Initial Insights into the Genetic Variation Associated with Metformin Treatment Failure in Youth with Type 2 Diabetes.

Pediatric diabetes
Authors
Abstract

Metformin is the first-line treatment for type 2 diabetes (T2D) in youth but with limited sustained glycemic response. To identify common variants associated with metformin response, we used a genome-wide approach in 506 youth from the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study and examined the relationship between T2D partitioned polygenic scores (pPS), glycemic traits, and metformin response in these youth. Several variants met a suggestive threshold ( < 1 × 10), though none including published adult variants reached genome-wide significance. We pursued replication of top nine variants in three cohorts, and rs76195229 in was associated with worse metformin response in the Metformin Genetics Consortium ( = 7,812), though statistically not being significant after Bonferroni correction ( = 0.06). A higher -cell pPS was associated with a lower insulinogenic index ( = 0.02) and C-peptide ( = 0.047) at baseline and higher pPS related to two insulin resistance processes were associated with increased C-peptide at baseline ( = 0.04,0.02). Although pPS were not associated with changes in glycemic traits or metformin response, our results indicate a trend in the association of the -cell pPS with reduced -cell function over time. Our data show initial evidence for genetic variation associated with metformin response in youth with T2D.

Year of Publication
2023
Journal
Pediatric diabetes
Volume
2023
Date Published
12/2023
ISSN
1399-5448
DOI
10.1155/2023/8883199
PubMed ID
38590442
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