PMID- 31506343 OWN - NLM STAT- MEDLINE DCOM- 20200316 LR - 20240214 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 68 IP - 12 DP - 2019 Dec TI - Epigenome-Wide Association Study of Incident Type 2 Diabetes in a British Population: EPIC-Norfolk Study. PG - 2315-2326 LID - 10.2337/db18-0290 [doi] AB - Epigenetic changes may contribute substantially to risks of diseases of aging. Previous studies reported seven methylation variable positions (MVPs) robustly associated with incident type 2 diabetes mellitus (T2DM). However, their causal roles in T2DM are unclear. In an incident T2DM case-cohort study nested within the population-based European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk cohort, we used whole blood DNA collected at baseline, up to 11 years before T2DM onset, to investigate the role of methylation in the etiology of T2DM. We identified 15 novel MVPs with robust associations with incident T2DM and robustly confirmed three MVPs identified previously (near to TXNIP, ABCG1, and SREBF1). All 18 MVPs showed directionally consistent associations with incident and prevalent T2DM in independent studies. Further conditional analyses suggested that the identified epigenetic signals appear related to T2DM via glucose and obesity-related pathways acting before the collection of baseline samples. We integrated genome-wide genetic data to identify methylation-associated quantitative trait loci robustly associated with 16 of the 18 MVPs and found one MVP, cg00574958 at CPT1A, with a possible direct causal role in T2DM. None of the implicated genes were previously highlighted by genetic association studies, suggesting that DNA methylation studies may reveal novel biological mechanisms involved in tissue responses to glycemia. CI - (c) 2019 by the American Diabetes Association. FAU - Cardona, Alexia AU - Cardona A AUID- ORCID: 0000-0002-7877-5565 AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. alexia.cardona@mrc-epid.cam.ac.uk ken.ong@mrc-epid.cam.ac.uk. AD - Department of Genetics, University of Cambridge, Cambridge, U.K. FAU - Day, Felix R AU - Day FR AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Perry, John R B AU - Perry JRB AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Loh, Marie AU - Loh M AD - Department of Epidemiology and Biostatistics, Imperial College London, London, U.K. AD - Translational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore. AD - Department of Biochemistry, National University of Singapore, Singapore. FAU - Chu, Audrey Y AU - Chu AY AD - Population Sciences Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. FAU - Lehne, Benjamin AU - Lehne B AD - Department of Epidemiology and Biostatistics, Imperial College London, London, U.K. FAU - Paul, Dirk S AU - Paul DS AD - MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, U.K. FAU - Lotta, Luca A AU - Lotta LA AUID- ORCID: 0000-0002-2619-5956 AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Stewart, Isobel D AU - Stewart ID AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Kerrison, Nicola D AU - Kerrison ND AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Scott, Robert A AU - Scott RA AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Khaw, Kay-Tee AU - Khaw KT AUID- ORCID: 0000-0002-8802-2903 AD - Department of Public Health and Primary Care, University of Cambridge, Cambridge, U.K. FAU - Forouhi, Nita G AU - Forouhi NG AUID- ORCID: 0000-0002-5041-248X AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Langenberg, Claudia AU - Langenberg C AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Liu, Chunyu AU - Liu C AD - Population Sciences Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. AD - Department of Biostatistics, School of Public Health, Boston University, Boston, MA. FAU - Mendelson, Michael M AU - Mendelson MM AD - Population Sciences Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. AD - Department of Biostatistics, School of Public Health, Boston University, Boston, MA. AD - Department of Cardiology, Boston Children's Hospital, Boston, MA. FAU - Levy, Daniel AU - Levy D AD - Population Sciences Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. FAU - Beck, Stephan AU - Beck S AD - Medical Genomics, UCL Cancer Institute, University College London, London, U.K. FAU - Leslie, R David AU - Leslie RD AUID- ORCID: 0000-0002-1786-1531 AD - The Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, U.K. FAU - Dupuis, Josee AU - Dupuis J AD - Department of Biostatistics, School of Public Health, Boston University, Boston, MA. FAU - Meigs, James B AU - Meigs JB AD - Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA. AD - Harvard Medical School, Boston, MA. AD - Programs in Metabolism and Medical and Population Genetics, Broad Institute, Cambridge, MA. FAU - Kooner, Jaspal S AU - Kooner JS AD - Department of Cardiology, Ealing Hospital, Middlesex, U.K. AD - Imperial College Healthcare NHS Trust, London, U.K. AD - MRC-PHE Centre for Environment and Health, Imperial College London, London, U.K. AD - National Heart and Lung Institute, Imperial College London, London, U.K. FAU - Pihlajamaki, Jussi AU - Pihlajamaki J AD - Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Joensuu, Finland. AD - Clinical Nutrition and Obesity Center, Kuopio University Hospital, Kuopio, Finland. FAU - Vaag, Allan AU - Vaag A AD - Cardiovascular and Metabolic Disease Translational Medicine Unit, Early Clinical Development, IMED Biotech Unit, AstraZeneca, Gothenburg, Sweden. FAU - Perfilyev, Alexander AU - Perfilyev A AD - Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Scania University Hospital, Malmo, Sweden. FAU - Ling, Charlotte AU - Ling C AUID- ORCID: 0000-0003-0587-7154 AD - Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Scania University Hospital, Malmo, Sweden. FAU - Hivert, Marie-France AU - Hivert MF AUID- ORCID: 0000-0001-7752-2585 AD - Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA. AD - Massachusetts General Hospital, Boston, MA. FAU - Chambers, John C AU - Chambers JC AD - Department of Epidemiology and Biostatistics, Imperial College London, London, U.K. AD - Department of Cardiology, Ealing Hospital, Middlesex, U.K. AD - Imperial College Healthcare NHS Trust, London, U.K. AD - MRC-PHE Centre for Environment and Health, Imperial College London, London, U.K. AD - Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore. FAU - Wareham, Nicholas J AU - Wareham NJ AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. FAU - Ong, Ken K AU - Ong KK AD - MRC Epidemiology Unit, Institute of Metabolic Science, School of Clinical Medicine, University of Cambridge, Cambridge, U.K. alexia.cardona@mrc-epid.cam.ac.uk ken.ong@mrc-epid.cam.ac.uk. LA - eng GR - 212945/Z/18/Z/WT_/Wellcome Trust/United Kingdom GR - MR/N003284/1/MRC_/Medical Research Council/United Kingdom GR - G9502233/MRC_/Medical Research Council/United Kingdom GR - G0401527/MRC_/Medical Research Council/United Kingdom GR - MR/L00002/1/MRC_/Medical Research Council/United Kingdom GR - G1000143/MRC_/Medical Research Council/United Kingdom GR - U01 DK078616/DK/NIDDK NIH HHS/United States GR - 090532/WT_/Wellcome Trust/United Kingdom GR - 14136/CRUK_/Cancer Research UK/United Kingdom GR - N01HC25195/HL/NHLBI NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - UM1 DK078616/DK/NIDDK NIH HHS/United States GR - K99 HL136875/HL/NHLBI NIH HHS/United States GR - G0700931/MRC_/Medical Research Council/United Kingdom GR - MC_UU_12015/2/MRC_/Medical Research Council/United Kingdom GR - MR/L003120/1/MRC_/Medical Research Council/United Kingdom GR - G0601966/MRC_/Medical Research Council/United Kingdom GR - 098381/WT_/Wellcome Trust/United Kingdom GR - HHSN268201500001C/HL/NHLBI NIH HHS/United States GR - SP/04/002/BHF_/British Heart Foundation/United Kingdom GR - MC_UU_12015/1/MRC_/Medical Research Council/United Kingdom GR - C864/A8257/CRUK_/Cancer Research UK/United Kingdom GR - HHSN268201500001I/HL/NHLBI NIH HHS/United States GR - K24 DK080140/DK/NIDDK NIH HHS/United States GR - MC_UU_12015/5/MRC_/Medical Research Council/United Kingdom GR - RG/18/13/33946/BHF_/British Heart Foundation/United Kingdom GR - RG/13/13/30194/BHF_/British Heart Foundation/United Kingdom GR - 084723/Z/08/Z/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20190910 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Blood Glucose) SB - IM MH - Adult MH - Aged MH - Blood Glucose MH - *DNA Methylation MH - Diabetes Mellitus, Type 2/epidemiology/*genetics MH - England/epidemiology MH - *Epigenome MH - Epigenomics MH - Female MH - Genetic Association Studies MH - Humans MH - Incidence MH - Male MH - Middle Aged PMC - PMC6868468 EDAT- 2019/09/12 06:00 MHDA- 2020/03/17 06:00 PMCR- 2020/12/01 CRDT- 2019/09/12 06:00 PHST- 2018/03/12 00:00 [received] PHST- 2019/08/25 00:00 [accepted] PHST- 2019/09/12 06:00 [pubmed] PHST- 2020/03/17 06:00 [medline] PHST- 2019/09/12 06:00 [entrez] PHST- 2020/12/01 00:00 [pmc-release] AID - db18-0290 [pii] AID - 0290 [pii] AID - 10.2337/db18-0290 [doi] PST - ppublish SO - Diabetes. 2019 Dec;68(12):2315-2326. doi: 10.2337/db18-0290. Epub 2019 Sep 10.