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Pathophysiology/Complications

TCF7L2 Genetic Variants Contribute to Phenotypic Heterogeneity of Type 1 Diabetes

  1. Maria J. Redondo1⇑,
  2. Susan Geyer2,
  3. Andrea K. Steck3,
  4. Jay Sosenko4,
  5. Mark Anderson5,
  6. Peter Antinozzi6,
  7. Aaron Michels3,
  8. John Wentworth7,
  9. Ping Xu2,
  10. Alberto Pugliese4, and
  11. the Type 1 Diabetes TrialNet Study Group*
  1. 1Baylor College of Medicine, Texas Children’s Hospital, Houston, TX
  2. 2University of South Florida, Tampa, FL
  3. 3Barbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO
  4. 4University of Miami, Miami, FL
  5. 5University of California, San Francisco, San Francisco, CA
  6. 6Wake Forest School of Medicine, Winston-Salem, NC
  7. 7Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia
  1. Corresponding author: Maria J. Redondo, redondo{at}bcm.edu.
Diabetes Care 2018 Feb; 41(2): 311-317. https://doi.org/10.2337/dc17-0961
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    Figure 1

    Forest plot representing the influence of the shown measures on the likelihood of having single (vs. multiple) autoantibody positivity at diagnosis of type 1 diabetes (T1D dx) from a multivariable logistic regression model. Results shown are the corresponding ORs and 95% CIs. ORs >1 reflect higher relative likelihood of being single autoantibody–positive at diagnosis, and ORs <1 reflect a lower relative likelihood (lower odds) of having a single autoantibody (i.e., higher relative odds of being multiple autoantibody–positive at diagnosis).

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    Figure 2

    Forest plot representing the influence of the shown measures on the mean log-transformed AUC for C-peptide at type 1 diabetes diagnosis (T1D dx) based on a multivariable generalized linear regression model. Parameter estimates are the estimated regression coefficients from the model. Estimates <0 indicate a negative relationship with the log-transformed mean AUC for C-peptide levels, and estimates >0 indicate a positive relationship with the log-transformed mean AUC for C-peptide levels. Ab+, autoantibody-positive.

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    Figure 3

    Forest plot representing the influence of the shown measures on mean log-transformed AUC glucose at type 1 diabetes (T1D) diagnosis (dx) based on a multivariable generalized linear regression model. Parameter estimates are the estimated regression coefficients from the model. Estimates <0 indicate a negative relationship with the log-transformed mean AUC for glucose levels, and estimates >0 indicate a positive relationship with the log-transformed mean AUC for glucose levels. Ab+, autoantibody-positive.

Tables

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  • Table 1

    Characteristics of study subjects (n = 810)

    Age at T1D diagnosis
     Median (range), years13.6 (3.3–58.6)
     <18 years584 (72)
     ≥18 years226 (28)
    Sex
     Female363 (45)
     Male444 (55)
     Not reported (n)3
    Race
     Nonwhite56 (7)
     White744 (93)
     Missing/unknown (n)10
    Ethnicity
     Hispanic or Latino76 (9.5)
     Not Hispanic or Latino724 (90.5)
     Missing/unknown (n)10
    BMI z-score at diagnosis
     Median (range)0.49 (−2.8 to 3.1)
     Normal/underweight644 (81.1)
     Overweight/obese150 (18.9)
     Missing (n)16
    Positive islet autoantibodies at diagnosis (n)
     1119 (14.7)
     2192 (23.7)
     3276 (34.1)
     4202 (24.9)
     521 (2.6)
     Single119 (14.7)
     Multiple (≥2)691 (85.3)
    HLA DR3/DR4-DQ8†
     No648 (82.4)
     Yes138 (17.6)
     Missing (n)24
    HLA DR3 and/or DR4-DQ8†
     No200 (25.4)
     Yes586 (74.6)
     Missing (n)24
    Fasting glucose
     Median (range), mmol/L5.89 (3–16.06)
     Missing (n)25
    Mean AUC glucose
     Median (range), mmol/L9.29 (4.76–18.71)
     Missing (n)23
    Fasting C-peptide
     Median (range), nmol/L0.36 (0.02–3.53)
     Missing (n)27
    Mean AUC C-peptide
     Median (range), nmol/L0.69 (0.01–2.70)
     Missing (n)51
    rs4506565_T: minor allele distribution
     0408 (50.4)
     1341 (42.1)
     261 (7.5)
     Carrier of minor allele402 (49.6)
     Homozygous for minor allele61 (7.5)
    • Data are presented as n (%) except where noted otherwise. T1D, type 1 diabetes.

    • ↵†Note that DR3 was defined as HLA DRB1*0301, DQA1*0501, DQB1*0201, and DR4-DQ8 was defined as HLA DRB1*0401, *0402, or *0405, DQA1*0301, DQB1*0302.

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Diabetes Care: 41 (2)

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TCF7L2 Genetic Variants Contribute to Phenotypic Heterogeneity of Type 1 Diabetes
Maria J. Redondo, Susan Geyer, Andrea K. Steck, Jay Sosenko, Mark Anderson, Peter Antinozzi, Aaron Michels, John Wentworth, Ping Xu, Alberto Pugliese, the Type 1 Diabetes TrialNet Study Group
Diabetes Care Feb 2018, 41 (2) 311-317; DOI: 10.2337/dc17-0961

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TCF7L2 Genetic Variants Contribute to Phenotypic Heterogeneity of Type 1 Diabetes
Maria J. Redondo, Susan Geyer, Andrea K. Steck, Jay Sosenko, Mark Anderson, Peter Antinozzi, Aaron Michels, John Wentworth, Ping Xu, Alberto Pugliese, the Type 1 Diabetes TrialNet Study Group
Diabetes Care Feb 2018, 41 (2) 311-317; DOI: 10.2337/dc17-0961
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