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Genetic causes of type 2 diabetes

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368:(miRNA) binding site. miRNAs regulate gene expression by binding to the target mRNAs and physically block translation. SNPs on the miRNA-binding site can result in faulty levels of gene expression as miRNA fails to bind to the corresponding mRNA effectively, leading to excess amount of protein product overall. Although the protein structure of the genes with SNPs are identical to that of the normal gene product, due to their faulty level of expressions, those genes increase risk. Genes such as CDKN2A, CDKN2B, and HNF1B exhibit increase the risk phenotype with SNPs in their 467:
affected the genetic-basis of type 2 diabetes. This can be seen from the adoption of the type 2 diabetes epidemiological pattern in those who have moved to a different environment as compared to the same genetic pool who have not. Immigrants to Western developed countries, for instance, may be more prone to diabetes as compared to its lower incidence in their countries of origins. Such developments can also be found in environments which have had a recent increase in social wealth, increasingly common throughout Asia.
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depressed level of gene expression. APOM is partly responsible for producing pre beta-high-density lipoprotein and cholesterol, and APM1 is responsible for regulating glucose level in blood and fatty acid. Decreasing the level these gene products reduce the body's ability to handle glucose, which leads to the increased risk of diabetes.
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While obesity is an independent risk factor for type 2 diabetes that may be linked to lifestyle, obesity is also a trait that may be strongly inherited. Other research also shows that type 2 diabetes can cause obesity as an effect of the changes in metabolism and other deranged cell behavior
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It is important to note that those discovered genes do not determine susceptibility to diabetes for all people or cases. As the risk of diabetes is combination of the gene regulations and the interplay between those gene products, certain genes may not pose a threat to increase the susceptibility.
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However, environmental factors (almost certainly diet and weight) play a large part in the development of type 2 diabetes in addition to any genetic component. Genetic risk for type 2 diabetes changes as humans first began migrating around the world, implying a strong environmental component has
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increase the risk of type 2 diabetes when there are SNPs in their proximal promoter regions. Promoters are sequences of DNA that allows proteins such as transcription factors to bind for gene expression, and when the sequences are modified, the proteins no longer bind as effectively, resulting in
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TCF7L2 is one of the well-studied genes for diabetes susceptibility in most populations. However, SNPs in TCF7L2 that would normally increase the risk of diabetes does not affect the susceptibility for Pima Indians. However, this gene is associated with regulating the
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Korneev, Kirill V.; Sviriaeva, Ekaterina N.; Mitkin, Nikita A.; Gorbacheva, Alisa M.; Uvarova, Aksinya N.; Ustiugova, Alina S.; Polanovsky, Oleg L.; Kulakovskiy, Ivan V.; Afanasyeva, Marina A.; Schwartz, Anton M.; Kuprash, Dmitry V. (March 2020).
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of diabetic patient group and the non-diabetic control group. The diabetic patients’ genome sequences differ from the controls' genome in specific loci along and around numerous genes, and these differences in the nucleotide sequences alter
221:. In addition, there is also a mutation to the Islet Amyloid Polypeptide gene that results in an earlier onset, more severe, form of diabetes. However, this is not a comprehensive list of genes that affects the proneness to the diabetes. 76:
traits that exhibit increased susceptibility to the diabetes. GWAS has revealed 65 different loci (where single nucleotide sequences differ from the patient and control group's genomes), and genes associated with type 2 diabetes, including
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Camastra S, Bonora E, Del Prato S, Rett K, Weck M, Ferrannini E (December 1999). "Effect of obesity and insulin resistance on resting and glucose-induced thermogenesis in man. EGIR (European Group for the Study of Insulin Resistance)".
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Niu, Nifang (Jan 2007). "Single nucleotide polymorphisms in the proximal promoter region of apolipoprotein M gene (apoM) confer the susceptibility to development of type 2 diabetes in Han Chinese".
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regions of the genes, making the SNP's mechanism for increasing susceptibility largely unknown. However, they are thought to influence the susceptibility by altering the
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have been found that contribute to the risk of type 2 diabetes. All of these genes together still only account for 10% of the total genetic component of the disease.
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Cho YM, Kim M, Park KS, Kim SY, Lee HK (May 2003). "S20G mutation of the amylin gene is associated with a lower body mass index in Korean type 2 diabetic patients".
