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Zoom link: http://snu-ac-kr.zoom.us/s/99344901481




Title: Genome study of type 2 diabetes using Korea Biobank Array (Çѱ¹ÀÎĨÀ» ÀÌ¿ëÇÑ Á¦2Çü ´ç´¢º´ À¯Àüü¿¬±¸)


Abstract:

Type 2 diabetes (T2D) arises from a complex interplay between genetic and environmental factors. In the past decade, extensive genomic studies on East Asians, including Koreans, have identified numerous loci linked to T2D. Based on polygenic risk scores (PRS) derived from these associations, individuals at high genetic risk exhibit approximately 2-3 times higher prevalence of T2D compared to those in the remaining group. Recent research underscores the significant influence of rare variants with substantial genetic effects, resulting in nearly 50% reduction in T2D prevalence among carriers of the rare allele. Beyond genomics, a healthy lifestyle score (HLS) that integrates individual lifestyle risk factors has been developed to assess T2D risk. Individuals with an ¡®unfavorable¡¯ lifestyle display an increased incident of T2D compared with the baseline group. Merging these genetic and environmental risk factors creates an opportunity to stratify individuals at risk of T2D. Indeed, individuals with an unfavorable lifestyle and the top 20% T2D-PRS demonstrate nine times higher T2D incidence than the baseline group. However, rare allele carriers exhibit a reduced risk of prevalent T2D among the intermediate and unfavorable HLS groups compared to the favorable group. By considering the joint impact of common and rare genetic variants alongside lifestyle factors, the predictability of T2D within the Korean population has been enhanced. Classifying individuals based on their genetic composition of common and rare alleles would allow for the categorization of various T2D subtypes, facilitating targeted interventions and personalized treatment options, potentially advancing clinical practice in the future.