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Nature Genetics volume 55, pages 973–983 (2023)Cite this article
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Distinct tissue-specific mechanisms mediate insulin action in fasting and postprandial states. Previous genetic studies have largely focused on insulin resistance in the fasting state, where hepatic insulin action dominates. Here we studied genetic variants influencing insulin levels measured 2 h after a glucose challenge in >55,000 participants from three ancestry groups. We identified ten new loci (P < 5 × 10−8) not previously associated with postchallenge insulin resistance, eight of which were shown to share their genetic architecture with type 2 diabetes in colocalization analyses. We investigated candidate genes at a subset of associated loci in cultured cells and identified nine candidate genes newly implicated in the expression or trafficking of GLUT4, the key glucose transporter in postprandial glucose uptake in muscle and fat. By focusing on postprandial insulin resistance, we highlighted the mechanisms of action at type 2 diabetes loci that are not adequately captured by studies of fasting glycemic traits.
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GWAS summary statistics will be made available on the MAGIC investigators.
Website (https://magicinvestigators.org/downloads/) and GWAS catalog (https://www.ebi.ac.uk/gwas/home): GCST90267567, GCST90267568, GCST90267569, GCST90267570, GCST90267571, GCST90267572, GCST90267573, GCST90267574, GCST90267575, GCST90267576, GCST90267577 and GCST90267578.
Data from the Fenland cohort can be requested by bona fide researchers for specified scientific purposes via the study website (https://www.mrc-epid.cam.ac.uk/research/studies/fenland/information-for-researchers/). Data will either be shared through an institutional data-sharing agreement or arrangements will be made for analyses to be conducted remotely without the necessity for data transfer.
All data used in genetic risk score association analyses are available from the UK Biobank upon application (https://www.ukbiobank.ac.uk). All analyses in the UK Biobank in this manuscript were conducted under application 44448. Further details about the RISC study and data availability can be found here: http://www.egir.org/egirrisc/. The Genotype-Tissue Expression (GTEx) Project was supported by the Common Fund of the Office of the Director of the National Institutes of Health, and by NCI, NHGRI, NHLBI, NIDA, NIMH and NINDS. The data used for the analyses described in this manuscript can be obtained from the GTEx Portal (https://www.gtexportal.org/home/) and dbGaP accession number phs000424.v8.p2. Genome regulatory annotations from ENCODE (https://www.encodeproject.org/) and Roadmap Epigenomics Consortium (https://egg2.wustl.edu/roadmap/web_portal/) were explored via UCSC Genome Browser (http://genome.ucsc.edu). Published differentiated 3T3-L1 RNA-sequencing data used in this study are available from GEO accession GSE129957 (https://www.ncbi.nlm.nih.gov/geo/). Source data are provided with this paper.
No previously unreported custom code or algorithm was used to generate results. The following software and packages were used for data analysis: METAL v.2011-03-25 (http://csg.sph.umich.edu/abecasis/Metal/download/), random-metal v.2017-07-24 (https://github.com/explodecomputer/random-metal), linkage disequilibrium score regression v.1.0.1 (https://github.com/bulik/ldsc), R v.3.6.0 and v.4.0.3 (https://www.r-project.org/). R packages coloc v.5.1.0 (https://cran.r-project.org/web/packages/coloc/).
Hyprcoloc v.1.0 (https://github.com/jrs95/hyprcoloc).
GCTA 1.26.0 (https://yanglab.westlake.edu.cn/software/gcta/#Overview). EasyQC v.17.8 (https://www.uni-regensburg.de/medizin/epidemiologie-praeventivmedizin/genetische-epidemiologie/software/index.html). Associated code and scripts used in this manuscript are available on GitHub: https://github.com/MRC-Epid/GWAS_postchallenge_insulin (https://zenodo.org/record/7805583#.ZC7C_exBxhE).
James, D. E., Stöckli, J. & Birnbaum, M. J. The aetiology and molecular landscape of insulin resistance. Nat. Rev. Mol. Cell Biol. 22, 751–771 (2021).
CAS PubMed Google Scholar
Defronzo, R. A. From the triumvirate to the ominous octet: a new paradigm for the treatment of type 2 diabetes mellitus. Diabetes 58, 773–795 (2009).
CAS PubMed PubMed Central Google Scholar
Chen, J. et al. The trans-ancestral genomic architecture of glycemic traits. Nat. Genet. 53, 840–860 (2021).
CAS PubMed PubMed Central Google Scholar
Scott, R. A. et al. Large-scale association analyses identify new loci influencing glycemic traits and provide insight into the underlying biological pathways. Nat. Genet. 44, 991–1005 (2012).
CAS PubMed PubMed Central Google Scholar
Lagou, V. et al. Sex-dimorphic genetic effects and novel loci for fasting glucose and insulin variability. Nat. Commun. 12, 1–18 (2021).
Google Scholar
Taylor, R. et al. Direct assessment of liver glycogen storage by 13C nuclear magnetic resonance spectroscopy and regulation of glucose homeostasis after a mixed meal in normal subjects. J. Clin. Invest. 97, 126–132 (1996).
CAS PubMed PubMed Central Google Scholar
Jue, T., Rothman, D. L., Tavitian, B. A. & Shulman, R. G. Natural-abundance 13C NMR study of glycogen repletion in human liver and muscle. Proc. Natl Acad. Sci. USA 86, 1439–1442 (1989).