413:. Population-based sequencing studies have since identified numerous other genes harbouring rare large-effect variants for type 2 diabetes, including the known 243:
of affected individuals, contributing to an inflammation-prone environment that predisposes minor allele carriers to development of certain pathologies with an
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Wang, Xiaojing (Oct 2015). "Association study of the miRNA-binding site polymorphisms of CDKN2A/B genes with gestational diabetes mellitus susceptibility".
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function, and the altered function and therefore compromise the performances of the protein product causes increased susceptibility to the type 2 diabetes.
1094:"Single nucleotide polymorphisms in the proximal promoter region of the adiponectin (APM1) gene are associated with type 2 diabetes in Swedish Caucasians" 455:
that first becomes evident in childhood. It consists of diabetes insipidus, diabetes mellitus, optic atrophy, and deafness, hence the acronym DIDMOAD.
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correlates with increased risk of developing T2DM and may promote lipid-induced insulin resistance via TLR4 activation, resulting in production of
164: 1241:"Gene-level analysis of rare variants in 379,066 whole exome sequences identifies an association of GIGYF1 loss of function with type 2 diabetes" 1000:"Polymorphism in microRNA-binding site in HNF1B influences the susceptibility of type 2 diabetes mellitus: a population based case-control study" 1401: 916:"Minor C allele of the SNP rs7873784 associated with rheumatoid arthritis and type-2 diabetes mellitus binds PU.1 and enhances TLR4 expression" 206: 403:
Since 2019 large sequencing studies have started to identify rare coding variants associated with type 2 diabetes risk, including variants in
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Sakagashira S, Sanke T, Hanabusa T, et al. (September 1996). "Missense mutation of amylin gene (S20G) in Japanese NIDDM patients".
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One of the examples of gene regulation in non-ORF SNPs that influences susceptibility is the changes in nucleotide sequence in
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and provokes TLR4-dependent inflammation in the arterial wall, further TLR4 activation results in a strong inhibition of
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SNPs alleles and T2DM may be directly related to elevated TLR4 expression since its signaling can regulate diet-induced
1768: 1693: 1688: 2000: 1829: 1636: 452: 1903: 1851: 1748: 331: 307: 2086: 1824: 1631: 264: 43:, among others. Maturity onset diabetes of the young constitute 1–5% of all cases of diabetes in young people. 607:"Genetic fine mapping and genomic annotation defines causal mechanisms at type 2 diabetes susceptibility loci" 1978: 1943: 260: 218: 160: 1891: 1773: 1743: 1733: 1648: 1619: 1563: 441: 334:. Additionally, mice with deficiencies in TLR4 signaling were protected from insulin resistance caused by 27:
There are a number of rare cases of diabetes that arise due to an abnormality in a single gene (known as
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Herder, C; Roden, M (Jun 2011). "Genetics of type 2 diabetes: pathophysiologic and clinical relevance".
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Barrett TG (September 2001). "Mitochondrial diabetes, DIDMOAD and other inherited diabetes syndromes".
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of those gene expressions. Only few genes (PARG6, KCNJ11-ABCC8, SLC30A8, and GCKR) have SNPs in the
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levels). However, there is growing evidence that T2DM is not only a purely metabolic, but also an
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binding to the minor C allele of rs7873784 may be responsible for elevated TLR4 expression in the
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involved many genes contributing small amount to the overall condition. As of 2011 more than 36
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that regulates other genes, faulty regulations of those genes increase the risk of diabetes.
