Genetic basis of β‐cell dysfunction in man

L Groop, V Lyssenko - Diabetes, Obesity and Metabolism, 2009 - Wiley Online Library
L Groop, V Lyssenko
Diabetes, Obesity and Metabolism, 2009Wiley Online Library
Although the genetic causes of monogenic disorders have been successfully identified in
the past, the success in dissecting the genetics of complex polygenic diseases has until now
been limited. With the introduction of whole genome wide association studies (WGAS) in
2007, the picture has been dramatically changed. Today we know of about 20 genetic
variants increasing the risk of type 2 diabetes (T2D). Most of them seem to influence the
capacity of β‐cells to increase insulin secretion to meet the demands imposed by an …
Although the genetic causes of monogenic disorders have been successfully identified in the past, the success in dissecting the genetics of complex polygenic diseases has until now been limited. With the introduction of whole genome wide association studies (WGAS) in 2007, the picture has been dramatically changed. Today we know of about 20 genetic variants increasing the risk of type 2 diabetes (T2D). Most of them seem to influence the capacity of β‐cells to increase insulin secretion to meet the demands imposed by an increase in body weight and insulin resistance. This probably represents only the tip of the iceberg, and over the next few years refined tools will provide a more complete picture of the genetic complexity of T2D. This will not only include the current dissection of common variants increasing the susceptibility of the disease but also rare variants with stronger effects, copy number variations and epigenetic effects like DNA methylation and histone acetylation. For the first time, we can anticipate with some confidence that the genetics of a complex disease like T2D really can be dissected.
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