CAS PubMed PubMed Central Google Scholar
Petersen, M. C. & Shulman, G. I. Mechanisms of insulin action and insulin resistance. Physiol. Rev. 98, 2133 (2018).
CAS PubMed PubMed Central Google Scholar
Fischer, Y. et al. Insulin-induced recruitment of glucose transporter 4 (GLUT4) and GLUT1 in isolated rat cardiac myocytes. Evidence of the existence of different intracellular GLUT4 vesicle populations. J. Biol. Chem. 272, 7085–7092 (1997).
CAS PubMed Google Scholar
Goodyear, L. J. et al. Glucose ingestion causes GLUT4 translocation in human skeletal muscle. Diabetes 45, 1051–1056 (1996).
CAS PubMed Google Scholar
Kahn, B. B. Dietary regulation of glucose transporter gene expression: tissue specific effects in adipose cells and muscle. J. Nutr. 124, 1289S–1295S (1994).
CAS PubMed Google Scholar
Maianu, L., Keller, S. R. & Garvey, W. T. Adipocytes exhibit abnormal subcellular distribution and translocation of vesicles containing glucose transporter 4 and insulin-regulated aminopeptidase in type 2 diabetes mellitus: implications regarding defects in vesicle trafficking. J. Clin. Endocrinol. Metab. 86, 5450–5456 (2001).
CAS PubMed Google Scholar
Rothman, D. L. et al. Decreased muscle glucose transport/phosphorylation is an early defect in the pathogenesis of non-insulin-dependent diabetes mellitus. Proc. Natl Acad. Sci. USA 92, 983–987 (1995).
CAS PubMed PubMed Central Google Scholar
DeFronzo, R. A. & Tripathy, D. Skeletal muscle insulin resistance is the primary defect in type 2 diabetes. Diabetes Care 32, S157 (2009).
CAS PubMed PubMed Central Google Scholar
Sano, H. et al. Insulin-stimulated phosphorylation of a Rab GTPase-activating protein regulates GLUT4 translocation. J. Biol. Chem. 278, 14599–14602 (2003).
CAS PubMed Google Scholar
Dash, S. et al. A truncation mutation in TBC1D4 in a family with acanthosis nigricans and postprandial hyperinsulinemia. Proc. Natl Acad. Sci. USA 106, 9350–9355 (2009).
CAS PubMed PubMed Central Google Scholar
Grarup, N. et al. Identification of novel high-impact recessively inherited type 2 diabetes risk variants in the Greenlandic population. Diabetologia 61, 2005–2015 (2018).
CAS PubMed PubMed Central Google Scholar
Moltke, I. et al. A common Greenlandic TBC1D4 variant confers muscle insulin resistance and type 2 diabetes. Nature 512, 190–193 (2014).
CAS PubMed Google Scholar
Tam, C. S. et al. Defining insulin resistance from hyperinsulinemic-euglycemic clamps. Diabetes Care 35, 1605–1610 (2012).
CAS PubMed PubMed Central Google Scholar
Reinauer, H. et al. Determination of glucose turnover and glucose oxidation rates in man with stable isotope tracers. J. Clin. Chem. Clin. Biochem. 28, 505–512 (1990).
CAS PubMed Google Scholar
Muniyappa, R., Lee, S., Chen, H. & Quon, M. J. Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. Am. J. Physiol. Endocrinol. Metab. 294, 15–26 (2008).
Google Scholar
Stumvoll, M. et al. Use of the oral glucose tolerance test to assess insulin release and insulin sensitivity. Diabetes Care 23, 295–301 (2000).
CAS PubMed Google Scholar
Walford, G. A. et al. Genome-wide association study of the modified Stumvoll insulin sensitivity index identifies BCL2 and FAM19A2 as novel insulin sensitivity loci. Diabetes 65, 3200–3211 (2016).
CAS PubMed PubMed Central Google Scholar
Dimas, A. S. et al. Impact of type 2 diabetes susceptibility variants on quantitative glycemic traits reveals mechanistic heterogeneity. Diabetes 63, 2158–2171 (2014).
CAS PubMed PubMed Central Google Scholar
DeFronzo, R. A., Tobin, J. D. & Andres, R. Glucose clamp technique: a method for quantifying insulin secretion and resistance. Am. J. Physiol. 237, E214–E223 (1979).
CAS PubMed Google Scholar
Vujkovic, M. et al. Discovery of 318 new risk loci for type 2 diabetes and related vascular outcomes among 1.4 million participants in a multi-ancestry meta-analysis. Nat. Genet. 52, 680–691 (2020).
CAS PubMed PubMed Central Google Scholar
Zhu, Y., Wang, L., Yin, Y. & Yang, E. Systematic analysis of gene expression patterns associated with postmortem interval in human tissues. Sci. Rep. 7, 5435 (2017).
PubMed PubMed Central Google Scholar
Uhlén, M. et al. Proteomics. Tissue-based map of the human proteome. Science 347, 1260419 (2015).
PubMed Google Scholar
Aguet, F. et al. The GTEx Consortium atlas of genetic regulatory effects across human tissues. Science 369, 1318–1330 (2020).
CAS Google Scholar
Lonsdale, J. et al. The Genotype-Tissue Expression (GTEx) project. Nat. Genet. 45, 580–585 (2013).
