Genetic fine mapping and genomic annotation defines causal mechanisms at type 2 diabetes susceptibility loci.

We performed fine mapping of 39 established type 2 diabetes (T2D) loci in 27,206 cases and 57,574 controls of European ancestry. We identified 49 distinct association signals at these loci, including five mapping in or near KCNQ1. 'Credible sets' of the variants most likely to drive each distinct signal mapped predominantly to noncoding sequence, implying that association with T2D is mediated through gene regulation. Credible set variants were enriched for overlap with FOXA2 chromatin immunoprecipitation binding sites in human islet and liver cells, including at MTNR1B, where fine mapping implicated rs10830963 as driving T2D association. We confirmed that the T2D risk allele for this SNP increases FOXA2-bound enhancer activity in islet- and liver-derived cells. We observed allele-specific differences in NEUROD1 binding in islet-derived cells, consistent with evidence that the T2D risk allele increases islet MTNR1B expression. Our study demonstrates how integration of genetic and genomic information can define molecular mechanisms through which variants underlying association signals exert their effects on disease

The trans-ancestral genomic architecture of glycemic traits

Glycemic traits are used to diagnose and monitor type 2 diabetes and cardiometabolic health. To date, most genetic studies of glycemic traits have focused on individuals of European ancestry. Here we aggregated genome-wide association studies comprising up to 281,416 individuals without diabetes (30% non-European ancestry) for whom fasting glucose, 2-h glucose after an oral glucose challenge, glycated hemoglobin and fasting insulin data were available. Trans-ancestry and single-ancestry meta-analyses identified 242 loci (99 novel; P < 5 x 10(-8)), 80% of which had no significant evidence of between-ancestry heterogeneity. Analyses restricted to individuals of European ancestry with equivalent sample size would have led to 24 fewer new loci. Compared with single-ancestry analyses, equivalent-sized trans-ancestry fine-mapping reduced the number of estimated variants in 99% credible sets by a median of 37.5%. Genomic-feature, gene-expression and gene-set analyses revealed distinct biological signatures for each trait, highlighting different underlying biological pathways. Our results increase our understanding of diabetes pathophysiology by using trans-ancestry studies for improved power and resolution. A trans-ancestry meta-analysis of GWAS of glycemic traits in up to 281,416 individuals identifies 99 novel loci, of which one quarter was found due to the multi-ancestry approach, which also improves fine-mapping of credible variant sets.Peer reviewe

An Expanded Genome-Wide Association Study of Type 2 Diabetes in Europeans.

To characterize type 2 diabetes (T2D)-associated variation across the allele frequency spectrum, we conducted a meta-analysis of genome-wide association data from 26,676 T2D case and 132,532 control subjects of European ancestry after imputation using the 1000 Genomes multiethnic reference panel. Promising association signals were followed up in additional data sets (of 14,545 or 7,397 T2D case and 38,994 or 71,604 control subjects). We identified 13 novel T2D-associated loci (P < 5 × 10(-8)), including variants near the GLP2R, GIP, and HLA-DQA1 genes. Our analysis brought the total number of independent T2D associations to 128 distinct signals at 113 loci. Despite substantially increased sample size and more complete coverage of low-frequency variation, all novel associations were driven by common single nucleotide variants. Credible sets of potentially causal variants were generally larger than those based on imputation with earlier reference panels, consistent with resolution of causal signals to common risk haplotypes. Stratification of T2D-associated loci based on T2D-related quantitative trait associations revealed tissue-specific enrichment of regulatory annotations in pancreatic islet enhancers for loci influencing insulin secretion and in adipocytes, monocytes, and hepatocytes for insulin action-associated loci. These findings highlight the predominant role played by common variants of modest effect and the diversity of biological mechanisms influencing T2D pathophysiology.Please refer to the manuscript or visit the publisher's website for funding infomation

Statistical methods for detecting gene-gene and gene-environment interactions in genome-wide association studies

