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Loss-of-function mutations in SLC30A8 protect against type 2 diabetes.


ABSTRACT: Loss-of-function mutations protective against human disease provide in vivo validation of therapeutic targets, but none have yet been described for type 2 diabetes (T2D). Through sequencing or genotyping of ~150,000 individuals across 5 ancestry groups, we identified 12 rare protein-truncating variants in SLC30A8, which encodes an islet zinc transporter (ZnT8) and harbors a common variant (p.Trp325Arg) associated with T2D risk and glucose and proinsulin levels. Collectively, carriers of protein-truncating variants had 65% reduced T2D risk (P = 1.7 × 10(-6)), and non-diabetic Icelandic carriers of a frameshift variant (p.Lys34Serfs*50) demonstrated reduced glucose levels (-0.17 s.d., P = 4.6 × 10(-4)). The two most common protein-truncating variants (p.Arg138* and p.Lys34Serfs*50) individually associate with T2D protection and encode unstable ZnT8 proteins. Previous functional study of SLC30A8 suggested that reduced zinc transport increases T2D risk, and phenotypic heterogeneity was observed in mouse Slc30a8 knockouts. In contrast, loss-of-function mutations in humans provide strong evidence that SLC30A8 haploinsufficiency protects against T2D, suggesting ZnT8 inhibition as a therapeutic strategy in T2D prevention.

SUBMITTER: Flannick J 

PROVIDER: S-EPMC4051628 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature

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Loss-of-function mutations in SLC30A8 protect against type 2 diabetes.

Flannick Jason J   Thorleifsson Gudmar G   Beer Nicola L NL   Jacobs Suzanne B R SB   Grarup Niels N   Burtt Noël P NP   Mahajan Anubha A   Fuchsberger Christian C   Atzmon Gil G   Benediktsson Rafn R   Blangero John J   Bowden Don W DW   Brandslund Ivan I   Brosnan Julia J   Burslem Frank F   Chambers John J   Cho Yoon Shin YS   Christensen Cramer C   Douglas Desirée A DA   Duggirala Ravindranath R   Dymek Zachary Z   Farjoun Yossi Y   Fennell Timothy T   Fontanillas Pierre P   Forsén Tom T   Gabriel Stacey S   Glaser Benjamin B   Gudbjartsson Daniel F DF   Hanis Craig C   Hansen Torben T   Hreidarsson Astradur B AB   Hveem Kristian K   Ingelsson Erik E   Isomaa Bo B   Johansson Stefan S   Jørgensen Torben T   Jørgensen Marit Eika ME   Kathiresan Sekar S   Kong Augustine A   Kooner Jaspal J   Kravic Jasmina J   Laakso Markku M   Lee Jong-Young JY   Lind Lars L   Lindgren Cecilia M CM   Linneberg Allan A   Masson Gisli G   Meitinger Thomas T   Mohlke Karen L KL   Molven Anders A   Morris Andrew P AP   Potluri Shobha S   Rauramaa Rainer R   Ribel-Madsen Rasmus R   Richard Ann-Marie AM   Rolph Tim T   Salomaa Veikko V   Segrè Ayellet V AV   Skärstrand Hanna H   Steinthorsdottir Valgerdur V   Stringham Heather M HM   Sulem Patrick P   Tai E Shyong ES   Teo Yik Ying YY   Teslovich Tanya T   Thorsteinsdottir Unnur U   Trimmer Jeff K JK   Tuomi Tiinamaija T   Tuomilehto Jaakko J   Vaziri-Sani Fariba F   Voight Benjamin F BF   Wilson James G JG   Boehnke Michael M   McCarthy Mark I MI   Njølstad Pål R PR   Pedersen Oluf O   Groop Leif L   Cox David R DR   Stefansson Kari K   Altshuler David D  

Nature genetics 20140302 4


Loss-of-function mutations protective against human disease provide in vivo validation of therapeutic targets, but none have yet been described for type 2 diabetes (T2D). Through sequencing or genotyping of ~150,000 individuals across 5 ancestry groups, we identified 12 rare protein-truncating variants in SLC30A8, which encodes an islet zinc transporter (ZnT8) and harbors a common variant (p.Trp325Arg) associated with T2D risk and glucose and proinsulin levels. Collectively, carriers of protein-  ...[more]

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