RT Journal Article SR Electronic T1 Identification of type 2 diabetes loci in 433,540 East Asian individuals JF bioRxiv FD Cold Spring Harbor Laboratory SP 685172 DO 10.1101/685172 A1 Cassandra N Spracklen A1 Momoko Horikoshi A1 Young Jin Kim A1 Kuang Lin A1 Fiona Bragg A1 Sanghoon Moon A1 Ken Suzuki A1 Claudia HT Tam A1 Yasuharu Tabara A1 Soo-Heon Kwak A1 Fumihiko Takeuchi A1 Jirong Long A1 Victor JY Lim A1 Jin-Fang Chai A1 Chien-Hsiun Chen A1 Masahiro Nakatochi A1 Jie Yao A1 Hyeok Sun Choi A1 Apoorva K Iyengar A1 Hannah J Perrin A1 Sarah M Brotman A1 Martijn van de Bunt A1 Anna L Gloyn A1 Jennifer E Below A1 Michael Boehnke A1 Donald W Bowden A1 John C Chambers A1 Anubha Mahajan A1 Mark I McCarthy A1 Maggie CY Ng A1 Lauren E Petty A1 Weihua Zhang A1 Andrew P Morris A1 Linda S Adair A1 Zheng Bian A1 Juliana CN Chan A1 Li-Ching Chang A1 Miao-Li Chee A1 Yii-Der Ida Chen A1 Yuan-Tsong Chen A1 Zhengming Chen A1 Lee-Ming Chuang A1 Shufa Du A1 Penny Gordon-Larsen A1 Myron Gross A1 Xiuqing Guo A1 Yu Guo A1 Sohee Han A1 Annie-Green Howard A1 Wei Huang A1 Yi-Jen Hung A1 Mi Yeong Hwang A1 Chii-Min Hwu A1 Sahoko Ichihara A1 Masato Isono A1 Hye-Mi Jang A1 Guozhi Jiang A1 Jost B Jonas A1 Yoichiro Kamatani A1 Tomohiro Katsuya A1 Takahisa Kawaguchi A1 Chiea-Chuen Khor A1 Katsuhiko Kohara A1 Myung-Shik Lee A1 Nannette R Lee A1 Liming Li A1 Jianjun Liu A1 Andrea O Luk A1 Jun Lv A1 Yukinori Okada A1 Mark A Pereira A1 Charumathi Sabanayagam A1 Jinxiu Shi A1 Dong Mun Shin A1 Wing Yee So A1 Atsushi Takahashi A1 Brian Tomlinson A1 Fuu-Jen Tsai A1 Rob M van Dam A1 Yong-Bing Xiang A1 Ken Yamamoto A1 Toshimasa Yamauchi A1 Kyungheon Yoon A1 Canqing Yu A1 Jian-Min Yuan A1 Liang Zhang A1 Wei Zheng A1 Michiya Igase A1 Yoon Shin Cho A1 Jerome I Rotter A1 Ya-Xing Wang A1 Wayne HH Sheu A1 Mitsuhiro Yokota A1 Jer-Yuarn Wu A1 Ching-Yu Cheng A1 Tien-Yin Wong A1 Xiao-Ou Shu A1 Norihiro Kato A1 Kyong-Soo Park A1 E-Shyong Tai A1 Fumihiko Matsuda A1 Woon-Puay Koh A1 Ronald CW Ma A1 Shiro Maeda A1 Iona Y Millwood A1 Juyoung Lee A1 Takashi Kadowaki A1 Robin G Walters A1 Bong-Jo Kim A1 Karen L Mohlke A1 Xueling Sim YR 2019 UL http://biorxiv.org/content/early/2019/06/28/685172.abstract AB Meta-analyses of genome-wide association studies (GWAS) have identified >240 loci associated with type 2 diabetes (T2D), however most loci have been identified in analyses of European-ancestry individuals. To examine T2D risk in East Asian individuals, we meta-analyzed GWAS data in 77,418 cases and 356,122 controls. In the main analysis, we identified 298 distinct association signals at 178 loci, and across T2D association models with and without consideration of body mass index and sex, we identified 56 loci newly implicated in T2D predisposition. Common variants associated with T2D in both East Asian and European populations exhibited strongly correlated effect sizes. New associations include signals in/near GDAP1, PTF1A, SIX3, ALDH2, a microRNA cluster, and genes that affect muscle and adipose differentiation. At another locus, eQTLs at two overlapping T2D signals act through two genes, NKX6-3 and ANK1, in different tissues. Association studies in diverse populations identify additional loci and elucidate disease genes, biology, and pathways.Type 2 diabetes (T2D) is a common metabolic disease primarily caused by insufficient insulin production and/or secretion by the pancreatic β cells and insulin resistance in peripheral tissues1. Most genetic loci associated with T2D have been identified in populations of European (EUR) ancestry, including a recent meta-analysis of genome-wide association studies (GWAS) of nearly 900,000 individuals of European ancestry that identified >240 loci influencing the risk of T2D2. Differences in allele frequency between ancestries affect the power to detect associations within a population, particularly among variants rare or monomorphic in one population but more frequent in another3,4. Although smaller than studies in European populations, a recent T2D meta-analysis in almost 200,000 Japanese individuals identified 28 additional loci4. The relative contributions of different pathways to the pathophysiology of T2D may also differ between ancestry groups. For example, in East Asian (EAS) populations, T2D prevalence is greater than in European populations among people of similar body mass index (BMI) or waist circumference5. We performed the largest meta-analysis of East Asian individuals to identify new genetic associations and provide insight into T2D pathogenesis.