Despite considerable effort to elucidate the genetic architecture of multi-factorial traits and diseases, there remains a gap between the estimated heritability (e.g., from twin studies) and the heritability explained by discovered genetic variants. The existence of interactions between different genes, and between genes and the environment, has frequently been hypothesized as a likely cause of this discrepancy. However, the statistical inference of interactions is plagued by limited sample sizes, high computational requirements, and incomplete knowledge of how the measurement scale and parameterization affect the analysis. This thesis addresses the major statistical, computational, and modeling issues that hamper large-scale interaction studies today. Furthermore, it investigates whether gene-gene and gene-environment interactions are significantly involved in the development of diseases linked to atherosclerosis. Firstly, I develop two statistical methods that can be used to study of gene-gene interactions: the first is tailored for limited sample size situations, and the second enables multiple analyses to be combined into large meta-analyses. I perform comprehensive simulation studies to determine that these methods have higher or equal statistical power than contemporary methods, scale-invariance is required to guard against false positives, and that saturated parameterizations perform well in terms of statistical power. In two studies, I apply the two proposed methods to case/control data from myocardial infarction and associated phenotypes. In both studies, we identify putative interactions for myocardial infarction but are unable to replicate the interactions in a separate cohort. In the second study, however, we identify and replicate a putative interaction involved in Lp(a) plasma levels between two variants rs3103353 and rs9458157. Secondly, I develop a multivariate statistical method that simultaneously estimates the effects of genetic variants, environmental variables, and their interactions. I show by extensive simulations that this method achieves statistical power close to the optimal oracle method. We use this method to study the involvement of gene-environment interactions in intima-media thickness, a phenotype relevant for coronary artery disease. We identify a putative interaction between a genetic variant in the KCTD8 gene and alcohol use, thus suggesting an influence on intima-media thickness. The methods developed to support the analyses in this thesis as well as a selection of other prominent methods in the field is implemented in a software package called besiq. In conclusion, this thesis presents statistical methods, and the associated software, that allows large-scale studies of gene-gene and gene-environment interactions to be effortlessly undertaken.QC 20190507</p

Statistical methods for detecting gene-gene and gene-environment interactions in genome-wide association studies

Despite considerable effort to elucidate the genetic architecture of multi-factorial traits and diseases, there remains a gap between the estimated heritability (e.g., from twin studies) and the heritability explained by discovered genetic variants. The existence of interactions between different genes, and between genes and the environment, has frequently been hypothesized as a likely cause of this discrepancy. However, the statistical inference of interactions is plagued by limited sample sizes, high computational requirements, and incomplete knowledge of how the measurement scale and parameterization affect the analysis. This thesis addresses the major statistical, computational, and modeling issues that hamper large-scale interaction studies today. Furthermore, it investigates whether gene-gene and gene-environment interactions are significantly involved in the development of diseases linked to atherosclerosis. Firstly, I develop two statistical methods that can be used to study of gene-gene interactions: the first is tailored for limited sample size situations, and the second enables multiple analyses to be combined into large meta-analyses. I perform comprehensive simulation studies to determine that these methods have higher or equal statistical power than contemporary methods, scale-invariance is required to guard against false positives, and that saturated parameterizations perform well in terms of statistical power. In two studies, I apply the two proposed methods to case/control data from myocardial infarction and associated phenotypes. In both studies, we identify putative interactions for myocardial infarction but are unable to replicate the interactions in a separate cohort. In the second study, however, we identify and replicate a putative interaction involved in Lp(a) plasma levels between two variants rs3103353 and rs9458157. Secondly, I develop a multivariate statistical method that simultaneously estimates the effects of genetic variants, environmental variables, and their interactions. I show by extensive simulations that this method achieves statistical power close to the optimal oracle method. We use this method to study the involvement of gene-environment interactions in intima-media thickness, a phenotype relevant for coronary artery disease. We identify a putative interaction between a genetic variant in the KCTD8 gene and alcohol use, thus suggesting an influence on intima-media thickness. The methods developed to support the analyses in this thesis as well as a selection of other prominent methods in the field is implemented in a software package called besiq. In conclusion, this thesis presents statistical methods, and the associated software, that allows large-scale studies of gene-gene and gene-environment interactions to be effortlessly undertaken.QC 20190507</p

Statistical methods for detecting gene-gene and gene-environment interactions in genome-wide association studies

