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Sex-dimorphic genetic effects and novel loci for fasting glucose and insulin variability

  • Meta-Analyses of Glucose and Insulin-related traits Consortium (MAGIC)
  • University of Oxford
  • KU Leuven
  • University of Tartu
  • Vrije Universiteit Amsterdam
  • VU University Medical Center
  • Helmholtz Zentrum München - German Research Center for Environmental Health
  • German Center for Diabetes Research
  • University of Cambridge
  • Université de Lille
  • Institut Pasteur de Lille
  • PARCC - Paris-Centre de Recherche Cardiovasculaire
  • University of Ferrara
  • Boston University
  • University of Bristol
  • Alexander Fleming Biomedical Sciences Research Center
  • Imperial College London
  • Karolinska Institutet
  • University of Queensland
  • Statens Serum Institut
  • Université de Lorraine
  • Erasmus University Rotterdam
  • Maastricht University
  • University of Edinburgh
  • National Institutes of Health
  • University of Michigan, Ann Arbor
  • University of Maryland, Baltimore
  • University of Western Australia
  • Massachusetts Institute of Technology
  • Massachusetts General Hospital
  • Harvard University
  • Wake Forest University
  • National Institute for Health and Welfare
  • Wellcome Trust
  • Icelandic Heart Association
  • University of Iceland
  • University of Washington
  • University of Groningen
  • University of Glasgow
  • Queen Mary University of London
  • University of Lausanne
  • deCODE Genetics
  • Northwestern University
  • Uppsala University
  • Synpromics Ltd
  • Genentech Incorporated
  • Wellcome Trust Sanger Institute
  • Heidelberg University 
  • Medical University of Graz
  • Ludwig Maximilian University of Munich
  • Johannes Gutenberg University Mainz
  • Broad Institute
  • University of Helsinki
  • Umeå University
  • Lund University
  • RIKEN
  • Washington University St. Louis
  • National Research Council of Italy
  • Leipzig University
  • University of Split
  • University of Amsterdam
  • University of Eastern Finland
  • Harokopio University
  • EURAC Research
  • Azienda Sanitaria Firenze
  • University of Pittsburgh
  • University of Dundee
  • University College London
  • University of Essex
  • German Diabetes Center Düsseldorf
  • Heinrich Heine University Düsseldorf
  • Helsinki University Hospital
  • Minerva Foundation Institute for Medical Research Helsinki
  • Leiden University
  • Interuniversity Cardiology Institute of the Netherlands
  • University of Oulu
  • University of Texas Health Science Center at Houston
  • University of Minnesota Twin Cities
  • University of Southern California
  • Amsterdam UMC
  • Novo Nordisk Foundation
  • Technische Universität Dresden
  • Cardiology Group
  • Nanyang Technological University
  • SYNLAB International GmbH
  • King Abdulaziz University
  • Finnish Diabetes Association
  • Pirkanmaa Hospital District
  • Cedars-Sinai Medical Center
  • University for Continuing Education Krems
  • Renal and Cardiovascular Epidemiology
  • University of Versailles Saint-Quentin-en-Yvelines
  • Hannover Medical School
  • General Central Hospital
  • University of Lübeck
  • University of Exeter
  • Regeneron Pharmaceuticals, Inc.
  • University of Adelaide
  • Institut national de la santé et de la recherche médicale
  • Icahn School of Medicine at Mount Sinai
  • Netherlands Consortium for healthy ageing
  • Oxford University Hospitals NHS Foundation Trust
  • University of Geneva
  • University of Surrey
  • University of Bergen
  • Stanford University
  • University of Liverpool
  • University of Manchester
  • Russian Academy of Sciences

Research output: Contribution to journalArticlepeer-review

Abstract

Differences between sexes contribute to variation in the levels of fasting glucose and insulin. Epidemiological studies established a higher prevalence of impaired fasting glucose in men and impaired glucose tolerance in women, however, the genetic component underlying this phenomenon is not established. We assess sex-dimorphic (73,089/50,404 women and 67,506/47,806 men) and sex-combined (151,188/105,056 individuals) fasting glucose/fasting insulin genetic effects via genome-wide association study meta-analyses in individuals of European descent without diabetes. Here we report sex dimorphism in allelic effects on fasting insulin at IRS1 and ZNF12 loci, the latter showing higher RNA expression in whole blood in women compared to men. We also observe sex-homogeneous effects on fasting glucose at seven novel loci. Fasting insulin in women shows stronger genetic correlations than in men with waist-to-hip ratio and anorexia nervosa. Furthermore, waist-to-hip ratio is causally related to insulin resistance in women, but not in men. These results position dissection of metabolic and glycemic health sex dimorphism as a steppingstone for understanding differences in genetic effects between women and men in related phenotypes.

Original languageEnglish
Article number24
JournalNature Communications
Volume12
Issue number1
DOIs
Publication statusPublished - 1 Dec 2021
Externally publishedYes

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