CAS Google Scholar
Kanai, F. et al. Insulin-stimulated GLUT4 translocation is relevant to the phosphorylation of IRS-1 and the activity of PI3-kinase. Biochem. Biophys. Res. Commun. 195, 762–768 (1993).
CAS PubMed Google Scholar
Keller, S. R., Scott, H. M., Mastick, C. C., Aebersold, R. & Lienhard, G. E. Cloning and characterization of a novel insulin-regulated membrane aminopeptidase from Glut4 vesicles. J. Biol. Chem. 270, 23612–23618 (1995).
CAS PubMed Google Scholar
Chi, N. W. & Lodish, H. F. Tankyrase is a Golgi-associated mitogen-activated protein kinase substrate that interacts with IRAP in GLUT4 vesicles. J. Biol. Chem. 275, 38437–38444 (2000).
CAS PubMed Google Scholar
Guo, H. L. et al. The Axin/TNKS complex interacts with KIF3A and is required for insulin-stimulated GLUT4 translocation. Cell Res. 22, 1246–1257 (2012).
CAS PubMed PubMed Central Google Scholar
Hook, S. C. et al. TBC1D1 interacting proteins, VPS13A and VPS13C, regulate GLUT4 homeostasis in C2C12 myotubes. Sci. Rep. 10, 17953 (2020).
PubMed PubMed Central Google Scholar
Klip, A., McGraw, T. E. & James, D. E. Thirty sweet years of GLUT4. J. Biol. Chem. 294, 11369–11381 (2019).
CAS PubMed PubMed Central Google Scholar
Stenbit, A. E. et al. GLUT4 heterozygous knockout mice develop muscle insulin resistance and diabetes. Nat. Med. 3, 1096–1101 (1997).
CAS PubMed Google Scholar
Gual, P., Le Marchand-Brustel, Y. & Tanti, J. F. Positive and negative regulation of insulin signaling through IRS-1 phosphorylation. Biochimie 87, 99–109 (2005).
CAS PubMed Google Scholar
Barroso, I. Dominant negative mutations in human PPARγ associated with severe insulin resistance, diabetes mellitus and hypertension. Nature 402, 880–883 (1999).
CAS PubMed Google Scholar
Li, Q. et al. The protein phosphatase 1 complex is a direct target of AKT that links insulin signaling to hepatic glycogen deposition. Cell Rep. 28, 3406–3422 (2019).
CAS PubMed Google Scholar
Agius, L. Role of glycogen phosphorylase in liver glycogen metabolism. Mol. Asp. Med. 46, 34–45 (2015).
CAS Google Scholar
Yoon, M. S. et al. The role of mammalian target of rapamycin (mTOR) in insulin signaling. Nutrients 9, 1176 (2017).
PubMed PubMed Central Google Scholar
Kuo, T. et al. Identification of C2CD4A as a human diabetes susceptibility gene with a role in β cell insulin secretion. Proc. Natl Acad. Sci. USA 116, 20033–20042 (2019).
CAS PubMed PubMed Central Google Scholar
Lyssenko, V. et al. Common variant in MTNR1B associated with increased risk of type 2 diabetes and impaired early insulin secretion. Nat. Genet. 41, 82–88 (2009).
CAS PubMed Google Scholar
Huang, S. & Czech, M. P. The GLUT4 glucose transporter. Cell Metab. 5, 237–252 (2007).
CAS PubMed Google Scholar
Degrandmaison, J. et al. In vivo mapping of a GPCR interactome using knockin mice. Proc. Natl Acad. Sci. USA 117, 13105–13116 (2020).
CAS PubMed PubMed Central Google Scholar
Mani, M. et al. DRG2 knockdown induces Golgi fragmentation via GSK3β phosphorylation and microtubule stabilization. Biochim. Biophys. Acta Mol. Cell. Res. 1866, 1463–1474 (2019).
CAS PubMed Google Scholar
Mani, M. et al. Developmentally regulated GTP-binding protein 2 coordinates Rab5 activity and transferrin recycling. Mol. Biol. Cell 27, 334–348 (2016).
CAS PubMed PubMed Central Google Scholar
Gendre, D. et al. Conserved Arabidopsis ECHIDNA protein mediates trans-Golgi-network trafficking and cell elongation. Proc. Natl Acad. Sci. USA 108, 8048–8053 (2011).
CAS PubMed PubMed Central Google Scholar
Gonzales, P. A. et al. Large-scale proteomics and phosphoproteomics of urinary exosomes. J. Am. Soc. Nephrol. 20, 363–379 (2009).
CAS PubMed PubMed Central Google Scholar
Wang, T., Liu, N. S., Seet, L. F. & Hong, W. The emerging role of VHS domain-containing Tom1, Tom1L1 and Tom1L2 in membrane trafficking. Traffic 11, 1119–1128 (2010).
CAS PubMed Google Scholar
Liu, H. et al. ALKBH5-mediated m6A demethylation of GLUT4 mRNA promotes glycolysis and resistance to HER2-targeted therapy in breast cancer. Cancer Res. 82, 3974–3986 (2022).
CAS PubMed Google Scholar
Pulit, S. L. et al. Meta-analysis of genome-wide association studies for body fat distribution in 694 649 individuals of European ancestry. Hum. Mol. Genet. 28, 166–174 (2019).
CAS PubMed Google Scholar
Dunham, I. et al. An integrated encyclopedia of DNA elements in the human genome. Nature 489, 57–74 (2012).
