Fructosamine is a measure of short-term glycemic
control, which has been suggested as a useful complement to glycated hemoglobin
(HbA1c) for the diagnosis and monitoring of diabetes. To date, a single genome-wide
association study (GWAS) including 8,951 US White and 2,712 US Black
individuals without a diabetes diagnosis has been published. Results in Whites
and Blacks yielded different association loci, near <i>RCN3</i> and <i>CNTN5</i>,
respectively. Here we performed a GWAS on 20,731 European ancestry blood donors,
and meta-analysed our results with previous data from US White participants
from The Atherosclerosis Risk in Communities (ARIC) study (N<sub>meta</sub>=29,685). We identified
a novel association near <i>GCK</i> (rs3757840,
beta<sub>meta</sub>=0.0062, MAF=0.49, <i>p<sub>meta</sub></i>=3.66x10<sup>-08</sup>)
and confirmed the association near <i>RCN3</i> (rs113886122, beta<sub>meta</sub>=0.0134,
MAF=0.17, <i>p<sub>meta</sub></i>= 5.71x10<sup>-18</sup>).
Co-localization analysis with whole blood
eQTL data suggested <i>FCGRT</i> as the effector transcript at the <i>RCN3</i> locus. We further showed that
fructosamine has low heritability (h2=7.7%), has no significant genetic correlation
with HbA1c and other glycemic traits in individuals without a diabetes diagnosis
(p>0.05), but has evidence of shared genetic etiology with some
anthropometric traits (Bonferroni corrected p<0.0012). Our results broaden
knowledge of the genetic architecture of fructosamine and prioritize <i>FCGRT </i>for downstream functional studies at<i> </i>the
established <i>RCN3</i> locus.