Evidence map›Paper›PMID 40788656›Full record

ArticleDiabetes2025

Genome-Wide Aggregated Trans Effects Analysis for Circulating Proteins Indicates a Key Role of Immune Checkpoints in Type 1 Diabetes.

Xuan Zhou, Andrii Iakovliev, Stuart McGurnaghan, Buddhiprabha Erabadda, Caroline Hayward, Paul M McKeigue, Athina Spiliopoulou, Helen M Colhoun

Abstract read
In one paragraph

Article in Diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

8 authors.

Xuan ZhouUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, U.K.ORCID 0000-0003-3919-0342
Andrii IakovlievInstitute of Genetics and Cancer, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, U.K.ORCID 0000-0003-4031-0073
Stuart McGurnaghanInstitute of Genetics and Cancer, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, U.K.ORCID 0000-0002-3292-4633
Buddhiprabha ErabaddaUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, U.K.ORCID 0000-0003-4401-7149
Caroline HaywardInstitute of Genetics and Cancer, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, U.K.ORCID 0000-0002-9405-9550
Paul M McKeigueUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, U.K.ORCID 0000-0002-5217-1034
Athina SpiliopoulouUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh BioQuarter, Edinburgh, U.K.ORCID 0000-0002-5929-6585
Helen M ColhounInstitute of Genetics and Cancer, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, U.K.ORCID 0000-0002-8345-3288

Funding

Academy of Medical Sciences SBF006/1109Chief Scientist Office, Scottish Government Health and Social Care Directorate CZD/16/6Chief Scientist Office, Scottish Government Health and Social Care Directorate ETM/47Diabetes UK 10/0004010Diabetes UK 15/0005301JDRF 17-2013-7Medical Research Council Cross Disciplinary Fellowship (XDF) (MC_FE_00035)Medical Research Council Human Genetics Unit programme (U. MC_UU_00007/10)Scottish Funding Council HR03006Wellcome TrustWellcome Trust 104036/Z/14/ZWellcome Trust 216767/Z/19/Z
6 · The paper itself

Abstract

The "omnigenic" hypothesis postulates that polygenic effects of common variants on typical complex traits coalesce via trans effects on the expression of a relatively sparse set of "core" effector genes and their encoded proteins in relevant tissues. The objective of this study was to identify core proteins for type 1 diabetes. We used summary statistics for single nucleotide polymorphism associations with plasma levels of 5,130 proteins in three large cohorts, including the UK Biobank, to compute genome-wide aggregated trans effects (GATE) scores for protein levels in two type 1 diabetes case-control studies (6,828 case individuals, 416,000 control individuals). GATE scores for 27 proteins were associated with type 1 diabetes. Of these, 14 were replicated between data sets, 11 had support in Mendelian randomization analysis, and 9 had experimental support in mouse models of autoimmune diabetes. The strongest associations were for immune checkpoints (PDCD1, CD5, TIGIT, and LAG3), chemokines, and innate immune system proteins (NCR1 and KLRB1). While PDCD1 is a known cause of monogenic autoimmune diabetes, neither it nor most of the core proteins identified here were previously reported as genome-wide association study hits for type 1 diabetes. These results identify possible drug targets with genetic support for causality and suggest that programmed cell death protein 1 agonists under development for other indications should be trialed for type 1 diabetes prevention. ARTICLE HIGHLIGHTS: Demonstrating genetic evidence for a role of a protein in disease gives important support for its potential as a drug target. We aimed to identify proteins that have genetic evidence to support a causal role in the pathogenesis of type 1 diabetes. We found 27 core proteins had genetic evidence of causality for type 1 diabetes. Top hits included immune checkpoints (PDCD1, CD5, TIGIT, and LAG3) and innate immune system proteins (NCR1 and KLRB1). These results identify possible drug targets and suggest that programmed cell death protein 1 agonists should be trialed for type 1 diabetes prevention.

Indexed as

Blood ProteinsDiabetes Mellitus, Type 1Immune Checkpoint ProteinsAnimalsCase-Control StudiesFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisMicePolymorphism, Single NucleotideProgrammed Cell Death 1 ReceptorBlood ProteinsImmune Checkpoint ProteinsProgrammed Cell Death 1 Receptor

Identifiers

PMID40788656
PMCPMC12451089

What OpenQuestion holds

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Registered trials

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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.