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Another example of faulty gene regulation that influence the susceptibility is the SNPs in
2035: 1705: 1606: 1593: 430: 339: 17: 209:, subfamily J, member 11), encodes the islet ATP-sensitive potassium channel Kir6.2, and 1509: 1150: 1995: 1868: 1265: 1240: 1216: 1191: 1167: 1134: 1026: 999: 817: 790: 766: 741: 631: 606: 578:. National Institute of Diabetes and Digestive and Kidney Diseases, NIH. Archived from 314:. A number of endogenous TLR4 ligands are elevated in patients with diabetes. Oxidized 287: 888: 2111: 2012: 1933: 1911: 541: 256: 1078: 984: 557: 2017: 1758: 1753: 335: 286:
and, therefore, influence the pathogenesis of T2DM. TLR4 expression is elevated in
244: 579: 1517: 1110: 1093: 932: 915: 294:. LPS-mediated TLR4 activation can suppress glucose-induced insulin secretion by 2060: 1788: 1626: 396: 377: 323: 319: 267: 214: 192: 1290:"TCF7L2 is not a major susceptibility gene for type 2 diabetes in Pima Indians" 1256: 1207: 853: 757: 228: 1720: 1158: 1016: 968: 311: 291: 656:"Clinical risk factors, DNA variants, and the development of type 2 diabetes" 1763: 504:(12th ed.). Philadelphia: Elsevier/Saunders. 2011. pp. 1371–1435. 346: 299: 295: 248: 240: 73: 51:
Genetic cause and mechanism of type 2 diabetes is largely unknown. However,
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McCarthy, M. I. (December 2010). Feero, W. G.; Guttmacher, A. E. (eds.).
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Gibbons, Ann (4 November 2011). "Diabetes Genes Decline Out of Africa".
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gene and associated with the development of type-2 diabetes mellitus.
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Best Practice & Research. Clinical Endocrinology & Metabolism
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of obese mice and its activation triggered insulin resistance in
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Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
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Various hereditary conditions may feature diabetes, for example
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Lyssenko V, Jonsson A, Almgren P, et al. (November 2008).
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efflux from macrophages. The hepatic secretory glycoprotein
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component. rs7873784 was also associated with the abnormal
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from T2DM patients demonstrate increased TLR4 expression,
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Most SNPs that increase the risk of diabetes reside in
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that are responsible for the risk of type 2 diabetes,
357:(ORF). These SNPs in ORFs result in altering of the 2069: 2026: 1902: 1807: 1719: 1586: 1364:Walley AJ, Blakemore AI, Froguel P (October 2006). 576:National Diabetes Information Clearinghouse (NDIC) 372:miRNA binding sites. As CDKN2A and B regulate the 338:and from secondary complications of T2DM such as 1779:Metabolic Score for Insulin Resistance (METS-IR) 1475:World Wide Patterns of Genetic Risk for Disease 251:phenotype accompanying T2DM (levels of fasting 1564: 523: 521: 8: 421:(over 14-fold increased odds) and the gene 217:gene expression and thus the production of 1571: 1557: 1549: 530:European Journal of Clinical Investigation 496: 494: 492: 213:(transcription factor 7–like 2) regulates 1377: 1305: 1264: 1215: 1166: 1109: 1025: 1015: 931: 816: 765: 716: 673: 630: 1542:, Saunders Sixth Edition, 1999; 913-926. 