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.
| Original language | English |
|---|---|
| Journal | Nature Genetics |
| Volume | 53 |
| Issue number | 7 |
| Pages (from-to) | 962-971 |
| Number of pages | 10 |
| ISSN | 1061-4036 |
| DOIs | |
| Publication status | Published - Jul 2021 |
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
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