Evidence map›Paper›PMID 30641161›Full record

ArticleDiabetes research and clinical practice2019

Differential methylation of the type 2 diabetes susceptibility locus KCNQ1 is associated with insulin sensitivity and is predicted by CpG site specific genetic variation.

Ushma J Shah, Weijia Xie, Allan Flyvbjerg, John J Nolan, Kurt Højlund, Mark Walker, Caroline L Relton, Hannah R Elliott, RISC consortium

Open access · hybridAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Associations ofJournal of diabetes research · 2020
    Pooled it
  3. Article
  4. Article
  5. Metformin Alone and in Combinations Alter the Methylation Patterns ofEndocrine, metabolic & immune disorders drug targets · 2026
    Article
  6. Article
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  15. Research and practice in thrombosis and haemostasis · 2023
    Article
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  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Ushma J ShahInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; MedGenome Labs Ltd., Bangalore 560 099, India.
Weijia XiePeninsula School of Medicine and Dentistry, Exeter EX2 5DW, UK.
Allan FlyvbjergSteno Diabetes Center Copenhagen, The Capital Region of Denmark and University of Copenhagen, Copenhagen, Denmark.
John J NolanEuropean Association for the Study of Diabetes (EASD), 40591 Düsseldorf, Germany.
Kurt HøjlundSteno Diabetes Center Odense, Odense University Hospital, DK-5000, Denmark.
Mark WalkerInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE2 4HH, UK.
Caroline L ReltonInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; MRC Integrative Epidemiology Unit at the University of Bristol, Bristol BS8 2BN, UK; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2BN, UK.
Hannah R ElliottInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne NE1 7RU, UK; MRC Integrative Epidemiology Unit at the University of Bristol, Bristol BS8 2BN, UK; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2BN, UK. Electronic address: Hannah.elliott@bristol.ac.uk.
RISC consortium
Newcastle University · GBSteno Diabetes Center · DKEuropean Association for the Study of Diabetes · DEPeninsula College of Medicine and Dentistry · GBSciGenom Labs (India) · IN

Funding

Medical Research Council MC_UU_00011/5Medical Research Council MC_UU_12013/2
6 · The paper itself

Abstract

aimsEpigenetic mechanisms regulate gene expression and may influence the pathogenesis of type 2 diabetes through the loss of insulin sensitivity. The aims of this study were to measure variation in DNA methylation at the type 2 diabetes locus KCNQ1 and assess its relationship with metabolic measures and with genotype.

methodsDNA methylation from whole blood DNA was quantified using pyrosequencing at 5 CpG sites at the KCNQ1 locus in 510 individuals without diabetes from the 'Relationship between Insulin Sensitivity and Cardiovascular disease' (RISC) cohort. Genotype data was analysed at the same locus in 1119 individuals in the same cohort. Insulin sensitivity was assessed by euglycaemic-hyperinsulinaemic clamp.

resultsDNA methylation at the KCNQ1 locus was inversely associated with insulin sensitivity and serum adiponectin. This association was driven by a methylation-altering Single Nucleotide Polymorphism (SNP) (rs231840) which ablated a methylation site and reduced methylation levels. A second SNP (rs231357), in weak Linkage Disequilibrium (LD) with rs231840, was also associated with insulin sensitivity and DNA methylation. These SNPs have not been previously reported to be associated with type 2 diabetes risk or insulin sensitivity.

conclusionEvidence indicates that genetic and epigenetic determinants at the KCNQ1 locus influence insulin sensitivity.

Indexed as

DNA MethylationAdultCohort StudiesCpG IslandsDiabetes Mellitus, Type 2DNA Mutational AnalysisEpigenesis, GeneticFemaleGenetic Association StudiesGenetic LociGenotypeHumansInsulin ResistanceKCNQ1 Potassium ChannelLinkage DisequilibriumMaleKCNQ1 Potassium ChannelKCNQ1 protein, humanInsulin sensitivityKCNQ1MethylationSNPType 2 diabetes

Identifiers

PMID30641161
PMCPMC6395844
OpenAlexW2910067112

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.