1051:Diabetes/Metabolism Research and Reviews 791:"Diabetes treatment—bridging the divide" 699:"Genomics, Type 2 Diabetes, and Obesity" 488: 207:potassium inwardly rectifying channel 7: 1821:Metabolic assessment and monitoring 1402:"Can Diabetes Type II be inherited?" 600: 598: 596: 33:maturity onset diabetes of the young 2097:Notable people with type 1 diabetes 1609:(SIDD, SIRD, MOD and MARD clusters) 1540:Robbins Pathologic Basis of Disease 796:The New England Journal of Medicine 704:The New England Journal of Medicine 661:The New England Journal of Medicine 67:(GWAS) was utilized to compare the 1436:Int. J. Obes. Relat. Metab. Disord 746:American Journal of Human Genetics 502:Williams textbook of endocrinology 31:forms of diabetes). These include 14: 2051:International Diabetes Federation 1927:Hyperosmolar hyperglycemic state 1410:. 25 August 2017. Archived from 542:10.1111/j.1365-2362.2010.02454.x 391:regions of the genes. Gene like 318:upregulates TLR4 expression in 65:genome wide association studies 477:Epigenetics of diabetes Type 2 53:single nucleotide polymorphism 1: 1986:Diabetes-related skin disease 889:10.1016/S0168-8227(03)00019-6 1784:Homeostatic model assessment 1518:10.1126/science.334.6056.583 1111:10.2337/diabetes.53.2007.S31 933:10.1016/j.bbadis.2019.165626 433:for Pima Indian population. 306:activity, and production of 1769:Noninvasive glucose monitor 998:Goda, Naoki (Sep 2, 2015). 740:Ayub, Qasim (Feb 6, 2014). 425:(4-6 fold increased odds). 274:. The link between certain 2134: 2001:Diabetic cheiroarthropathy 1830:Ambulatory glucose profile 1637:Impaired glucose tolerance 1257:10.1038/s41598-021-99091-5 1208:10.1038/s41588-021-01011-w 854:10.2337/diabetes.45.9.1279 758:10.1016/j.ajhg.2013.12.010 605:Gaulton, Kyle (Dec 2015). 453:neurodegenerative disorder 376:replication, and HNF1B is 41:Rabson–Mendenhall syndrome 1749:Postprandial glucose test 1372:. 15 Spec No 2: R124–30. 1288:Guo, Tingwei (Dec 2007). 1159:10.1038/s41586-019-1231-2 1017:10.1186/s12881-015-0219-5 969:10.1007/s00592-015-0768-2 877:Diabetes Res. Clin. Pract 332:proinflammatory cytokines 308:proinflammatory cytokines 227:rs7873784 located in the 2087:Epidemiology of diabetes 1825:Blood glucose monitoring 1701:Type 3c (pancreatogenic) 1632:Impaired fasting glucose 1538:Cotran, Kumar, Collins; 1370:Human Molecular Genetics 789:Rother KI (April 2007). 265:high-density lipoprotein 1944:Neuropathic arthropathy 261:low-density lipoprotein 219:glucagon-like peptide-1 1892:Gastric bypass surgery 1774:Insulin tolerance test 1744:Glucose tolerance test 1649:Ketosis-prone diabetes 1620:Diabetes and pregnancy 1448:10.1038/sj.ijo.0801072 1343:10.1053/beem.2001.0149 229:3′-untranslated region 1477:. Stanford University 718:10.1056/NEJMra0906948 675:10.1056/NEJMoa0801869 272:inflammatory disorder 2082:Glossary of diabetes 2041:Open Insulin Project 1877:Embryonic stem cells 1614:Gestational diabetes 1004:BMC Medical Genetics 382:transcription factor 374:pancreatic beta-cell 2092:History of diabetes 2077:Outline of diabetes 2006:Diabetic foot ulcer 1991:Diabetic dermopathy 1950:Organs in diabetes 1882:Artificial pancreas 1842:Diabetes medication 1739:Glycated hemoglobin 1510:2011Sci...334..583G 1151:2019Natur.570...71F 1092:Gu, HF (Feb 2004). 809:10.1056/NEJMp078030 450:autosomal recessive 442:Friedreich's ataxia 2056:World Diabetes Day 1644:Insulin resistance 1379:10.1093/hmg/ddl215 1245:Scientific Reports 1104:(Suppl 1): S31–5. 