Abstract

Type 2 diabetes (T2D) is a complex disease that involves multiple genes. Numerous risk loci have already been associated with T2D, although many susceptibility genes remain to be identified given heritability estimates. Systems biology approaches hold potential for discovering novel T2D genes by considering their biological context, such as tissue-specific protein interaction partners. Pancreatic islets are a key T2D tissue and many of the known genetic risk variants lead to impaired islet function, hence a better understanding of the islet-specific dysregulation in the disease-state is essential to unveil the full potential of person-specific profiles. Here we identify 3,692 overlapping pancreatic islet protein complexes (containing 10,805 genes) by integrating islet gene and protein expression data with protein interactions. We found 24 of these complexes to be significantly enriched for genes associated with diabetic phenotypes through heterogeneous evidence sources, including genetic variation, methylation, and gene expression in islets. The analysis specifically revealed ten T2D candidate genes with probable roles in islets (ANPEP, HADH, FAM105A, PDLIM4, PDLIM5, MAP2K4, PPP2R5E, SNX13, GNAS, and FRS2), of which the last six are novel in the context of T2D and the data that went into the analysis. Fifteen of the twenty-four complexes were further enriched for combined genetic associations with glycemic traits, exemplifying how perturbation of protein complexes by multiple small effects can give rise to diabetic phenotypes. The complex nature of T2D ultimately prompts an understanding of the individual patients at the network biology level. We present the foundation for such work by exposing a subset of the global interactome that is dysregulated in T2D and consequently provides a good starting point when evaluating an individual's alterations at the genome, transcriptome, or proteome level in relation to T2D in clinical settings.

Highlights

  • Diabetes is a multi-tissue metabolic disease caused by defects in insulin action, insulin secretion, or both, resulting in hyperglycemia

  • We found that the 1,007 complexes with coordinated expression in islets were enriched for small P-values (MWU, P = 1.66 × 10−5) and we observed significant convergence of the islet diabetic phenotype gene sets in 24 complexes (9 coordinated, 15 un-coordinated) after adjusting for multiple hypothesis testing (BH adjusted P < 0.05; Supplementary Table 4, Data Sheet 1)

  • We identify 24 protein complexes with strong supporting evidence for being implicated in diabetes pathogenesis in pancreatic islets and show how they are enriched for multiple modest effects of genetic variants associated with glycemic traits

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Summary

Introduction

Diabetes is a multi-tissue metabolic disease caused by defects in insulin action, insulin secretion, or both, resulting in hyperglycemia. The heritability of type 2 diabetes (T2D) has been estimated to range from 25 to 80% (Prasad and Groop, 2015). Despite that more than 120 T2D risk loci have been identified so far (Prasad and Groop, 2015) their combined effect explains only a fraction of the Functional Convergence in Diabetes heritability. Identifying the remaining variants involved in T2D through traditional single-variant association analyses will require greatly increased sample sizes compared to current studies for improving statistical power (Morris et al, 2012). Integrative systems biology approaches hold the promise to facilitate this process by considering gene products in the context of cellular networks rather than in isolation, improving power through the use of existing biological knowledge

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