}