Polygenic Risk Scores for Predicting Type 2 Diabetes Using Whole-Exome Sequencing and Global Screening Array
摘要
This study investigated the predictability of type 2 diabetes (T2D) using genetic risk factors identified through Genome-wide association studies (GWAS) using whole exome sequencing (WES) data from 674 individuals with T2D and 736 controls. Nine single nucleotide polymorphisms (SNPs) were associated with HbA1c, explaining 97.7% of its variability. Ten SNPs were linked to T2D, accounting for 90.5% variability. Multifactor dimensionality reduction (MDR) analysis identified interactions among EFCAB8 rs13045180, TCF7L2 rs4506565, and SDHAF4 rs1048886. The Infinium global screening array (GSA) explained 78.8% of HbA1c variability based on 10 SNPs. Logistic regression analysis revealed four novel (EFCAB8, KLF14, FAM13B, and SLIT2) and seven previously reported associations with T2D. The GSA-derived polygenic risk score (PRS) achieved 86.09% accuracy in predicting T2D. Individuals with PRS > 10 had a 4.54-fold increased risk of coronary artery disease (95% CI 1.75–11.80, p = 0.003). MDR analysis of GSA data highlighted interactions among CDKAL1 (rs10946398/rs7756992), TCF7L2 rs4506565, and SDHAF4 rs1048886, modifying the T2D susceptibility. STRING analysis confirmed interactions among KLF14, TCF7L2, CDKAL1, and SLC30A8. In conclusion, non-coding variants significantly influence T2D susceptibility, with WES and GSA showing comparable efficacy for early T2D prediction.