Abstract

Type 2 diabetes (T2D) is a complex metabolic disease that disproportionately affects African Americans. Genome-wide association studies (GWAS) have identified several loci that contribute to T2D in European Americans, but few studies have been performed in admixed populations. We first performed a GWAS of 1,563 African Americans from the Vanderbilt Genome-Electronic Records Project and Northwestern University NUgene Project as part of the electronic Medical Records and Genomics (eMERGE) network. We successfully replicate an association in TCF7L2, previously identified by GWAS in this African American dataset. We were unable to identify novel associations at p<5.0×10−8 by GWAS. Using admixture mapping as an alternative method for discovery, we performed a genome-wide admixture scan that suggests multiple candidate genes associated with T2D. One finding, TCIRG1, is a T-cell immune regulator expressed in the pancreas and liver that has not been previously implicated for T2D. We performed subsequent fine-mapping to further assess the association between TCIRG1 and T2D in >5,000 African Americans. We identified 13 independent associations between TCIRG1, CHKA, and ALDH3B1 genes on chromosome 11 and T2D. Our results suggest a novel region on chromosome 11 identified by admixture mapping is associated with T2D in African Americans.

Highlights

  • In the United States 25.8 million people have diabetes, which accounts for 8.3% of the total U.S population [1]

  • We show that using admixture mapping for discovery is a powerful approach for identifying disease loci for common diseases such as type 2 diabetes (T2D) in African Americans

  • We successfully identified several associations with T2D in African Americans using samples derived from a biorepository linked to electronic medical records (EMRs)

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Summary

Introduction

In the United States 25.8 million people have diabetes, which accounts for 8.3% of the total U.S population [1]. After adjusting for traditional T2D risk factors such as age, sex, body mass index (BMI), education, and physical activity; Native Americans, African Americans, and Latinos still have increased risk of T2D compared to European Americans [3]. These latter findings suggest that differences in genetic ancestry could possibly explain a proportion of the observed disparity of T2D across populations [4]. The largest single SNP effect reported by GWAS is rs7903146, located in TCF7L2, which as originally identified by linkage analysis [6] Other loci such as KCNJ11 and IRS1 were replicated by GWA studies [7,8,9,10].

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