CAS Google Scholar
Kundaje, A. et al. Integrative analysis of 111 reference human epigenomes. Nature 518, 317–330 (2015).
CAS PubMed PubMed Central Google Scholar
Ernst, J. & Kellis, M. ChromHMM: automating chromatin-state discovery and characterization. Nat. Methods 9, 215–216 (2012).
CAS PubMed PubMed Central Google Scholar
Kent, W. J. et al. The human genome browser at UCSC. Genome Res. 12, 996–1006 (2002).
CAS PubMed PubMed Central Google Scholar
Stumvoll, M., Van Haeften, T., Fritsche, A. & Gerich, J. Oral glucose tolerance test indexes for insulin sensitivity and secretion based on various availabilities of sampling times. Diabetes Care 24, 796–797 (2001).
CAS PubMed Google Scholar
Lindsay, T. et al. Descriptive epidemiology of physical activity energy expenditure in UK adults (The Fenland study). Int. J. Behav. Nutr. Phys. Act. 16, 126 (2019).
PubMed PubMed Central Google Scholar
Hills, S. A. et al. The EGIR-RISC study (the European group for the study of insulin resistance: relationship between insulin sensitivity and cardiovascular disease risk): I. Methodology and objectives. Diabetologia 47, 566–570 (2004).
CAS PubMed Google Scholar
McCarthy, S. et al. A reference panel of 64,976 haplotypes for genotype imputation. Nat. Genet. 48, 1279–1283 (2016).
CAS PubMed PubMed Central Google Scholar
Auton, A. et al. A global reference for human genetic variation. Nature 526, 68–74 (2015).
PubMed Google Scholar
Lim, E. T. et al. Distribution and medical impact of loss-of-function variants in the Finnish founder population. PLoS Genet. 10, e1004494 (2014).
PubMed PubMed Central Google Scholar
FinnGen documentation of R3 release. https://finngen.gitbook.io/documentation/ (2020).
Winkler, T. W. et al. Quality control and conduct of genome-wide association meta-analyses. Nat. Protoc. 12, 1192–1212 (2014).
Google Scholar
Willer, C. J., Li, Y. & Abecasis, G. R. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics 26, 2190–2191 (2010).
CAS PubMed PubMed Central Google Scholar
Yang, J. et al. Conditional and joint multiple-SNP analysis of GWAS summary statistics identifies additional variants influencing complex traits. Nat. Genet. 44, 369–375 (2012).
CAS PubMed PubMed Central Google Scholar
Explodecomputer/random-metal: adding random effects model to the METAL software. GitHub. https://github.com/explodecomputer/random-metal (2022).
Wakefield, J. Bayes factors for genome-wide association studies: comparison with P-values. Genet. Epidemiol. 33, 79–86 (2009).
PubMed Google Scholar
Giambartolomei, C. et al. Bayesian test for colocalisation between pairs of genetic association studies using summary statistics. PLoS Genet. 10, e1004383 (2014).
PubMed PubMed Central Google Scholar
Wang, Q. et al. Rare variant contribution to human disease in 281,104 UK Biobank exomes. Nature 597, 527–532 (2021).
CAS PubMed PubMed Central Google Scholar
Bulik-Sullivan, B. et al. LD score regression distinguishes confounding from polygenicity in genome-wide association studies. Nat. Genet. 47, 291–295 (2015).
CAS PubMed PubMed Central Google Scholar
Finucane, H. K. et al. Heritability enrichment of specifically expressed genes identifies disease-relevant tissues and cell types. Nat. Genet. 50, 621 (2018).
CAS PubMed PubMed Central Google Scholar
Foley, C. N. et al. A fast and efficient colocalization algorithm for identifying shared genetic risk factors across multiple traits. Nat. Commun. 12, 764 (2021).
CAS PubMed PubMed Central Google Scholar
Zhu, C. H. et al. Cellular senescence in human myoblasts is overcome by human telomerase reverse transcriptase and cyclin-dependent kinase 4: consequences in aging muscle and therapeutic strategies for muscular dystrophies. Aging Cell 6, 515–523 (2007).
CAS PubMed Google Scholar
Fogarty, M. P., Cannon, M. E., Vadlamudi, S., Gaulton, K. J. & Mohlke, K. L. Identification of a regulatory variant that binds FOXA1 and FOXA2 at the CDC123/CAMK1D type 2 diabetes GWAS locus. PLoS Genet. 10, e1004633 (2014).
PubMed PubMed Central Google Scholar
Roman, T. S. et al. A type 2 diabetes-associated functional regulatory variant in a pancreatic islet enhancer at the ADCY5 locus. Diabetes 66, 2521–2530 (2017).
CAS PubMed PubMed Central Google Scholar
Lotta, L. A. et al. Integrative genomic analysis implicates limited peripheral adipose storage capacity in the pathogenesis of human insulin resistance. Nat. Genet. 49, 17–26 (2017).
CAS PubMed Google Scholar
Leland Taylor, D. et al. Integrative analysis of gene expression, DNA methylation, physiological traits, and genetic variation in human skeletal muscle. Proc. Natl Acad. Sci. USA 116, 10883–10888 (2019).
PubMed PubMed Central Google Scholar
Kuhn, R. M., Haussler, D. & Kent, W. J. The UCSC genome browser and associated tools. Brief. Bioinform. 14, 144–161 (2013).
