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A genome-wide association study identifies blood disorder–related variants influencing hemoglobin A1c with implications for glycemic status in U.S. Hispanics/Latinos

Diabetes Care Jun 24, 2019

Moon JY, et al. - In US Hispanics/Latinos with diverse genetic ancestries, researchers identified hemoglobin A1c (HbA1c)-associated genetic variants and analyzed their impact for glycemic status assessed by HbA1c. They performed a genome-wide association study (GWAS) of HbA1c in 9,636 U.S. Hispanics/Latinos without diabetes from the Hispanic Community Health Study/Study of Latinos, followed by a replication among 4,729 US Hispanics/Latinos from three independent studies. Findings revealed that hyperglycemia (prediabetes and diabetes) prevalence (defined utilizing fasting glucose or oral glucose tolerance test 2-hour glucose) was comparable between carriers of HBB-rs334 or G6PD-rs1050828 HbA1c-lowering alleles and noncarriers; the hyperglycemia prevalence (defined using HbA1c) was significantly lower in carriers vs noncarriers. This study in US Hispanics/Latinos discovered several ancestry-specific alleles linked to HbA1c through erythrocyte-related instead of glycemic-related pathways. When the HbA1c test is performed, the potential influences of these nonglycemic-related variants must be considered.

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