RT Journal Article SR Electronic T1 A comprehensive reanalysis of publicly available GWAS datasets reveals an X chromosome rare regulatory variant associated with high risk for type 2 diabetes JF bioRxiv FD Cold Spring Harbor Laboratory SP 112219 DO 10.1101/112219 A1 Sílvia Bonás-Guarch A1 Marta Guindo-Martínez A1 Irene Miguel-Escalada A1 Niels Grarup A1 David Sebastian A1 Elias Rodriguez-Fos A1 Friman Sánchez A1 Mercé Planas-Félix A1 Paula Cortes-Sánchez A1 Santi González A1 Pascal Timshel A1 Tune H Pers A1 Claire C. Morgan A1 Ignasi Moran A1 Juan R González A1 Ehm A. Andersson A1 Carlos Díaz A1 Rosa M. Badia A1 Miriam Udler A1 Jason Flannick A1 Torben Jørgensen A1 Allan Linneberg A1 Marit E. Jørgensen A1 Daniel R. Witte A1 Cramer Christensen A1 Ivan Brandslund A1 Emil V. Appel A1 Robert A. Scott A1 Jian’an Luan A1 Claudia Langenberg A1 Nicholas J. Wareham A1 InterAct Consortium A1 The SIGMA T2D consortium A1 Oluf Pedersen A1 Antonio Zorzano A1 Jose C Florez A1 Torben Hansen A1 Jorge Ferrer A1 Josep Maria Mercader A1 David Torrents YR 2017 UL http://biorxiv.org/content/early/2017/04/04/112219.abstract AB The reanalysis of publicly available GWAS data represents a powerful and cost-effective opportunity to gain insights into the genetics and pathophysiology of complex diseases. We demonstrate this by gathering and reanalyzing public type 2 diabetes (T2D) GWAS data for 70,127 subjects, using an innovative imputation and association strategy based on multiple reference panels (1000G and UK10K). This approach led us replicate and fine map 50 known T2D loci, and identify seven novel associated regions: five driven by common variants in or near LYPLAL1, NEUROG3, CAMKK2, ABO and GIP genes; one by a low frequency variant near EHMT2; and one driven by a rare variant in chromosome Xq23, associated with a 2.7-fold increased risk for T2D in males, and located within an active enhancer associated with the expression of Angiotensin II Receptor type 2 gene (AGTR2), a known modulator of insulin sensitivity. We further show that the risk T allele reduces binding of a nuclear protein, resulting in increased enhancer activity in muscle cells. Beyond providing novel insights into the genetics and pathophysiology of T2D, these results also underscore the value of reanalyzing publicly available data using novel analytical approaches.