CAS PubMed Google Scholar
Sun, W. et al. A transcriptomic analysis reveals novel patterns of gene expression during 3T3-L1 adipocyte differentiation. Front. Mol. Biosci. 7, 249 (2020).
Google Scholar
Ng, Y., Ramm, G., Lopez, J. A. & James, D. E. Rapid activation of Akt2 is sufficient to stimulate GLUT4 translocation in 3T3-L1 adipocytes. Cell Metab. 7, 348–356 (2008).
CAS PubMed Google Scholar
Kohn, A. D., Summers, S. A., Birnbaum, M. J. & Roth, R. A. Expression of a constitutively active Akt Ser/Thr kinase in 3T3-L1 adipocytes stimulates glucose uptake and glucose transporter 4 translocation. J. Biol. Chem. 271, 31372–31378 (1996).
CAS PubMed Google Scholar
Tucker, D. F. et al. Isolation of state-dependent monoclonal antibodies against the 12-transmembrane domain glucose transporter 4 using virus-like particles. Proc. Natl Acad. Sci. USA 115, E4990–E4999 (2018).
CAS PubMed PubMed Central Google Scholar
Diaz-Vegas, A. et al. A high-content endogenous GLUT4 trafficking assay reveals new aspects of adipocyte biology. Life Sci. Alliance 6, e202201585 (2023).
CAS PubMed Google Scholar
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We are grateful to investigators, staff members and study participants for their contribution to all participating studies. A full list of individual and study acknowledgments appears in the Supplementary Note. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.
These authors jointly supervised this work: Karen L. Mohlke, Eleanor Wheeler, Stephen O’Rahilly, Daniel J. Fazakerley,Claudia Langenberg.
MRC Epidemiology Unit Institute of Metabolic Science, University of Cambridge School of Clinical Medicine, Cambridge, UK
Alice Williamson, Jian’an Luan, Nicholas J. Wareham, Eleanor Wheeler & Claudia Langenberg
Metabolic Research Laboratories Wellcome Trust-MRC Institute of Metabolic Science, Department of Clinical Biochemistry, University of Cambridge, Cambridge, UK
Alice Williamson, Dougall M. Norris, Stephen O’Rahilly & Daniel J. Fazakerley
Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA
Xianyong Yin, Anne U. Jackson & Michael Boehnke
Center for Statistical Genetics, University of Michigan, Ann Arbor, MI, USA
Xianyong Yin, Anne U. Jackson & Michael Boehnke
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China
Xianyong Yin
Department of Genetics, University of North Carolina, Chapel Hill, NC, USA
K. Alaine Broadaway, Anne H. Moxley, Swarooparani Vadlamudi, Emma P. Wilson & Karen L. Mohlke
Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland
Vasudha Ahuja, Om P. Dwivedi, Liisa Hakaste, Rashmi B. Prasad, Leif Groop & Tiinamaija Tuomi
Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Mette K. Andersen, Anna Jonsson, Carsten F. Rundsten, Sara E. Stinson, Sufyan Suleman, Torben Hansen & Niels Grarup
Department of Pediatrics, Genomic Outcomes, The Institute for Translational Genomics and Population Sciences, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, USA
Zorayr Arzumanyan, Xiuqing Guo, Jingyi Tan & Kent D. Taylor
Center for Precision Health Research National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
Lori L. Bonnycastle, Michael R. Erdos, Narisu Narisu & Francis S. Collins
Department of Internal Medicine III, Metabolic and Vascular Medicine, Medical Faculty Carl Gustav Carus, Dresden, Germany
Stefan R. Bornstein, Maxi P. Bretschneider & Nikolaos Perakakis
Helmholtz Zentrum München Paul Langerhans Institute Dresden (PLID), University Hospital and Faculty of Medicine TU Dresden, Dresden, Germany
Stefan R. Bornstein, Maxi P. Bretschneider, Sandra Herrmann, Nikolaos Perakakis, Romy Walther & Peter E. H. Schwarz
German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany
Stefan R. Bornstein, Maxi P. Bretschneider, Christian Gieger, Nikolaos Perakakis, Annette Peters, Harald Grallert & Peter E. H. Schwarz
Department of Medicine, Division of Endocrinology and Diabetes, Keck School of Medicine USC, Los Angeles, CA, USA
Thomas A. Buchanan
Graduate Institute of Medical Genomics and Proteomics, National Taiwan University, Taipei City, Taiwan
Yi-Cheng Chang
Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan
Yi-Cheng Chang
Institute of Biomedical Sciences, Academia Sinica, Taipei City, Taiwan
Yi-Cheng Chang
Department of Internal Medicine, Division of Endocrinology and Metabolism, National Taiwan University Hospital, Taipei City, Taiwan
Lee-Ming Chuang
Institute of Population Health Sciences, National Health Research Institutes, Toufen, Taiwan
Ren-Hua Chung
Department of Gynecology and Obstetrics, Nordsjaellands Hospital, Hillerød, Denmark
Tine D. Clausen
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Tine D. Clausen, Peter Damm, Allan Linneberg & Elisabeth Mathiesen
Center for Pregnant Women with Diabetes, Rigshospitalet, Copenhagen, Denmark