Despite considerable effort to elucidate the genetic architecture of multi-factorial traits and diseases, there remains a gap between the estimated heritability (e.g., from twin studies) and the heritability explained by discovered genetic variants. The existence of interactions between different genes, and between genes and the environment, has frequently been hypothesized as a likely cause of this discrepancy. However, the statistical inference of interactions is plagued by limited sample sizes, high computational requirements, and incomplete knowledge of how the measurement scale and parameterization affect the analysis. This thesis addresses the major statistical, computational, and modeling issues that hamper large-scale interaction studies today. Furthermore, it investigates whether gene-gene and gene-environment interactions are significantly involved in the development of diseases linked to atherosclerosis. Firstly, I develop two statistical methods that can be used to study of gene-gene interactions: the first is tailored for limited sample size situations, and the second enables multiple analyses to be combined into large meta-analyses. I perform comprehensive simulation studies to determine that these methods have higher or equal statistical power than contemporary methods, scale-invariance is required to guard against false positives, and that saturated parameterizations perform well in terms of statistical power. In two studies, I apply the two proposed methods to case/control data from myocardial infarction and associated phenotypes. In both studies, we identify putative interactions for myocardial infarction but are unable to replicate the interactions in a separate cohort. In the second study, however, we identify and replicate a putative interaction involved in Lp(a) plasma levels between two variants rs3103353 and rs9458157. Secondly, I develop a multivariate statistical method that simultaneously estimates the effects of genetic variants, environmental variables, and their interactions. I show by extensive simulations that this method achieves statistical power close to the optimal oracle method. We use this method to study the involvement of gene-environment interactions in intima-media thickness, a phenotype relevant for coronary artery disease. We identify a putative interaction between a genetic variant in the KCTD8 gene and alcohol use, thus suggesting an influence on intima-media thickness. The methods developed to support the analyses in this thesis as well as a selection of other prominent methods in the field is implemented in a software package called besiq. In conclusion, this thesis presents statistical methods, and the associated software, that allows large-scale studies of gene-gene and gene-environment interactions to be effortlessly undertaken.QC 20190507</p

Discovering Genetic Interactions in Large-Scale Association Studies by Stage-wise Likelihood Ratio Tests

Despite the success of genome-wide association studies in medical genetics, the underlying genetics of many complex diseases remains enigmatic. One plausible reason for this could be the failure to account for the presence of genetic interactions in current analyses. Exhaustive investigations of interactions are typically infeasible because the vast number of possible interactions impose hard statistical and computational challenges. There is, therefore, a need for computationally efficient methods that build on models appropriately capturing interaction. We introduce a new methodology where we augment the interaction hypothesis with a set of simpler hypotheses that are tested, in order of their complexity, against a saturated alternative hypothesis representing interaction. This sequential testing provides an efficient way to reduce the number of non-interacting variant pairs before the final interaction test. We devise two different methods, one that relies on a priori estimated numbers of marginally associated variants to correct for multiple tests, and a second that does this adaptively. We show that our methodology in general has an improved statistical power in comparison to seven other methods, and, using the idea of closed testing, that it controls the family-wise error rate. We apply our methodology to genetic data from the PRO-CARDIS coronary artery disease case/control cohort and discover three distinct interactions. While analyses on simulated data suggest that the statistical power may suffice for an exhaustive search of all variant pairs in ideal cases, we explore strategies for a priori selecting subsets of variant pairs to test. Our new methodology facilitates identification of new disease-relevant interactions from existing and future genome-wide association data, which may involve genes with previously unknown association to the disease. Moreover, it enables construction of interaction networks that provide a systems biology view of complex diseases, serving as a basis for more comprehensive understanding of disease pathophysiology and its clinical consequences

The power of the first and last test under a double dominant interaction model.

<p>The x-axis is the heritability of the model. The y-axis is the statistical power. The colored lines correspond to two different tests: the one performed in the first stage that tests the null hypothesis of no interaction, <i>H</i>₁, (red), and the one performed in the last stage that specifically tests the interaction parameters, <i>H</i>₂, (blue). The logit link function and a nominal significance level of 0.05 was used for the analysis.</p