A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity

IntroductionWe investigated the genetic determinants of variation in the hemoglobin glycation index (HGI), an emerging biomarker for the risk of diabetes complications.MethodsWe conducted a genome-wide association study (GWAS) for HGI in the Action to Control Cardiovascular Risk in Diabetes (ACCORD)...

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Main Authors: John S. House, Joseph H. Breeyear, Farida S. Akhtari, Violet Evans, John B. Buse, James Hempe, Alessandro Doria, Josyf C. Mychaleckyi, Vivian Fonseca, Mengyao Shi, Changwei Li, Shuqian Liu, Tanika N. Kelly, Daniel Rotroff, Alison A. Motsinger-Reif
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Language:English
Published: Frontiers Media S.A. 2024-10-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1473329/full
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author John S. House
Joseph H. Breeyear
Farida S. Akhtari
Violet Evans
John B. Buse
James Hempe
Alessandro Doria
Josyf C. Mychaleckyi
Vivian Fonseca
Mengyao Shi
Changwei Li
Shuqian Liu
Tanika N. Kelly
Tanika N. Kelly
Tanika N. Kelly
Daniel Rotroff
Daniel Rotroff
Daniel Rotroff
Alison A. Motsinger-Reif
author_facet John S. House
Joseph H. Breeyear
Farida S. Akhtari
Violet Evans
John B. Buse
James Hempe
Alessandro Doria
Josyf C. Mychaleckyi
Vivian Fonseca
Mengyao Shi
Changwei Li
Shuqian Liu
Tanika N. Kelly
Tanika N. Kelly
Tanika N. Kelly
Daniel Rotroff
Daniel Rotroff
Daniel Rotroff
Alison A. Motsinger-Reif
author_sort John S. House
collection DOAJ
description IntroductionWe investigated the genetic determinants of variation in the hemoglobin glycation index (HGI), an emerging biomarker for the risk of diabetes complications.MethodsWe conducted a genome-wide association study (GWAS) for HGI in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial (N = 7,913) using linear regression and additive genotype encoding on variants with minor allele frequency greater than 3%. We conducted replication analyses of top findings in the Atherosclerosis Risk in Communities (ARIC) study with inverse variance-weighted meta-analysis. We followed up with stratified GWAS analyses by sex and self-reported race.ResultsIn ACCORD, we identified single nucleotide polymorphisms (SNPs) associated with HGI, including a peak with the strongest association at the intergenic SNP rs73407935 (7q11.22) (P = 5.8e−10) with a local replication in ARIC. In black individuals, the variant rs10739419 on chromosome 9 in the Whirlin (WHRN) gene formally replicated (meta-P = 2.2e−9). The SNP-based heritability of HGI was 0.39 (P< 1e−10). HGI had significant sex-specific associations with SNPs in or near GALNT11 in women and HECW2 in men. Finally, in Hispanic participants, we observed genome-wide significant associations with variants near USF1 and NXNL2/SPIN1.DiscussionMany HGI-associated SNPs were distinct from those associated with fasting plasma glucose or HbA1c, lending further support for HGI as a distinct biomarker of diabetes complications. The results of this first evaluation of the genetic etiology of HGI indicate that it is highly heritable and point to heterogeneity by sex and race.
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spelling doaj-art-40ca2401c4bc4845ae5fe4fd8f5dab9e2025-08-20T02:11:29ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-10-011510.3389/fendo.2024.14733291473329A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicityJohn S. House0Joseph H. Breeyear1Farida S. Akhtari2Violet Evans3John B. Buse4James Hempe5Alessandro Doria6Josyf C. Mychaleckyi7Vivian Fonseca8Mengyao Shi9Changwei Li10Shuqian Liu11Tanika N. Kelly12Tanika N. Kelly13Tanika N. Kelly14Daniel Rotroff15Daniel Rotroff16Daniel Rotroff17Alison A. Motsinger-Reif18Biostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesDivision of Endocrinology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United StatesDepartment of Pediatrics, Louisiana State University School of Medicine, New Orleans, LA, United StatesSection on Genetics and Epidemiology, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, MA, United StatesCenter of Public Health Genomics, School of Medicine, University of Virginia, Charlottesville, VA, United StatesSection of Endocrinology, School of Medicine, Tulane University, New Orleans, LA, United StatesDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United StatesDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United StatesBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United StatesDepartment of Health Policy and Management, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United StatesTulane University Translational Science Institute, New Orleans, LA, United States0Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States1Endocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, OH, United States2Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, United StatesBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC, United StatesIntroductionWe investigated the genetic determinants of variation in the hemoglobin glycation index (HGI), an emerging biomarker for the risk of diabetes complications.MethodsWe conducted a genome-wide association study (GWAS) for HGI in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial (N = 7,913) using linear regression and additive genotype encoding on variants with minor allele frequency greater than 3%. We conducted replication analyses of top findings in the Atherosclerosis Risk in Communities (ARIC) study with inverse variance-weighted meta-analysis. We followed up with stratified GWAS analyses by sex and self-reported race.ResultsIn ACCORD, we identified single nucleotide polymorphisms (SNPs) associated with HGI, including a peak with the strongest association at the intergenic SNP rs73407935 (7q11.22) (P = 5.8e−10) with a local replication in ARIC. In black individuals, the variant rs10739419 on chromosome 9 in the Whirlin (WHRN) gene formally replicated (meta-P = 2.2e−9). The SNP-based heritability of HGI was 0.39 (P< 1e−10). HGI had significant sex-specific associations with SNPs in or near GALNT11 in women and HECW2 in men. Finally, in Hispanic participants, we observed genome-wide significant associations with variants near USF1 and NXNL2/SPIN1.DiscussionMany HGI-associated SNPs were distinct from those associated with fasting plasma glucose or HbA1c, lending further support for HGI as a distinct biomarker of diabetes complications. The results of this first evaluation of the genetic etiology of HGI indicate that it is highly heritable and point to heterogeneity by sex and race.https://www.frontiersin.org/articles/10.3389/fendo.2024.1473329/fullhemoglobin glycation indexHGIHbA1cACCORDARICGWAS
spellingShingle John S. House
Joseph H. Breeyear
Farida S. Akhtari
Violet Evans
John B. Buse
James Hempe
Alessandro Doria
Josyf C. Mychaleckyi
Vivian Fonseca
Mengyao Shi
Changwei Li
Shuqian Liu
Tanika N. Kelly
Tanika N. Kelly
Tanika N. Kelly
Daniel Rotroff
Daniel Rotroff
Daniel Rotroff
Alison A. Motsinger-Reif
A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
Frontiers in Endocrinology
hemoglobin glycation index
HGI
HbA1c
ACCORD
ARIC
GWAS
title A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
title_full A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
title_fullStr A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
title_full_unstemmed A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
title_short A genome-wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
title_sort genome wide association study identifies genetic determinants of hemoglobin glycation index with implications across sex and ethnicity
topic hemoglobin glycation index
HGI
HbA1c
ACCORD
ARIC
GWAS
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1473329/full
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