Peter Damm & Elisabeth Mathiesen
Department of Obstetrics, Rigshospitalet, Copenhagen, Denmark
Peter Damm
Vth Department of Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
Graciela E. Delgado & Winfried März
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
Vanessa D. de Mello, Marcus E. Kleber, Angela P. Moissl & Vanessa D. de Mello
Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
Josée Dupuis, Ching-Ti Liu & Peitao Wu
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Quebec, Canada
Josée Dupuis
Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland
Lilian Fernandes Silva & Markku Laakso
University of Exeter Medical School University of Exeter, Exeter, UK
Timothy M. Frayling
Institute of Epidemiology II, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany
Christian Gieger, Annette Peters & Harald Grallert
Department of Medicine, Division of Endocrinology, Diabetes and Metabolism Cedars-Sinai Medical Center, Los Angeles, CA, USA
Mark O. Goodarzi
Department of Medical Sciences, Clinical Epidemiology, Uppsala University, Uppsala, Sweden
Stefan Gustafsson, Lars Lind & Johan Sundström
Department of Medical Sciences, Molecular Epidemiology, Uppsala University, Uppsala, Sweden
Ulf Hammar & Tove Fall
Clinical Sciences Malmö, Genomics, Diabetes and Endocrinology, Lund University, Malmö, Sweden
Gad Hatem, Dina Mansour Aly, Rashmi B. Prasad & Emma Ahlqvist
Department of Internal Medicine III, Prevention and Care of Diabetes, Medical Faculty Carl Gustav Carus, Dresden, Germany
Sandra Herrmann & Peter E. H. Schwarz
Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark
Kurt Højlund
Medical Faculty Institute for Medical Informatics, Statistics and Epidemiology, Leipzig, Germany
Katrin Horn, Markus Scholz & Markus Loeffler
LIFE Leipzig Research Center for Civilization Diseases, Medical Faculty, Leipzig, Germany
Katrin Horn, Markus Scholz & Markus Loeffler
Internal Medicine, Endocrinology, Diabetes and Metabolism, The Ohio State University Wexner Medical Center, Columbus, OH, USA
Willa A. Hsueh
Institute of Preventive Medicine, National Defense Medical Center, New Taipei City, Taiwan
Yi-Jen Hung
Department of Medicine Section of Endocrinology and Metabolism, Taipei Veterans General Hospital, Taipei City, Taiwan
Chii-Min Hwu
Center for Clinical Research and Prevention, Copenhagen University Hospital – Bispebjerg and Frederiksberg, Copenhagen, Denmark
Line L. Kårhus & Allan Linneberg
SYNLAB MVZ Humangenetik Mannheim, Mannheim, Germany
Marcus E. Kleber
Medical Department III-Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Leipzig, Germany
Peter Kovacs, Michael Stumvoll & Anke Tönjes
Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland
Timo A. Lakka
Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland
Timo A. Lakka
Foundation for Research in Health Exercise and Nutrition, Kuopio Research Institute of Exercise Medicine, Kuopio, Finland
Timo A. Lakka, Kai Savonen, Pirjo Komulainen & Rainer Rauramaa
Department of Pediatrics, Genomic Outcomes, The Institute for Translational Genomics and Population Sciences, The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
Marie Lauzon & Yii-Der Ida Chen
Department of Internal Medicine Division of Endocrinology and Metabolism, Taichung Veterans General Hospital, Taichung City, Taiwan
I-Te Lee
School of Medicine, National Yang Ming Chiao Tung University, Taipei City, Taiwan
I-Te Lee
School of Medicine, Chung Shan Medical University, Taichung City, Taiwan
I-Te Lee
Big Data Institute Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford, UK
Cecilia M. Lindgren
Nuffield Department of Population Health, University of Oxford, Oxford, UK
Cecilia M. Lindgren
Wellcome Trust Centre Human Genetics, University of Oxford, Oxford, UK
Cecilia M. Lindgren
Broad Institute, Cambridge, MA, USA
Cecilia M. Lindgren
Finnish Institute for Health and Welfare, Helsinki, Finland
Jaana Lindström
Department of Endocrinology Rigshospitalet, Copenhagen, Denmark
Elisabeth Mathiesen
Institute of Nutritional Sciences, Friedrich-Schiller-University, Jena, Germany
Angela P. Moissl
Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena, Jena, Germany
Angela P. Moissl
Centre for Genetics and Genomics Versus Arthritis Centre for Musculoskeletal Research, The University of Manchester, Manchester, UK
Andrew P. Morris
Department of Internal Medicine III, University Center for Vascular Medicine, Medical Faculty Carl Gustav Carus, Dresden, Germany
Roman N. Rodionov
College of Medicine and Public Health, Flinders University and Flinders Medical Centre, Adelaide, Australia
Roman N. Rodionov
Pediatrics, Genomic Outcomes, The Institute for Translational Genomics and Population Sciences, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, USA
Kathryn Roll