957:Acta Diabetologica 461:insulin resistance 446:Wolfram's syndrome 438:myotonic dystrophy 355:open reading frame 284:insulin resistance 2105: 2104: 1799:Disposition index 1729:Blood sugar level 1599:Type 1 diabetes ( 1414:on 28 August 2017 1307:10.2337/db07-0621 1133:Flannick (2019). 511:978-1-4377-0324-5 2125: 1837:Diet in diabetes 1573: 1566: 1559: 1550: 1543: 1536: 1530: 1529: 1493: 1487: 1486: 1484: 1482: 1466: 1460: 1459: 1430: 1424: 1423: 1421: 1419: 1398: 1392: 1391: 1381: 1361: 1355: 1354: 1326: 1320: 1319: 1309: 1285: 1279: 1278: 1268: 1236: 1230: 1229: 1219: 1190:Jurgens (2022). 1187: 1181: 1180: 1170: 1130: 1124: 1123: 1113: 1089: 1083: 1082: 1063:10.1002/dmrr.641 1046: 1040: 1039: 1029: 1019: 995: 989: 988: 952: 946: 945: 935: 910: 901: 900: 872: 866: 865: 837: 831: 830: 820: 803:(15): 1499–501. 786: 780: 779: 769: 737: 731: 730: 720: 694: 688: 687: 677: 651: 645: 644: 634: 602: 591: 590: 588: 587: 568: 562: 561: 525: 516: 515: 498: 37:Donohue syndrome 2133: 2132: 2128: 2127: 2126: 2124: 2123: 2122: 2108: 2107: 2106: 2101: 2065: 2036:T1International 2028: 2027:Advocacy & 2022: 1898: 1847:Insulin therapy 1803: 1715: 1582: 1577: 1547: 1546: 1537: 1533: 1495: 1494: 1490: 1480: 1478: 1468: 1467: 1463: 1442:(12): 1307–13. 1432: 1431: 1427: 1417: 1415: 1400: 1399: 1395: 1363: 1362: 1358: 1328: 1327: 1323: 1287: 1286: 1282: 1239:Deaton (2021). 1238: 1237: 1233: 1196:Nature Genetics 1189: 1188: 1184: 1145:(7759): 71–76. 1132: 1131: 1127: 1091: 1090: 1086: 1048: 1047: 1043: 997: 996: 992: 954: 953: 949: 912: 911: 904: 874: 873: 869: 839: 838: 834: 788: 787: 783: 739: 738: 734: 711:(24): 2339–50. 696: 695: 691: 668:(21): 2220–32. 653: 652: 648: 623:10.1038/ng.3437 617:(12): 1415–25. 611:Nature Genetics 604: 603: 594: 585: 583: 570: 569: 565: 527: 526: 519: 512: 500: 499: 490: 485: 473: 340:atherosclerosis 49: 18:type 2 diabetes 12: 11: 5: 2131: 2129: 2121: 2120: 2110: 2109: 2103: 2102: 2100: 2099: 2094: 2089: 2084: 2079: 2073: 2071: 2067: 2066: 2064: 2063: 2058: 2053: 2048: 2043: 2038: 2032: 2030: 2024: 2023: 2021: 2020: 2015: 2010: 2009: 2008: 2003: 1998: 1996:Diabetic bulla 1993: 1983: 1982: 1981: 1976: 1971: 1966: 1961: 1956: 1948: 1947: 1946: 1941: 1931: 1930: 1929: 1924: 1919: 1912:Diabetic comas 1908: 1906: 1900: 1899: 1897: 1896: 1895: 1894: 1886: 1885: 1884: 1879: 1871: 1869:Diabetic shoes 1866: 1865: 1864: 1859: 1854: 1844: 1839: 1834: 1833: 1832: 1827: 1819: 1813: 1811: 1805: 1804: 1802: 1801: 1796: 1791: 1786: 1781: 1776: 1771: 1766: 1761: 1756: 1751: 1746: 1741: 1736: 1731: 1725: 1723: 1717: 1716: 1714: 1713: 1708: 1703: 1698: 1697: 1696: 1691: 1681: 1680: 1679: 1652: 1646: 1641: 1640: 1639: 1634: 1624: 1623: 1622: 1610: 1604: 1597: 1596:(SAID cluster) 1590: 1588: 1584: 1583: 1578: 1576: 1575: 1568: 1561: 1553: 1545: 1544: 1531: 1488: 1469:Corona, Erik. 1461: 1425: 1393: 1356: 1321: 1300:(12): 3082–8. 1280: 1231: 1202:(3): 240–250. 1182: 1125: 1084: 1041: 990: 947: 902: 867: 848:(9): 1279–81. 832: 781: 732: 689: 646: 592: 563: 517: 510: 487: 486: 484: 481: 480: 479: 472: 469: 288:adipose tissue 48: 45: 16:Most cases of 13: 10: 9: 6: 4: 3: 2: 2130: 2119: 2116: 2115: 2113: 2098: 2095: 2093: 2090: 2088: 2085: 2083: 2080: 2078: 2075: 2074: 2072: 2068: 2062: 2059: 2057: 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Index

type 2 diabetes
genes
monogenic
maturity onset diabetes of the young
Donohue syndrome
Rabson–Mendenhall syndrome
single nucleotide polymorphism
genes
loci
genome wide association studies
genomes
phenotypic
TCF7L2
PPARG
FTO
KCNJ11
NOTCH2
WFS1
IGF2BP2
SLC30A8
JAZF1
HHEX
DGKB
CDKN2A
CDKN2B
KCNQ1
HNF1A
HNF1B
MC4R
GIPR

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