Genome-wide association study for type 2 diabetes in Indians identifies a new susceptibility locus at 2q21

Meta-AnalysisThis is the final version of the article. Available from the American Diabetes Association via the DOI in this record.Indians undergoing socioeconomic and lifestyle transitions will be maximally affected by epidemic of type 2 diabetes (T2D). We conducted a two-stage genome-wide association study of T2D in 12,535 Indians, a less explored but high-risk group. We identified a new type 2 diabetes-associated locus at 2q21, with the lead signal being rs6723108 (odds ratio 1.31; P = 3.32 × 10⁻⁹). Imputation analysis refined the signal to rs998451 (odds ratio 1.56; P = 6.3 × 10⁻¹²) within TMEM163 that encodes a probable vesicular transporter in nerve terminals. TMEM163 variants also showed association with decreased fasting plasma insulin and homeostatic model assessment of insulin resistance, indicating a plausible effect through impaired insulin secretion. The 2q21 region also harbors RAB3GAP1 and ACMSD; those are involved in neurologic disorders. Forty-nine of 56 previously reported signals showed consistency in direction with similar effect sizes in Indians and previous studies, and 25 of them were also associated (P < 0.05). Known loci and the newly identified 2q21 locus altogether explained 7.65% variance in the risk of T2D in Indians. Our study suggests that common susceptibility variants for T2D are largely the same across populations, but also reveals a population-specific locus and provides further insights into genetic architecture and etiology of T2D.The major funding for this work comes from Council for Scientific and Industrial Research, Government of India, in the form of the grant “Diabetes mellitus—New drug discovery R&D, molecular mechanisms, and genetic and epidemiological factors” (NWP0032-19). R.T. received a postdoctoral fellowship from the Fogarty International Center and the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institutes of Health (D43-HD-065249)

Loss of ZnT8 function protects against diabetes by enhanced insulin secretion.

A rare loss-of-function allele p.Arg138* in SLC30A8 encoding the zinc transporter 8 (ZnT8), which is enriched in Western Finland, protects against type 2 diabetes (T2D). We recruited relatives of the identified carriers and showed that protection was associated with better insulin secretion due to enhanced glucose responsiveness and proinsulin conversion, particularly when compared with individuals matched for the genotype of a common T2D-risk allele in SLC30A8, p.Arg325. In genome-edited human induced pluripotent stem cell (iPSC)-derived β-like cells, we establish that the p.Arg138* allele results in reduced SLC30A8 expression due to haploinsufficiency. In human β cells, loss of SLC30A8 leads to increased glucose responsiveness and reduced KATP channel function similar to isolated islets from carriers of the T2D-protective allele p.Trp325. These data position ZnT8 as an appealing target for treatment aimed at maintaining insulin secretion capacity in T2D

Genetic variation and diversity of pearl millet [Pennisetum glaucum (L.)] genotypes assessed for millet head miner, Heliocheilus albipunctella resistance, in West Africa

Pearl millet (Pennisetum glaucum L.), the major source of minerals and dietary energy for people living in the semi-arid regions of Sahel, is regularly damaged by millet head miner, Heliocheilus albipunctella. In order to identify the plant-based resistance sources for millet head miner along with high grain Fe and Zn, we have screened forty pearl millet genotypes, using an artificial infestation method. Analysis of variance revealed significant differences in the genotypes tested for head miner resistance. The genotypes Gamoji, ICMP 177001, ICMP 177002, ICMV 177003, ICMV IS 90311, LCIC9702, Souna 3, ICMV IS 94206 and PE08043 exhibited antibiosis resistance mechanism to Heliocheilus albipunctella with appreciable agronomy and grain yield when compared with the susceptible check ICMV IS 92222. The genotypes Faringuero, ICMV 167005, ICMV IS 99001, Sadore local, SOSAT-C88, and ICMP 177004 exhibited tolerance to head miner damage with good per se performance. The genotypes ICMP 177001, ICMP 177002, ICMV 177003, and Moro exhibited resistance to millet head miner and had consistent grain Fe content across seasons (ranging from 44 to 70 ppm). Association between the head miner resistance and morphological traits showed a positive and significant correlation of larval production index (%) with head miner damage (r = 0.59**). Grain Fe and Zn contents exhibited negative association with panicle length and grain yield indicating proper care should be taken in breeding for these traits. Hence, the identified resistance sources can be effectively utilized in breeding head miner resistant pearl millet OPV’s/ hybrids, with high grain yield including Fe and Zn concentrations, to overcome the hunger and malnutrition seen in populations living in the semi-arid tropics

Doppler Evaluation of Renal Vessels in Pediatric Patients with Relapse and Remission in Different Categories of Nephrotic Syndrome

Aim: To study resistivity &amp; pulsatility indices in the interlobar arteries of kidneys in patients with idiopathic nephrotic syndrome and evaluate their response to steroids&nbsp;Method: The prospective case-control study was carried out in 100 patients, aged 2 years - 15 years of nephrotic syndrome and divided into 5 groups depending upon their response to steroids. Twenty-five age-matched controls were included for comparison. The abdominal ultrasonography and Doppler examinations were performed for patients of each group and for the controls.&nbsp;Result: The mean Resistivity Index (RI) and Pulsatility Index (PI) of the interlobar arteries were calculated for the five subgroups of nephrotic syndrome patients and for the controls. There was a significant difference in mean RI in all the evaluated arteries between the 6 groups. No significant difference was noted in the pulsatality indices of the kidney of the cases of nephrotic syndrome when compared to controls.&nbsp;Conclusion: Steroid-resistant nephrotic syndrome patients show a statistically significant difference in RI and not a statistically significant difference in PI Doppler parameters when groups of patients compared to controls. These parameters may be used to predict the response to steroids.&nbsp