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center, Houston, TX, USA
Chloé Sarnowski
Research Unit of Molecular Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany
Sapna Sharma & Harald Grallert
Food Chemistry and Molecular and Sensory Science, Technical University of Munich, Freising-Weihenstephan, München, Germany
Sapna Sharma
Department of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
Matti Uusitupa
Clinical Research, Steno Diabetes Center Copenhagen, Herlev, Denmark
Dorte Vistisen
Department of Public Health, University of Copenhagen, Copenhagen, Denmark
Dorte Vistisen
Steno Diabetes Center Aarhus, Aarhus, Denmark
Daniel R. Witte
Department of Public Health, Aarhus University, Aarhus, Denmark
Daniel R. Witte
Department of Internal Medicine III, Pathobiochemistry, Medical Faculty Carl Gustav Carus, Dresden, Germany
Romy Walther
Research and Evaluation, Division of Biostatistics, Kaiser Permanente Southern California, Pasadena, CA, USA
Anny H. Xiang
Department of Public Health and Caring Sciences, Geriatrics, Uppsala University, Uppsala, Sweden
Björn Zethelius
Diabetes and Obesity Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA
Richard N. Bergman
Diabetes Unit and Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA
Jose C. Florez
Programs in Metabolism and Medical and Population Genetics, The Broad Institute, Cambridge, MA, USA
Jose C. Florez
Department of Medicine, Harvard Medical School, Boston, MA, USA
Jose C. Florez
Department of Internal Medicine IV, University Hospital Tübingen, Tübingen, Germany
Andreas Fritsche, James B. Meigs & Robert Wagner
Clinical Sciences Malmö, Genomics, Diabetes and Endocrinology, Lund University, Lund, Sweden
Leif Groop & James B. Meigs
Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
Heikki A. Koistinen
Department of Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
Heikki A. Koistinen
Minerva Foundation Institute for Medical Research, Helsinki, Finland
Heikki A. Koistinen
Synlab Academy, SYNLAB Holding Deutschland GmbH, Mannheim, Germany
Winfried März
Department of Medicine Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA
James B. Meigs
Department of Pediatrics, Genetic and Genomic Medicine, University of California, Irvine, CA, USA
Leslie J. Raffel
The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, USA
Jerome I. Rotter
Folkhälsan Research Center, Helsinki, Finland
Tiinamaija Tuomi
Department of Public Health, University of Helsinki, Helsinki, Finland
Jaakko Tuomilehto
Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland
Jaakko Tuomilehto
Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia
Jaakko Tuomilehto
Exeter Centre of Excellence for Diabetes Research (EXCEED), Genetics of Complex Traits, University of Exeter Medical School, University of Exeter, Exeter, UK
Inês Barroso
Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
Mark Walker
Computational Medicine, Berlin Institute of Health at Charité–Universitätsmedizin, Berlin, Germany
Claudia Langenberg
Precision Healthcare University Research Institute, Queen Mary University of London, London, UK
Claudia Langenberg
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A.W., X.Y., K.A.B., E.P.W., N.G., M.B., N.J.W., K.L.M., E.W., S.O’R and C.L. contributed to central analysis group. A.W., X.Y., K.A.B., A.U.J, M.W., N.J.W., K.L.M., E.W., S.O’R and C.L. contributed to follow-up analysis and interpretation. A.H.M., S.V. and K.L.M. contributed to SLC2A4 in vitro follow-up. A.W., D.M.N. and D.J.F. contributed to siRNA knockdown screen. A.W., X.Y., K.A.B., A.U.J, V.A., M.K.A., Z.A., L.L.B., S.R.B., M.P.B., T.A.B., Y-C.C., L-M.C., R-H.C., T.D.C., P.D., G.E.D., V.D.dM., J.D., O.P.D., M.R.E, L.F., T.M.F., C.G., M.O.G., X.G., S.G., L.H., U.H., G.H., S.H., K.H., K.Horn, W.A.H., Y-J.H., C-M.H., A.J., L.L.K., M.E.K., P.K., T.A.L., M.L., I-T.L., C.L., J.L., A.L., C-T.L., J’an.L., D.M., E.M., A.P. Moissl, A.P. Morris, N.N., N.P., A. Peters, R.B.P., R.N.R., K.R., C.R., C.S., K.S., M. Scholz, S. Sharma, S.E.S., S. Suleman, J. Tan, K.T., M.U., D.V., P.W., D.R.W., R.W., A.H.X., B.Z., E.A., M. Laakso, L.L., J.B.M., R.R., J.S., M.W., N.G. and N.J.W. contributed to study-level GWAS—analysis, phenotyping and genotyping. E.A., R.N.B., Y.C., F.S.C., T.F., J.C.F., A.F., H.G., L.G., T.H., H.A.K., P.K., M. Laakso, L.L., M. Loeffler, W.M., J.B.M., L.J.R., R.R., J.I.R., P.E.H.S., M. Stumvoll, J.S., A.T., T.T., J. Tuomilehto, R.W., M.W., N.G., M.B., N.J.W., K.L.M. and C.L. contributed to study-level oversight/PI. A.W., D.M.N., A.H.M., I.B., K.L.M., E.W., S.O’R, D.J.F. and C.L. contributed to writing group. All authors read, edited and approved the final version of the manuscript.
Correspondence to Karen L. Mohlke, Eleanor Wheeler, Stephen O’Rahilly, Daniel J. Fazakerley or Claudia Langenberg.
