Genetic and molecular characterisation of metabolic subphenotypes and their contribution to type 2 diabetes aetiology

التفاصيل البيبلوغرافية
العنوان: Genetic and molecular characterisation of metabolic subphenotypes and their contribution to type 2 diabetes aetiology
المؤلفون: Williamson, Alice
بيانات النشر: Apollo - University of Cambridge Repository, 2023.
سنة النشر: 2023
مصطلحات موضوعية: diabetes, disease subphenotypes, insulin resistance, genome-wide association studies, population genetics, genetics, type 2 diabetes, metabolic disease, metabolomics
الوصف: Systematic assessment of the genetic architecture of type 2 diabetes (T2D) has allowed the identification of hundreds of genetic loci contributing to T2D risk. However, understanding how these loci contribute to the aetiological complexity of T2D has been more challenging. Using an interdisciplinary approach this thesis aimed to investigate the genetic contribution to T2D, and related metabolic subphenotypes, to further the understanding of disease aetiology. This incorporated large-scale population genetic analyses of T2D and fine-scale intermediate traits, with targeted in vitro functional follow up of genes and variants of interest. Focused in vitro and genetic investigation of a single gene, MC3R, of which loss of function was previously thought to result in obesity and metabolic dysfunction, revealed that this was not the case. Combining functional assessment of coding variants in MC3R and association analyses at population-scale revealed a key role of MC3R in relaying nutritional cues to the timing of puberty, accrual of lean mass and height. At the other end of the spectrum, hypothesis-free genome-wide approaches examining traits intermediate to T2D, in combination with in vitro follow up, also have great utility in understanding T2D aetiology. A genetic discovery including > 55,000 individuals was conducted for insulin resistance after a glucose challenge (post-challenge insulin resistance) to approximate insulin resistance specifically in the post-prandial state, a key but understudied contributor to T2D onset. This revealed ten novel genetic loci for post-challenge insulin resistance (P
DOI: 10.17863/cam.97201
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::64549fc90eb07a007953a139d63e5eb4Test
رقم الانضمام: edsair.doi...........64549fc90eb07a007953a139d63e5eb4
قاعدة البيانات: OpenAIRE