Studying genetic variants - even rare ones - helps us learn how genes 
affect health and disease," said Karen Mohlke, PhD, one of the study's 
senior authors and associate professor of genetics at the University of 
North Carolina School of Medicine. "In this study, we've implicated new 
genes as playing a role in insulin processing and secretion."
The study is also the first time genetic insights have been reported 
using exome array genotyping, a new tool that is less costly than 
genetic sequencing. This analysis allows scientists to quickly screen 
DNA samples for known variants in specific genes. It is especially 
helpful for testing variants that are rare.
"The exome array allowed us to test a large number of individuals - in 
this case, more than 8,000 people - very efficiently," said Mohlke. "We 
expect that this type of analysis will be useful for finding 
low-frequency variants associated with many complex traits, including obesity or cancer."
The scientists pulled data from a large health study directed by 
researchers at the University of Eastern Finland. A research team 
including postdoctoral scientist Jeroen Huyghe at the University of 
Michigan, Ann Arbor led the statistical analysis, which integrated 
genetic data and detailed health records for a sample of 8,229 Finnish 
males.
Diabetes, which affects more than 25 million people in the United 
States, results from problems with the body's ability to produce or use 
insulin. Rather than pinpointing one gene behind the disease, scientists
 believe there are a whole host of genes that interact with health and 
lifestyle factors to influence a person's chances of getting the 
disease.
The study revealed that certain variants of three genes - called 
TBC1D30, KANK1 and PAM - are associated with abnormal insulin production
 or processing, even in people without diabetes. The genes may 
predispose such individuals to developing the disease.
As a next step, the researchers plan to continue to investigate how 
these genes may lead to diabetes. They also expect the results will 
inspire other scientists to use exome analysis to look at the genetic 
factors behind other complex diseases.
 
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