I.B. and spouse declare stock ownership in GlaxoSmithKline, Incyte Ltd. and Inivata Ltd. J.C.F. has received consulting honoraria from Goldfinch Bio and AstraZeneca; speaker honoraria from Novo Nordisk, AstraZeneca and Merck for research lectures over which he had full control on content. M.E.K. is employed by SYNLAB Holding Deutschland GmbH. C.L. receives grants from Bayer Ag & Novo Nordisk and her husband works for Vertex. W.M. reports grants and personal fees from Siemens Diagnostics, Aegerion Pharmaceuticals, AMGEN, AstraZeneca, Danone Research, Sanofi, Pfizer, BASF and Numares; personal fees from Hoffmann LaRoche, MSD, Synageva; grants from Abbott Diagnostics, outside the submitted work. W.M. is employed by Synlab Holding Deutschland GmbH. J.B.M. serves as an Academic Associate for Quest Diagnostics. S.O’R. has undertaken remunerated consultancy work for Pfizer, AstraZeneca, GSK and ERX Pharmaceuticals. N.P. reports consulting honoraria from Bayer Vital GmbH and speaker honoraria from Novo Nordisk. J.S. is shareholder in Anagram kommunikation AB and Symptoms Europe AB, outside of the present study. D.V. has received research grants from Bayer A/S, Sanofi, Novo Nordisk A/S and Boehringer Ingelheim and holds shares in Novo Nordisk A/S. E.W. is now an employee of AstraZeneca. B.Z. is employed at the Swedish Medical Products Agency, SE-751 03 Uppsala, Sweden. The views expressed in this paper are the personal views of the authors and not necessarily the views of the Swedish government agency. All other authors declare no competing interests.
Nature Genetics thanks Constantin Polychronakos, Miriam Udler and John Todd for their contribution to the peer review of this work. Peer reviewer reports are available.
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Created with BioRender.com.
Pairwise Spearman's rank correlation. Red shades denote positive correlation, blue shared denote negative correlation between trait pairs. X denotes no significant correlation (P > 0.05).
Pairwise Spearman's rank correlation. Red shades denote positive correlation, blue shared denote negative correlation between trait pairs, legend along bottom of heatmap shows color scale relative to rho value. X denotes no significant correlation (P > 0.05). Abbreviations denote: IFC_OGTT – IFC calculated using OGTT measures, ISI_OGTT – Modified Stumvoll ISI calculated using OGTT measures. M_I – M/I index of insulin sensitivity measured by clamp. InsC0c – insulin measured at 0 min during clamp. InsO0c—insulin measured at 0 min during OGTT. InsC120c—insulin measured at 120 min during clamp. InsO120c—insulin measured at 120 min during OGTT. InsC_20c—insulin measured at 20 min before clamp. EGP_B—basal glucose production, EGP_SS—glucose production during clamp, GCR_B—basal glucose clearance, ml/min/kg lean body mass, GCR_SS—steady state glucose clearance, ml min−1 kg−1 lean body mass, icl_clamp—peripheral insulin clearance (1 min−1 m−2), icl_OGTT—endogenous ‘pre-hepatic’ clearance during the OGTT, hie_0—hepatic insulin extraction during clamp, OGIS—oral glucose insulin sensitivity index (ml min−1 m−2). ISR5dr—insulin secretion 5 mM glucose, beta cell dose response (pmol min−1 m−2). ISR0 basal insulin secretion (pmol min-1m-2). ISRtot—total insulin secretion (nmol m−2).
Analysis workflow for the meta-analysis of study-level GWAS results for Insulin fold change and modified Stumvoll ISI. Created with BioRender.com.
Conditional analyses identify a second independent signal at PPP1R3B for insulin fold change adjusted for BMI. The regional association plot shows the primary signal in red and the secondary signal in blue for marginal summary statistics for insulin fold change adjusted for BMI. Shade of point indicates pairwise linkage disequilibrium (R2) with indicated lead variant.
Labels on the right-hand side indicate the ancestry of the study and study name. EUR- European ancestry, HIS-AMR—Hispanic American ancestry, EAS—East Asian ancestry. Left-hand side values are beta estimate and 95% confidence interval. Error bars denote a 95% confidence interval. X-axis denotes the beta estimate of associations with insulin fold change in BMI adjusted analyses.
Unadjusted -log10 p-values are indicated on the y axis. Lead variant indicated by purple diamond.
An EMSA using 6 µg per lane of nuclear extract from undifferentiated LHCN-M2 cells shows protein–DNA interactions for probes centered around each both alleles of rs117643180. The probe containing rs117643180-A shows allele-specific protein binding (arrow A, lane 6), relative to the probe containing rs117643180-C (lane 2). A 25-fold excess unlabeled probe containing the A allele competed away A-specific bands more effectively (lane 7) than 25-fold excess unlabeled probe containing the C allele (lane 8). Arrow B shows a biotinylated free probe (200 fmol per lane). Uncropped image is available in Source Data.
Source data
Representative blot from N = 2. Marker indicates protein size in kDa is outlined on the right-hand side of the blot. siGenome and OT+ represent siRNA pools with their corresponding targets indicated below (see Methods) and NT denotes non-targeting control. Antibodies are outlined on the left-hand side of the blot with Tubulin and B-actin used as loading controls. Uncropped blots are provided in Source Data.
Source data
Supplementary Note—Study and Individual Acknowledgments, Supplementary Methods, Supplementary Results and Discussion and Supplementary Figs. 1–25.
Supplementary Tables 1–33.
Unprocessed ESMA blot corresponding to extended data figure 8. Unprocessed western blots corresponding to extended data figure 9
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Williamson, A., Norris, D.M., Yin, X. et al. Genome-wide association study and functional characterization identifies candidate genes for insulin-stimulated glucose uptake. Nat Genet 55, 973–983 (2023). https://doi.org/10.1038/s41588-023-01408-9
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Received: 04 August 2022
Accepted: 26 April 2023
Published: 08 June 2023
Issue Date: June 2023
DOI: https://doi.org/10.1038/s41588-023-01408-9
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